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Qualified Medication Administration Person
The following survey is part of the Department of Regulatory Agencies’ sunset review process evaluating the
Qualified Medication Administration Person (QMAP) program
. It is very important that we get as much input as possible from facilities to assist us in determining the program’s value and effectiveness, as well as your opinion of the licensing and implementing agency. Your participation is a vital part of the evaluation process.
This tool will not be used to evaluate facility operations, only this particular function within the operational context.
Please provide the following information only as it applies to the facility in which you work.
1.
What Agency licenses or operates your facility?
Dept. of Human Services
Dept of Public Health & Environment
Dept. of Corrections
2.
Where is QMAP training conducted for your staff members and by whom?
On site by staf
f
Off site by staff
On site by contractor
Off site by contractor
3.
Your facility either employs directly or contracts with which category(s) of persons?
(check all that apply
)
Physician
Registered Nurse
Licensed Practical Nurse
Certified Nurse Aide
QMAP
4.
How often do you review medication administration procedures?
Monthly
Quarterly
Yearly
Never
5.
How many staff members, of all categories at your facility?
0-10
11-20
21-30
31-40
More than 40
6.
How many licensed medical professionals at your facility?
0-10
11-20
21-30
31-40
More than 40
7.
How many QMAPs are on your staff?
0-10
11-20
21-30
31-40
More than 40
8.
How many residents at your facility?
(Average per day)
0-10
11-20
21-30
31-40
More than 40
9.
How many medication administrations at your facility?
(Average per day)
0-10
11-20
21-30
31-40
More than 40
Please react to the following statements, with the extent that you agree or disagree, only as it pertains to the staff at your facility.
10.
The higher the level of education, the less likely a medication administration error is to occur.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
11.
The QMAP training is necessary.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
12.
The QMAP training is effective.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
13.
Medication errors are usually related to record keeping rather than dosage.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
14.
QMAP training is convenient.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
15.
The QMAP qualification adds value to a staff member’s employment status.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
16.
QMAPs are important to the operation of the facility.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
17.
QMAPs can do everything we need them to do in the facility.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
e
18.
Licensed medical staff makes fewer medication administration errors than QMAPs.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
19.
Record keeping is just as important as dosage in medication administration.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
20.
We need to watch QMAPs closely.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Please respond to the following questions with a few sentences.
21.
If you could make any changes you believe necessary, how would change the QMAP program?
22.
What are your general thoughts on the QMAP program?