CRMA RECERTIFICATION
Standard Precautions can help to break the chain of infection
Blood Pressure (BP): The blood pressure is a measure of the force of the blood against the walls of the arteries. This tells you how hard the heart is working. The size of the cuff should cover 2/3 of the upper arm and be placed 1/2 inch above the bend in the elbow Ask the client what their BP normally runs and pump 20 mm/Hg above that OR Pump the cuff up 30 mm/Hg above the last beat felt while inflating The first number is your systolic pressure — that's the force of the blood flow when blood is pumped out of the heart. The second number is your diastolic pressure, which is measured between heartbeats when the heart is filling with blood. .
Vital Signs
Pulse (P) The pulse is the measurement of the number of heart beats per minute. There are numerous pulse sites on a person’s body. For the purpose of this course, the discussion will be about radial and apical pulses. When checking a person's pulse you are observing the number of beats and if it is regular or not.
Other vital signs you will be measuring
- Respirations
- Temperature
- Oxygen Saturation
Normal vital sign values
Normal vital sign values
Normal vital sign values
Blood Pressure Basics
The 8 rights of medications administration
Routes of medication administration
PO/SL (sublinqual
Inhalation
Transdermal (rotate sites with each administration)
Topical
Eye drops, Ear drops, Nasal Spray
Rectal/Vaginal
These may be administered by a CRMA only after training by a Nurse
Epi Pen
Insulin (rotate sites with each administration
What type of medication treats the following conditions?
InfectionPain Psychosis Antidiabetic meds (Insulins, antihyperglycemic meds like metformin) Antihypertensives Psychotropic medications
These 3 things are important for a CRMA to remember
- Must have knowledge of how to approach the resident
- Must be able to administer medications in a manner that is safe, proper, and accurate.
- Must understand the facility medication policy
Applying/Administering Medications
Applying Topical Creams: Applying Transdermal patches:
Inhaler with spacer (adult)
Inhaler
Nebulizer
Inhaler with spacer (child)
What do you administer first, Bronchodilators or corticosteroids?
Bronchodilators
What must be done after a client uses a corticosteroid?
Rinse and spit
Administering eye drops
Administering Nasal Spray
Ear drops:
Measurements
Medication Side effects
Most common side effects of any medications
Side effects that are seen with psychotropic medications
Pale
Managing hypoglycemia symptoms
Have client take a quickly absorbed carbohydrate such as juice or Glutose gel then a slower acting carbohydrate like milk, a sandwich or peanut butter crackers
Re-check blood sugar after 15 minutes, if blood sugar is still less than 60, repeat the above steps x 1, CALL 911 if client does not respond to above intervention, symptoms become worse, and/or client becomes unresponsive/unconscious
Managing hyperglycemia symptoms
Check Blood sugar. If over 300 recheck a second time (Best Practice), Give Medications as prescribed, notify client’s Provider, encourage water intake and light exercise (only if client feels well enough to do this), CALL 911 If decrease in consciousness is noted and/or client’s symptoms become severe
How do you document a refusal of a medication?
What do you do if you make a mistake on the MAR?
How do you administer Nitro for chest pain?
Can you pre-pour medications and administer them to all clients at once?
How often are scheduled II medications counted?
How are scheduled II medications stored/documented?
How are topical medications stored?
What do you have to have when destroying/discarding a medication?
How many CRMA's need to check the MARs before they go into circulation each month?
What is the medication administration window?
What resources are available to you regarding questions about medications?
When setting up the times for an antibiotic, what do you need to take into consideration?
CRMA RECERTIFICATION
Heather Elkins
Created on February 8, 2026
Start designing with a free template
Discover more than 1500 professional designs like these:
View
Terrazzo Presentation
View
Visual Presentation
View
Relaxing Presentation
View
Modern Presentation
View
Colorful Presentation
View
Modular Structure Presentation
View
Chromatic Presentation
Explore all templates
Transcript
CRMA RECERTIFICATION
Standard Precautions can help to break the chain of infection
Blood Pressure (BP): The blood pressure is a measure of the force of the blood against the walls of the arteries. This tells you how hard the heart is working. The size of the cuff should cover 2/3 of the upper arm and be placed 1/2 inch above the bend in the elbow Ask the client what their BP normally runs and pump 20 mm/Hg above that OR Pump the cuff up 30 mm/Hg above the last beat felt while inflating The first number is your systolic pressure — that's the force of the blood flow when blood is pumped out of the heart. The second number is your diastolic pressure, which is measured between heartbeats when the heart is filling with blood. .
Vital Signs
Pulse (P) The pulse is the measurement of the number of heart beats per minute. There are numerous pulse sites on a person’s body. For the purpose of this course, the discussion will be about radial and apical pulses. When checking a person's pulse you are observing the number of beats and if it is regular or not.
Other vital signs you will be measuring
Normal vital sign values
Normal vital sign values
Normal vital sign values
Blood Pressure Basics
The 8 rights of medications administration
Routes of medication administration
PO/SL (sublinqual
Inhalation
Transdermal (rotate sites with each administration)
Topical
Eye drops, Ear drops, Nasal Spray
Rectal/Vaginal
These may be administered by a CRMA only after training by a Nurse
Epi Pen
Insulin (rotate sites with each administration
What type of medication treats the following conditions?
InfectionPain Psychosis Antidiabetic meds (Insulins, antihyperglycemic meds like metformin) Antihypertensives Psychotropic medications
These 3 things are important for a CRMA to remember
Applying/Administering Medications
Applying Topical Creams: Applying Transdermal patches:
Inhaler with spacer (adult)
Inhaler
Nebulizer
Inhaler with spacer (child)
What do you administer first, Bronchodilators or corticosteroids?
Bronchodilators
What must be done after a client uses a corticosteroid?
Rinse and spit
Administering eye drops
Administering Nasal Spray
Ear drops:
Measurements
Medication Side effects
Most common side effects of any medications
Side effects that are seen with psychotropic medications
Pale
Managing hypoglycemia symptoms
Have client take a quickly absorbed carbohydrate such as juice or Glutose gel then a slower acting carbohydrate like milk, a sandwich or peanut butter crackers
Re-check blood sugar after 15 minutes, if blood sugar is still less than 60, repeat the above steps x 1, CALL 911 if client does not respond to above intervention, symptoms become worse, and/or client becomes unresponsive/unconscious
Managing hyperglycemia symptoms
Check Blood sugar. If over 300 recheck a second time (Best Practice), Give Medications as prescribed, notify client’s Provider, encourage water intake and light exercise (only if client feels well enough to do this), CALL 911 If decrease in consciousness is noted and/or client’s symptoms become severe
How do you document a refusal of a medication?
What do you do if you make a mistake on the MAR?
How do you administer Nitro for chest pain?
Can you pre-pour medications and administer them to all clients at once?
How often are scheduled II medications counted?
How are scheduled II medications stored/documented?
How are topical medications stored?
What do you have to have when destroying/discarding a medication?
How many CRMA's need to check the MARs before they go into circulation each month?
What is the medication administration window?
What resources are available to you regarding questions about medications?
When setting up the times for an antibiotic, what do you need to take into consideration?