3. Safety and Quality Drug Administration

Question 1

What are the competencies for a safe and comprehensive care?

Answer 1

• Patient-family-centered care
• Collaboration and teamwork
• Evidence-based practice
• Quality improvement
• Safety
• Informatics

Question 2

What are the Six Rights Plus Four of Medication Administration?

Answer 2

Right Patient, Right Drug, Right Dose, Right Time, Right Route, Right Documentation, Right Assessment, Patient’s Right to Education, Right Evaluation, Right to Refuse

Question 3

How do you make sure you have the RIGHT PATIENT before giving medication?

Answer 3

Verify patient with two forms of identification.
* Compare patient’s stated name and birthdate
with patient’s ID band and MAR.
* Scan patient’s bar code on their ID band
* Check color coding on patient’s ID band.
* Verify patient’s name with family member if
present.
* Check for “name-alert” sticker when 2
patients have same name.
* Color-coded ID bands are for allergy, DNR,
etc.

Question 4

How do you make sure you have the RIGHT DRUG before giving medication?

Answer 4

Scan medication label
* Check that the order is prescribed by licensed
health care provider
* Read drug labels three times
* Be familiar with patient’s health record,
allergies, lab results, and vital signs.
* Know why the patient is receiving medication
and if correct for patient’s diagnosis.
* Check dose calculations.
* Know the beginning and ending date of
medication.

Question 5

How do you make sure you have the RIGHT DOSE before giving medication?

Answer 5

• Verify dosage calculation.
• Verify that drug is safe for patient.
• Weigh patient if dose is dependent upon
  weight.
• Validate dose of certain

Question 6

How do you make sure you have the RIGHT TIME before giving medication?

Answer 6

• Use health care agency policy.
• Use of military time reduces errors.
• Drugs affected by food are given 1h ac or 2h
  pc.
• Give food with drugs that irritate the
  stomach.
• Check for scheduled procedures.
• Check expiration date.
• Administer antibiotics at even intervals (OD,
  BID, TID, QID, every 12 hours, 8 hours, 6
  hours, etc.)
• Hold antihypertensives prior to dialysis if
  ordered.

Question 7

How do you make sure you have the RIGHT ROUTE before giving medication?

Answer 7

• Necessary for adequate absorption.
• Assess patient’s ability to swallow oral
  medication.
• Do not crush or mix medications without
  validation or consultation.
• Offer patient water but not juice. (Iron may
  be taken with orange
• juice).
• Use aseptic technique.

Question 8

How do you make sure you have the RIGHT DOCUMENTATION before giving medication?

Answer 8

Requires the nurse to record immediately the
appropriate information about the drug
administered.

Question 9

What are the Transcultural difference in Interpretation of Rights?

Answer 9

1. Environmental influence
2. Religion
3. Ethnic beliefs, rituals
4. Technology and economy
5. Gender considerations
6. Other form of inequalities