*CH 47 Safe administration and error reduction Flashcards
Chemical name
meds chemical component
Generic name
official or nonproprietary name of US adopted names council gives medication.
each meds has only on generic name
trade name
manufacturers given name
uncontrolled substances are?
require monitoring by provider but does not pose a risk for addiction or misuse
controlled substance
potential misuse and dependent and has a schedule classification.
ex. heroin is schedule 1 med. no medical use
what is an example of schedule 1 medcation
heroin. has no use medically
what is a schedule II medication ?
morphine
what is a schedule IV medication
phenobarbital
Medication Category
has pharmacological action therapeutic use body system target chemical make up classification for use during pregnancy's
Mechanism of action
how the medication produces its therapeutic effect
Adverse effect
undesirable and potentially dangerous response to medication
toxic effect
medication can have a specific risk and manifestation of toxicity
interactions
meds interact with other meds that can cause beneficial or harmful effect.
fun fact
giving beta blocker atenolol concurrently with calcium channel blacker nifedipine helps prevent reflex tachycardia
what is precautions and contraindications
conditions that make it risky or unsafe for people to take
Routine standing prescriptions
meds prescribed on a regular without a termination date. will stay in effect till provider discontinues it or discharge client
opioids and antibiotics prescriptions
providers prescribe with given time and amount
now prescription
is only for administration once or up to 90 min from when nurse received the order
components of a medication prescription
full name date and time name of meds strength and dosage route time and frequency quantity to dispense and refills signature
taking phone prescription:
read back prescription
ensure name, meds name, dosage, time to give, frequency, route
spelling is correct
state number separately
provider signature
write or or enter the prescription in patient medical record
have second nurse listen if possible
pre assessment for medication therapy
health history
physical examination
Rights of safe medication administration
right patient right medication right dose right time right route right documentation right client education right to refuse right assessment right evaluation
resources for medication information
nursing drug handbook pharmacology textbooks professional journals physicians desk reference professional website pharmacists
Common medication errors
wrong meds incorrect dose wrong client, route, time administration of medication to which the client is allergic omission of a dose or extra doses incorrect discontinuation of meds inaccurate prescribing
Institute for safe medication Practices ISMP
nonprofit organization working to educate about safe medication practices.
high alert meds are
high risk of causing harm if administered incorrectly
error prone abbreviation
DO NOT CRUSH meds
look alike and sound alike meds
minimize risk of medication error
avoid distraction, interruption
read meds label slowly and carefully
follow right meds administration
Assessment of medication
knowledge of meds and why medical dx can the pt take it allergic? obtain proadministration data ( HR, BP) is med prescription complete interpret meds prescription accurately question provider if prescription is unclear or inappropriate for clients condition question provider about drastic med dosage change determine clients learning needs
Planning medication
ID clients outcomes for meds
prioritize meds administration
implementation of meds
avoid distraction prepare meds for one client at a time check labels dose amount. follow right med admin only give meds that i have prepared encourage pts to become part of safety net follow procedure route administration communicate clearly in writting and speaking do not leave meds at bedside
evaluation for medication
eval clients response to meds
document
report
recognize adverse effects document and report them
notify providers of all errors and implement corrective measures immediately
