Ch. 7 (Clayton)- principles of med. admin & med safety Flashcards
critical pathways
integrated care plans or clinical maps
summary sheet
pt’s name, address, DOB, marital status, attending physician, gender, allergies, nearest relative, occupation, date and time of admitting, religious preference, admitting problem etc.
the use of standardized outcomes
improve quality of care
reduce costs of care
document effect on pt outcomes
core measures
how often a hospital uses the care recommendations identified by evidence based practice
what do nurses notes generally start with?
nursing hx
flow sheets
condensed form of recording info for quick comparison of the data
consultation reports
the specialist’s summary of findings, diagnoses and recommendations of treatment
in acute care setting MAR is updated every…?
12 hours
how are medication containers arranged?
either alphabetically or numerically
disposal of controlled substance
second qualified nurse must witness portion of a dose of a controlled substance
long term care unit dose system
individual drawers to hold one resident’s meds for 1 week
labeled with name, rm#, pharmacy name & ph#, name of health care agency
verbal orders
must be cosigned and dated by physician within 24 hours
most common occurrence time of ADE’s?
ordering stage
administering stage
5 steps to medication reconciliation
current meds
prescribed meds
compare the 2
make clinical decision based on comparison
communicate new list to caregiver(s) and pt
variance
medication error
