Chapter 12- General Steps in Administering Medications Flashcards
What are the 9 rights of medication administration?
Right Patient
Right medication and indication
Right dose
Right route
Right time
Right education
Right to refuse
Right response and evaluation
Right documentation
Medication errors usually result from _____
failure to follow these 9 rights
After administering the medication it is important to ___
reasssess the patient to see if it worked.
Look for adverse effects and be prepared to document your findings
You must have an order from medical control to administer or assist with administration of patient medications. If order is given online, it is importantly to repeat the order back to the physician, using the _______
Echo technique
If at any point while you are receiving a order for a medication and you are confused or unclear, or If you are unsure on what to do, or If believe a medication order may be harmful to the patient, you should:
tell medical control
The other way to receive orders to administer or assist with medications is through:
indirect or offline medical control
Protocols are documents that contain standing orders for administering medications. Give an example of a protocol for a patient with respiratory difficulties:
Protocol may direct you to use a nonrebreathing mask to deliver oxygen at 15 L/min
You can act under protocol without having to _____
contact medical control
Explain right patient.
Used to verify patient when working with more than one patient
Or administering or assisting with a patient med-checking that the bottle says the right name
Explain right medication and indication
Verify proper medication and prescription, if applicable.
Confirm medication orders and determine if the patient is still a candidate for the medication
Make sure there are no contraindications for the medication
Have your partner confirm the medication before you administer it
Read the label
Never give patient medication prescribed to someone else
Explain Right Dose
Verify form and dose of medication
If dose ordered is 324 mg of aspirin and each tablet is 81 mg tablets, how many will you need to give the patient ? 4 tablets
Explain right route
verify the route of the medication
make sure the route matches the order you received
You may not substitute capsules for ____
tablets
The medication must be the same, the dose must be the same, and the route of delivery must be the same.
True
Explain right time.
Check the expiration date and condition of the medication
If no expiration date can be found, then you should ____
Examine the medication with suspicion
If you find _____, ______, or _______ in a liquid medication you should not sue it
discoloration, cloudiness, or particles
After the medication has been given you will need to assess the patient to see if it worked. What kind of questions should you ask?
Does the patient still have the same complaint? Has it changed? Is the patient experiencing any adverse effects?
After giving a medication, you should reassess _______ and _________ every ___ minutes
heart rate and blood pressure
5 minutes
If the medication is being administered to help reduce pain, you should ask the patient what question?
How would you rate your pain before and after medication administration on a scale of 1-10.
Be mindful of repeat doses. If instructions say repeat nitroglycerin administration in10 minutes, you must give it in exactly 10 minutes.
True.
Explain right education.
Inform the patient of the medication you intend to administer, confirm any allergies, inform the patient of any potential adverse effects or unusual sensations he may experience as a result of the medication
Explain right to refuse.
Patients with decision making capacity can decline or refuse proposed interventions or medications
If the patient is unresponsive, briefly evaluate whether or not the patient has an ________ that might include administration of certain medications
Advanced Directive
When a patient lacks decision making capacity, a ______ has the right to refuse any proposed interventions or medications
surrogate
Explain right response and evaluation.
monitor a patient’s vital signs, mental status, signs of perfusion, and respiratory rate after a medication has been given
assess for anticipated effect
Explain right documentation.
EMS rule of thumb: If the work is not documented, it was not done
What are some things you should document?
Time you gave the medication, the name, dose, and route of administration
Did the patients condition improve or worsen?
Were there any adverse effects?
