Chapter 4 & 6 Flashcards
r/t drug therapy assess for (5)
Medical conditions & drug use (Prescription, OTC, illicit) Allergies Level of understanding Family support VS, age, weight
3 parts of intervention r/t drug therapy
Proper drug admin
Providing comfort measures & managing needs
Pt/family education about drugs
8 RIGHTS OF DRUG ADMIN
PATIENT DRUG DOSE STORAGE ROUTE PREPARATION TIME DOCUMENATION
“right patient” check for… (3)
name, birthdate, allergies
3 CHECKS
When removing med from where it is stored
When preparing med
Before admin
ac
before meals
pc
after meals
cap
capsule
gtt
drop
prn
as needed
BID
2x/day
TID
3x/day
QID
4x/day
q#h
every # hours
d/c
discontinue
contributing factors to med errors (9)
Incorrect admin Failure to follow agency safety checks Failure to account for pt variables Stressful work conditions Fatigue Multiple prescribers Polypharmacy Pt not filling or refilling prescriptions Pt not taking as directed
reduction of med errors (7)
ID of factors that contribute to errors - allergies, drug interactions, etc
Proper ID of pt
Proper techniques of admin
Monitoring self-admin, especially high-risk pop
Medication reconciliation
Avoiding polypharmacy
Effective pt teaching
what is medication reconciliation?
verifying Physician Order Sheet & Medication Administration Record (MAR) match
define sentinel event
incident that results in an unexpected serious or fatal injury following a med error
6 challenges to effective drug therapy
media internet OTC drugs alternative therapies off-label use issues r/t healthcare cost
