Chapter 7- Principles Of Medication Administration And Medication Safety Flashcards
Ignorance to nurses responsibilities results in?
Delays in med administration and serious administration errors
Before medicines are administered the nurse must understand?
The professional responsibilities associated with
- med administration
- drug orders
- medication delivery systems
- nursing processes related to drug therapy
True or False
The practice of nursing under a professional license is a Devine right.
False. The practice of nursing under a professional license is a privilege not a right.
Standards of care are?
Guidelines developed for the practice of nursing
The guidelines of the standards of care are defined by?
State and federal laws
The Joint Commission
Professional organizations (American Nurse Association)
Specialty nursing organizations (Intravenous Nurses Society)
List the four examples of policy statements relating to medication administration
1) education requirements of those authorized to administer medications
2) approved list of intravenous solutions & meds that nurses can start or add to infusions
3) list of restricted medications
4) list of abbreviations that are not used in documentation
What must a nurse have in order to pass medications?
A current license to practice, a clear policy statement that authorizes the act, and a medication order signed by a licensed practitioner with prescriptive privileges.
Fill in the blank
The nurse must understand the patient’s ____ and ______ that correlate with the rationale for drug use
Diagnosis and symptoms
The nurse is expected to know what about medications?
Why it was ordered, expected actions, usual dosing, proper dilution, route and rate of administration, adverse effects, and contraindications
True or False
The nurse does not assess the patient to ensure therapeutic and adverse effects associated with the medicine is reported
False. It is the nurse’s responsibility.
Claiming unfamiliarity with nursing responsibilities when an avoidable complication arise is…
Unacceptable and considered NEGLIGENCE!!!!
What do the nurses record in their notes?
Ongoing assessments of pt condition, responses to nursing interventions ordered by physician,and evaluations of effectiveness of nursing interventions
What should the nurse do after administration of prn medications?
Record immediately after administration and its effectiveness.
PRN medications are located where on the MAR?
Listed at the bottom
What protocol should a nurse look for on a MAR?
Potassium protocol.
Normal range for aPTT
25-35 seconds
Normal range for INR
2-3
Before administering any controlled substance the nurse should what?
Verify that the time interval since the last use of the drug has elapse as the physician had ordered.
The nurse receiving a controlled substance supply is responsible for
Counting and verifying the number and types of controlled substances received
Before throwing out an empty bottle one should
Scratch out all identifying information on the label. Make it unreadable!
Controlled substances can be disposed by
Flushing down the toilet or rinsing in the drain
All prescriptions must contain
1) name of pt and drug
2) date
3) route of administration
4) dose
5) duration of order
6) signature of the prescriber
The four categories of medication orders are
Stat
Single
Standing
PRN
Orders used on an emergency basis and only once. ASAP!
Stat order
On order that is administered at a certain time but only once
Single order
An order that indicates that a medication will be given for a specified number of doses
Standing order
Means drug is to be administered until discontinued at a later date
A renewal order must be?
Written and signed by a physician
PRN means
Administer as needed
How long does a physician have to consign and date a verbal order?
Within 24 hours
Medical errors can result in
Serious complications
List examples of high alert medicines
Insulin Heparin Opioids Potassium Neuromuscular blocking agents Chemotherapy
Define Medication reconciliation.
Process of comparing a patients current medication orders with all the medications that they are actually taking
What is the five step process of medical reconciliation
1) develop a list of current medications
2) develop a list of prescribed meds
3) compare the two lists
4) make a clinical decision based on comparison
5) communicate the new list to caregivers and patient
How many times should a drug label be read?
3 times
Drugs that require an empty stomach must be taken
An hour before or two hours before a meal
Adverse symptoms should be observed and recorded
Promptly
True or False
It is acceptable to record a medication before it is given
False. DO NOT record a medication until after it has been given
True or false
do NOT record in the nurses notes that an incident report has been completed when a medication error has occurred
True
What are some tests used to identify hepatic function?
AST,LDH, and GGT
