Chapter 7 - Safe Medication Administration

Question 1

The major watchdog organization for medication safety:

Answer 1

The Joint Commission

The Institute for Safe Medication Practices

Question 2

A paper record of all medications a patient is receiving.

Answer 2

MAR

Question 3

The six rights of medication administration:

Answer 3

Drug
Dosage
Route
Time
Person
Recording

Question 4

The three times a drug order and drug label are routinely checked against each other:

Answer 4

1) When you locate the drug
2) Just before you open and pour it
3) Immediately before you administer it

Question 5

A form of inhalation insulin.

Answer 5

Exubera

Question 6

p.r.n.

Answer 6

as needed (pro re nata)

Question 7

Two time related specifics found on the MAR:

Answer 7

1) frequency

2) specific hours

Question 8

The medication recipient is one of your best ____________ in preventing errors.

Answer 8

Assists

Question 9

Consider the patient correct until ____________________.

Answer 9

proven otherwise

Question 10

An important safety precaution is recognition of the patient/recipient as a full partner in __________________________.

Answer 10

medication administration

Question 11

The three modalities related to drug orders:

Answer 11

1) prescribing
2) transcribing
3) administration

Question 12

Number of people estimated to be killed annually by prescription drugs:

Answer 12

100,000

Question 13

Instead of U (unit), use instead:

Answer 13

“unit”

Question 14

Instead of IU, use instead:

Answer 14

“International Unit”

Question 15

Instead of Q.D., QD, q.d., qd, use instead:

Answer 15

“daily”

Question 16

Instead of Q.O.D., QOD, q.o.d., qod, use instead:

Answer 16

“every other day”

Question 17

Instead of trailing zero, write:

Answer 17

X mg

Question 18

Instead of lack of leading zero, write:

Answer 18

0.X mg

Question 19

Instead of MS, use instead:

Answer 19

“morphine sulfate”

Question 20

Instead of MSO4 or MgSO4, write:

Answer 20

“magnesium sulfate”

Question 21

ISMP

Answer 21

Institute for Safe Medication Practices

Question 22

All safety recommendations for abbreviations fall into two major categories:

Answer 22

1) abbreviations for administration and drug names

2) metric dosages containing decimals

Question 23

Action steps when errors occur:

Answer 23

1) Errors must be reported as soon as they are discovered.
2) Necessary remedial measures must be instituted immediately.
3) The reason for the error must be determined.
4) And incident/accident report must be prepared.
5) Corrective policies/procedures must be instituted, if possible, to prevent the error from reoccurring.

Question 24

The most important step after ensuring the safety of a patient after a medication error is ______________________.

Answer 24

reporting the error

Question 25

________________________ play a significant role in medication errors.

Answer 25

Distraction and fatigue

Question 26

Routine medication administration must never be _______________.

Answer 26

routine

Question 27

Regardless of the source of an error, if you give a wrong drug or dosage, you are _________________ responsible for it.

Answer 27

legally

Question 28

When identifying a drug, pay particular attention to _______________ and any initials that identify additional drug components or action.

Answer 28

generic names

Question 29

When identifying dosages, take special precautions with metric dosages containing a ____________.

Answer 29

decimal

Question 30

The route of administration is critical to medication ____________________.

Answer 30

safety and effectiveness

Question 31

Parenteral medications are site-specific:

Answer 31

IV, IM, subcutaneous and intradermal

Question 32

Time of administration is especially important for _________________ for pain and for drugs with a rapid action, such as insulin.

Answer 32

p.r.n. medications

Question 33

Identification of the right person begins with asking his or her name, followed by checking the _____________.

Answer 33

Identa-Band

Question 34

Making the patient or caretaker a full partner in medication administration is a major ____________.

Answer 34

safety consideration

Question 35

Recent changes in abbreviations for drug names and administration are creating increased safety in the __________________.

Answer 35

clinical setting

Question 36

_______________ must be reported as soon as discovered to set in motion the four additional steps you must take.

Answer 36

Dosage errors

Question 37

Administering medications must never become __________.

Answer 37

routine

Question 38

Fatigue and/or clinical distractions are involved in a major number of __________________.

Answer 38

medication errors

Question 39

MARs are the immediate reference for _______________, and keeping them up-to-the-minute is of prime importance.

Answer 39

medication administration