Class 4 - Medication Administration Flashcards
7 rights of drug administration
- Right Patient
- Right Drug
- Right Dose
- Right Route of Administration
- Right Time of Delivery and Frequency
- Right Reason
- Right Documentation
3 Checks of Drug administration
are used in conjunction with the rights, help to ascertain client safety and drug effectiveness. these checks include checking the drug against MAR or the medication info system at the following times:
- When removing the drug from the medication drawer, refrigerator, or controlled substance locker.
- When preparing the drug, pouring it, taking it out of the unit dose container, or connecting the IV tubing to the bag
- Immediately before administering the drug to a client
floor stock system
in a hospital where food and drugs are stored, usually in nurse station or med room
- commonly used meds
- available in large and multi dose containers
- time consuming and costly
- associated with a high rate of med errors
individual prescription order system
- general a one week supply is sent
- labeled for specific patient
- kept in assigned medication cart or drawers or boxes
- reduces medication errors
- takes more time to pour and administer than blister packs
unit dose system
- portable carts containing a drawer with a 24 hour supply of medications for each client.
- single use unit packages of drugs
- each tablet or capsule is wrapped seperately
- cart also contains a limited amount of PRN and stock medication
(bubble pack) long term system
can help people to keep track of their medication
- all medications blistered for scheduled times
- packaging by pharmacy for 25-30 days worth of medications to each patient
- time saving for nurses
- less error prone than stock medications
- easier to monitor for over/under dosing
standing order
prewritten medication order and specific instructions from practitioner to administer a medication to a person in clearly defined circumstances
renewal oder
must be written and signed by physician before nurse can continue to administer
STAT order
generally used in an emergency, drug is administered ASAP but only once
PRN order
administered if needed
right person
two identifiers. compare with name on MAR. Cant ask geriatric or paediatric patients. ask someone that knows the patient or look on record for a photo of the patient
right drug
compare exact spelling and concentration of the prescribed medication on the MAR with the med container before administration.
right dose
check dose ordered against the range specified in available reference books. accurate dose forms and calculations correcting measuring doses devices
right route
the medication order should specify the route to be used. NEVER substitute one dose form for another without a specific doctors order. enteral topical parenteral abbreviations
right time
if its not written down, it didn’t happen. 30 minutes before or after time it is said to be given.
