Class 6 - Medication Administration Flashcards
1
Q
of 2.5 million hospital admissions in canada in 2000:
A
- 7.5% involved an adverse effect
- 70,000 of incidents of harm were determined to be preventable
- between 9,000 and 24,000 deaths
2
Q
environmental factors
A
- crowded and noisy environment
- poor lighting
- packaging and labelling not safe
- unclear documentation
- dangerous abbreviations
3
Q
human factors
A
- cognitive overload
- inattentional blindness
- memory
- confirmation bias
4
Q
cognitive overload
A
- workloads
- multitasking
- interruptions
- difficult technology
- overtired
5
Q
memory: inherent human limitation
A
limited memory span: seven (plus or minus 2) pieces of information can be held when attention is occupied
6
Q
factors affecting memory
A
stress
- fatigue
- other physiological factors
7
Q
memory: safety strategies
A
- minimize reliance on memory - create process cues
- be conscious of how many tasks you are trying to do at once
- limit interruptions
8
Q
inattentional blindness *****
A
- failing to see what should have been plainly visible because attention is not focused on it
- most of our perceptual processing occurs outside of conscious awareness
- attentional resources are finite
- amount of attention required is affected by practice and task difficulty
9
Q
what can nurse do?
A
- ensure orders complete
- do not attempt to decipher illegible writing
- do not use/accept dangerous abbreviations
- do not confuse equivalents
- ensure accurate calculations
- when new or unfamiliar drug is ordered, consult resource
10
Q
avoiding med errors **
A
- prepare meds for each client only at time of administration
- identify clients fully
- report omitted doses ASAP
- document refusals by client to take medication
- never leave a med within reach of others
- only administer what you have prepared
- observe for and repost any unusual client reaction
- chart meds as soon as they are administered (never before)
- do not disturb colleagues working with meds.
- trust your intuition if it does feel right, it probably isn’t.
11
Q
medication incident monitoring
A
- canadian nurses association
- canadian medical association
- canadian pharmacists association
12
Q
opioid
A
moderate to severe pain
13
Q
client education about med admin
A
- record of meds (including OTC, supplements, and herbal remedies)
- know meds
- how to take properly
- dangerous side effects
- do not use expired medications
- use one pharmacy for all prescriptions
- ask questions
- ensure able to prepare and administer all meds
