LEC - 6 - Rights... - Sheet1 Flashcards
14 R’s of Drug Administration
- Right Drug/Medication
- Right Client/Patient
- Right Route
- Right Dose
- Right Frequency/Time
- Right Assessment
- Right Approach
- Right Education
- Right Evaluation
- Right Documentation
- Right to Refuse
- Right Principle of Care
- Right Prescription
- Right Nurse Clinician
Ensuring that the administration of the drug is properly recorded.
Right Documentation
Verifying the patient’s medical history and conducting an assessment before administering medication.
Right History and Assessment
The patient’s right to refuse medication, which must be respected and documented.
Right to Refuse
Ensuring that the prescribed drug does not negatively interact with other drugs the patient is taking.
Right Drug-Drug Interaction/Evaluation
Providing the patient with all necessary information about the medication, including its purpose, potential side effects, and administration instructions.
Right Education and Information
Adhering to the ethical and professional standards in administering medication.
Right Principle of Care
Ensuring that the medication prescribed is correct for the patient’s condition.
Right Prescription
Ensuring that the medication is administered by a qualified nurse clinician.
Right Nurse Clinician
Three Checks of Drug Administration
Checking the drug with the Medication Administration Record (MAR) when removing it from the medication drawer, refrigerator, or controlled substance locker.
Checking the drug when preparing, pouring, taking it out of the unit-dose container, or connecting the IV tubing to the bag.
Checking the drug before administering it to the patient.
Nurses’ Rights When Administering Medications
Right to a complete and clear order.
Right to have the correct drug, route (form), and dose dispensed.
Right to have access to information.
Right to have policies to guide safe medication administration.
Right to administer medications safely and to identify system problems.
Right to stop, think, and be vigilant when administering medications.
Possible Causes of Medication Errors
Violation of the rights of nursing medication administration.
Lack of drug knowledge.
Memory lapses.
Errors in transcription.
Dispensing or delivery problems.
Inadequate monitoring.
Distractions.
Overworked staff.
Lack of standardization.
Equipment failures.
Inadequate patient history.
Poor interdepartmental communication.
Violation of the rights of nursing medication administration.
Lack of drug knowledge.
Memory lapses.
Errors in transcription.
Dispensing or delivery problems.
Inadequate monitoring.
Distractions.
Overworked staff.
Lack of standardization.
Equipment failures.
Inadequate patient history.
Poor interdepartmental communication.
“Do Not Use” Abbreviations
NA
q.d., Q.D.: Write
“daily” or “every day” instead.
