Lecture 3 Flashcards
No medication may be given without a ________ ______ from a licensed practitioner or prescriber
medication order
different ways to give medication orders
physician order form computer provider order entry computer generated pharmacy order verbal order telephone order
7 parts of a medication order
patients full name date and time order is written name of drug dosage of drug route of drug frequency of drug administration signature of person writing order
Types of medication orders
routine orders PRN orders single or one-time orders STAT orders standing orders
Routine orders
carried out as specified until cancelled by another order
PRN order
as needed for a specified problem or condition
Single or one-time order
administered once at a designated time
STAT order
single dose of medication given immediately
Standing order
written for specific circumstances or specific units
Parts of MAR
patient identifying information
scheduled, unscheduled, and discontinued medications
medication name, dosage, route, frequency, and administration time
parameters for administration
order date, start date, end date
nurse’s signature
Medication supply systems
stock supply
unit-dose
individual supply
computerized automatic dispensing cabinet
medication cart
bar-code-enabled medication administration
Stock supply
large multi-dose containers with a large quantity of meds
Unit-dose
24 hour supply of individually packaged doses from pharmacy
Individual supply
individual is given complete supply of medication for a specific time frame
Computer automated dispensing cabinet
cabinet containing stock medications that is accessed with a user name and password
Medication cart
mobile cart containing drawers for each individual patient that have that patients unit doses for the next 24 hours
Bar-code-enabled medication system
system which uses bar code scanning to identify patients and medications
7 rights of medication administration
patient drug dosage route time reason documentation
3 checks
check 1: when reaching in for the container or unit dose package
check 2: when placing in the med cup, do not open packaging until you reach the bedside
check 3: at bedside prior to administration
Common drugs for medication administration errors
analgesics antibiotics anticoagulants chemotherapeutic agents diabetic medications cardiovascular agents
Common medication errors
inappropriate prescribing of the drug
extra, omitted, or wrong dose
administration of medication to wrong patient
administration of a drug by the wrong route or rate
failure to give medication within prescribed time interval
incorrect preparation of drug before administration
improper technique when administering a drug
giving a drug that has deteriorated
