Med Admin Flashcards
What are the parts of a medication order or prescription?
-Patient name/DOB
-Date and time order was written
-Drug to be administered
-Dosage of drug
-Route of administration
-Frequency of administration
-Provider signature
What are the components of medication administration safety?
-Know what you are giving
-Educate patient on what they’re taking
-Complete any appropriate assessments prior to administration (example: allergies, vitals, labs)
-Complete 10 rights, 3 checks, & 2 patient identifiers
-Know 4 main causes of medication administration error
What are the 4 main causes of medication administration error?
-Prescription errors (something is missing from RX)
-Transcription errors
-Preparation errors
-Administration errors (wrong dose, wrong time, wrong person, etc.
What are the 5 rights of medication administration required for the 3 checks?
- Right patient
- Right medication
- Right dose
- Right route
- Right time
What are the 10 rights of medication administration?
- Right patient
- Right medication
- Right dose
- Right route
- Right time
- Right patient education
- Right documentation
- Right to refuse
- Right assessment
- Right evaluation
What are acceptable patient identifiers?
-Name
-DOB
-Phone number from EMR
-EMR picture
What is the first medication administration check?
1st check:
-Read MAR when removing medication and ADC screen
-Compare against MAR
-Check expiration date
What is the second medication administration check?
2nd check:
-Preparation of medication against MAR
What is the third administration check?
Third check:
-Recheck at bedside before giving medication to patient
What could be considered the fourth medication administration check?
A scanning device
What is the typical time requirement you have to administer a patient’s medication(s)?
Within 30 minutes to 1 hr before or after scheduled time is considered “on time”.
What are the steps of administered medication at bedside?
- Identify patient
- Inform patient
- Assess appropriate requirements if indicated
- Administer the drug
- Document drug administered
- Evaluate patient’s response to drug
What are the enteral routes of medication administration?
Oral, PO (by mouth), sublingual, buccal
What are the parenteral routes of medication administration?
Subcutaneous, intramuscular, intradermal, IV
What are the parenteral routes of medication administration?
Subcutaneous, intramuscular, intradermal, IV
What is the order of mixing insulins?
Clear to cloudy
What are the intradermal injection sites?
-Inner surface of forearms
-Upper back, under scapula
-Upper chest
What are the intramuscular injection sites?
-Deltoid
-Vastus lateralis
-Rectus femoris
-Ventrogluteal
-Dorsogluteal (no longer used)
What are the subcutaneous injection sites?
-Abdomen
-Upper hips
-Lateral upper arms
-Thighs
Needle length, gauge size, angle insertion, and amount for intradermal injections?
25- to #27 gauge
1/4-5/8” needle
5-15 degree angle
No more than 0.1mL
Needle length, gauge size, angle insertion, and amount for intramuscular injections?
Needle length and size is dependent upon:
-The muscle
-The type of solution
-The amount of adipose tissue covering the muscle
-The age of the client.
Deltoid: 1”
Ventrogluteal: 1.5”
Deltoid: #23–#25 gauge
Ventrogluteal: #21 or #22 gauge
Deltoid: 0.5-1mL
Ventrogluteal: 3mL (max)
Needle length, gauge size, angle insertion and amount for subcutaneous injections?
25-#27 gauge
3/8-5/8” needle
45-90 degrees
0.5-1mL (hold for 5 seconds before removing needle for insulin)
