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Module 1 > med admin part 1 > Flashcards

med admin part 1 Flashcards

1
Q

__________ ________ is the 3rd leading cause of death in the USA

A

medical error

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2
Q

medication errors (5)

A

-death
-life threatening situation
-hospitalization
-disability
-birth defect

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3
Q

medication errors - who

A

-preventable event : inappropriate medication use may cause harm

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4
Q

provider order

A

prescribes and monitors

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5
Q

pharmacist (resource/dispenses)

A

verification and preparation

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6
Q

nurse administers

A

administers and monitors

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7
Q

points of medication error - when (5)

A

-ordering / prescribing
-transcribing
-dispensing
-administering
-monitoring

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8
Q

types of medication errors - what (10)
error types

A
  1. wrong patient
  2. wrong drug
  3. wrong route
  4. wrong time
  5. wrong dose/omitted dose
  6. wrong dosage form
  7. wrong technique
  8. deteriorated drug error
  9. compliance
  10. wrong documentation
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9
Q

factors associated with med error - why
provide / pharmacist / nurse (12)

A

-distractions
-poor communication
-lack of training
-inadequate knowledge of pt
-inadequate knowledge of drug
-overworked or fatigued / lack of sleep
-physical / emotional health issues / stress
-lack of knowledge drug-drug interactions
-miscalculation of dosage
-drug preparation
-computer error
-stocking error ***

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10
Q

factors associated with med error - why
patients (6)

A

-personality
-literacy
-language barriers
-multiple health conditions
-polypharmacy
-inconsistent method

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11
Q

factors associated with med error - why
communication (6)

A

-name confusion
-illegible handwriting
-verbal order
-brand name confusion
-generic name confusion
-labeling

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12
Q

ways to reduce medication errors
patients and families take an ________ role and be informed
__________ the patient

A

active
educating

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13
Q

ways to reduce medication errors
give healthcare workers _______ and _______ needed to prescribe, dispense, and administer

A

tools
information

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14
Q

prevention
cause for HIGH alert

A

look-alike or sound-alike medications

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15
Q

prevention
TALL man system

A

capitalization of certain letters in words so you can see exactly what meds you are supposed to be giving

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16
Q

prevention
black box warning

A

-alert of increased risk - may result in death or serious injury
-strictest labeling requirements FDA can mandate for prescription drugs

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17
Q

prevention
when an error occurs, the priority is who ?

A

the PATIENT

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18
Q

prevention
when an error occurs, what do we do? (5)

A
  • assess and monitor pt continuously for adverse reactions
    -notify charge nurse
    -contact physician
    -complete an incident report
    -reflect
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19
Q

relevance
nurses need to know : (6)

A

-med knowledge : pros and cons
-pt allergies
-how to calculate medication dosages
-factors affecting the pt response
-nursing process
-nursing practice act (NPA)

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20
Q

role of nurse
up to date __________ base

A

knowledge

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21
Q

role of nurse
the nurse needs to know what about the medication when administering ? (6)

A

-known/new
-dose(s)
-route
-frequency
-reason
-instructions/considerations/precautions/drug-drug interactions

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22
Q

role of nurse
nursing care plan (APDIE)

A

Assessments
Problem
Desired outcomes/goal
Intervention(S)
Evaluation(S)

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23
Q

role of nurse
patient teaching from __________ to ___________

A

admission to discharge

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24
Q

role of nurse
__________ by protecting the patient

A

advocate

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25
Q

role of nurse
question / clarify incorrect or incomplete _________ ________

A

medication orders

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26
Q

role of nurse
know when to ______ medications or request alternate ______, if needed

A

hold
route

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27
Q

role of nurse
know if meds are ________

A

compatible

28
Q

role of nurse
never leave meds ____________ or at the _______

A

unattended
bedside

29
Q

role of nurse
who is hold accountable? why?

A

nurse

30
Q

roles - patient rights
receive a qualified __________ _____________

A

nursing assessment

31
Q

roles - patient rights
pt should be informed of … (6)

A

-the drug name
-the drug dosage
-reason for receiving the drug
-frequency or how often they will receive the drug
-the route
-potential underside effects

32
Q

roles
patient has the right to receive ________ medications and opened in their presence

A

labeled

33
Q

roles
patient has right to receive medications administered ___________

A

correctly

34
Q

roles
pt has right to not to receive ____________ medications

A

unnecessary

35
Q

roles
patient has right to _________ to take a medication. always ___________ ________ if pt questions you

A

refuse
double check

36
Q

roles
components of a medication order (7)

A

-pt name
-date and time
-name of medication
-dosage
-route of administration
-time/frequency of administration
-signature/verification of prescriber

37
Q

orders
standing or routine

A

administered until the dosage is changed or another medication is prescribed

38
Q

orders
single (one-time)

A

given one time only for a specific reason

39
Q

orders
now

A

when a medication is needed right away, but not STAT

40
Q

orders
range order

A

medication order is written with dosage having a range

41
Q

orders
PRN/contingency

A

given when the pt requires it

42
Q

orders
STAT

A

given immediately in an emergency

43
Q

orders
prescriptions

A

medications to taken outside of the hospital

44
Q

roles - verbal / telephone orders
avoid ________ abbreviations

A

DNU

45
Q

roles - verbal / telephone orders
CN/RN must document “_____________” “____________”

A

read back
spell back

46
Q

roles - verbal / telephone orders
provider must approve and verify within _____hrs

A

24

47
Q

roles - verbal / telephone orders
things included in telephone order (7)

A

-pt name
-date and time
-medication
-dosage
-route
-time and frequency
-signature of prescriber

48
Q

students may NOT (4)

A

-admin meds alone
-chemo,blood,etc
-verbal/telephpne orders
-perform any procedures alone

49
Q

7 rights

A

1.
2.
3.
4.
5.
6.
7.

50
Q

right

A

use 2 identifiers - what are they ? what else if needed?

51
Q

right

A

check label!!! for spelling, expiration date

52
Q

right

A

know what the appropriate dose ranges are based on the route and pt

53
Q

right

A

know how the drug can and cannot be given : order determines route

54
Q

right and

A

know medication schedules

55
Q

right - is the order/medication appropriate

A

-pt history
-thorough assessment

56
Q

right - in the eMAR (3)

A

-may always require co-signature/updated info
-always document delays, omissions/refusals,reassessments/responses
-NEVER

57
Q

ethics and legal
diversion (defined by DEA)

A

use of prescription drugs for alternative purposes from the original intent

58
Q

ethics and legal
diversion : +/- ______% of healthcare workers divert narcotics

A

15%

59
Q

ethics and legal - diversion
______ and _______ _________ are contributing factors leading to abuse

A

stress and chronic illness

60
Q

ethics and legal - diversion
hospital narcotics are (DOC) drug of choice for _________

A

abusers

61
Q

ethics and legal
diversion (defined by DEA)
any employee who has knowledge a co-worker is stealing drugs has an obligation to __________ to immediate supervisor or employer

A

report

62
Q

ethics and legal
every time a narcotic is pulled a _________/________ count of that narcotic is reported

A

before/after

63
Q

ethics and legal
wastage of narcotics is always ___________ and immediately __________ by another license nurse

A

witnessed
documented

64
Q

ethics and legal
diversion - consequences (7)

A

-drug screening w 3 day suspension for + findings of narcotics
-immediate terminated if deemed necessary
-report to Peer Review to establish treatment
-report to BNE of violation and treatment
-police are notified, report filed, CEO involved, etc.
-can lose nursing license
-TPAPN

65
Q

TPAPN

A

Texas Peer Assistance Program for Nurses

66
Q

ethics and legal
if convicted for personal use … (3)

A

-state jail felony (180 days to 2 years)
-fine up to 10,000
-suspension or revocation of license

67
Q

ethics and legal
if convicted for benefit of others.. (3)

A

-2-10 years
-fine up to 10,000
-suspension of revocation of license

Module 1 (13 decks)

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