med admin part 1 Flashcards
medication errors lead to (5)
death, life-threatening situation, hospitalization, disability, birth defect
who creates medication errors (3)
provider, pharmacist, nurse
What does the provider do (2)
prescribes, monitors
what does the pharmacist do (3)
Verification, dispense, preparation
what does the nurse do [2]
administers, monitors
When are there points of medication error [5]
ordering, transcribing, dispensing, administering, monitoring
Wrong _________ creates medication errors [8]
patient, drug, route, time, dose, dosage form, technique, documentation
types of medication errors [2]
deteriorated drug error, compliance
provider/pharmacist/nurse factors associated with medication errors [11]
distractions, poor communication, lack of training, inadequate knowledge of the drug, patient, drug-drug interactions, overworked, health issues, miscalculation, computer error, stocking error
patient factors associated with medication error [6]
personality, literacy, language barrier, multiple health conditions, polypharmacy, inconsistent method
communication factors associated with medication error [6]
name confusion, illegible handwriting, verbal order, brand name confusion, generic name confusion, labeling
ways to reduce medication errors [2]
educate the patient, give healthcare workers the tools and information needed to prescribe, dispense, and administer
No place for _________ in nursing
Complacency
complacency
getting too secure and taking dangerous shortcuts
Cause for high alert [3]
look-alike meds, sound-alike meds, black box warnings
nurses need to know [6]
med. knowledge, patient allergies, dosage calculations, factors affecting the patient’s response, nursing process, nurse practice act
nursing care plan [5]
assessments, problem, desired outcomes/goal, interventions, evaluation
components of a medication order [6]
patient name, date and time, name of med., dosage, route, frequency, verification of prescriber
standing or routine
administered until the dosage is changed or another med. is prescribed
single (one-time)
given one time only for a specific reason
now
when a medication is needed right away, not STAT
range order
medication order is written with dosage having a range
PRN/Contingency
given when the patient requires it
STAT
given immediately in an emergency
prescriptions
medication to be taken outside of the hospital
verbal/telephone orders [3]
avoid DNU abbreviations, CN/RN must document “read back” and “spell back”, provider must approve and verify within 24 hrs.
students may not {4}
admin meds alone, chemo/blood, verbal/telephone orders, perform any procedures alone
seven “rights”
patient, medication, dose, time, route, reason, documentation
diversion
use of prescription drugs for alternative purposes from the original intent
