Med Admin Part One Exam 5 Flashcards
Medical error is the —- leading cause of death
Third
Medication error lead to
Death
Life threatening situation
Hospitalization
Disability
Birth defect
Who makes medication orders
Provider
Pharmacist
Nurse
Provider order
Prescribes and monitors
Pharmacist
Verification and preparation
Nurse
Administers and monitors
Types of medication errors
Wrong patient
Wrong drug
Wrong route
Wrong time
Wrong dose
Wrong dosage form
Wrong technique
Deteriorated drug error
Compliance
Wrong documentation
Nurse med errors
Distractions
Poor communication
Lack of training
Inadequate knowledge of training of pt
Inadequate knowledge of drug
Overworked or fatigued
Physical/emotional health issues/ stress
Lack of knowledge drug-drug interactions
Miscalculation of dosage
Drug preparation
Computer error
Stocking error *****
Factor associated with med errors - patients
Personality
Literacy
Language barriers
Multiple health conditions
Poly pharmacy
Inconsistent mood
Communication
Name confusion
Illegible handwriting
Verbal order
Brand name confusion
Generic name confusion
Labeling
Ways to reduce medication errors
Educating the patient and family
Computerized order
Pharmacist rounding
Bar code systems
Up to date list of meds
Abbreviations
Education
Limits on verbal orders
Complacency
When you become so secure in your work that you take potentially dangerous shortcuts
Cause for high alert
Look alike or sound alike medications
Black box warning
Alert or increased risk - may result in death or serious injury
Strict labeling requirements
When an error occurs
- monitor patient ** first priority
Every step of safe medication administration requires a —- —- and a comprehensive, —- approach
Disciplined attitude: systematic
Nurses need to know
Medication knowledge
Patient allergies
Calculate med dosages
Pts response
Nursing process
Nurse practice act NPA
Roles of the nurse
Up to date —— base
Knowledge
What to know about medication
- dose
- what can be given
- route
- frequency
- reason
- instructions/ considerations/ precautions/ drug-drug interactions
Nurse skills ensure what
Know your patient
Implement the nursing care plan
Implement the nursing care plan
Assessments
Problem
Desired outcomes/ goals
Interventions
Evaluation
Advocate by — the patient
Protecting
Question / clarify — or — medication errors
Incorrect : incomplete
Know when to — medications or request alternate — if needed
Hold : route
Know if meds are
Compatible
Never leave meds unattended or at the
Bedside
Role of patient
Understand their
Responsibilities
Role of patient
Understand the treatment and —- what they do not understand
Question
Role of patient
Adhere to the —- (take medications correctly)
Regimen
Role of patient
Avoid misuse or —- of medications
Abuse
Role of patient
Report —- effects of medications or changes in medical condition
Adverse
Qualified nursing assessment
VS, blood glucose, pain, allergies
Be informed of
The drug name
The drug dosage
Reason for receiving the drug
Frequency
The route
Potential undesired effects
The patient has the right to
Received labeled medications
Meds administered correctly
Not to receive unnecessary meds
Refuse to take a medication - always double check when patient questions you!
Components of medication error
Patient name
Date & time
Name of medication
Dosage
Route of administration
Time/frequency of administration
Signature/ verification of prescriber
Administered until the dosage is changed or another medication is prescribed
Standing or routine
Given when the patient requires it
PRN/ contingency
Given one time only for a specific reason
Single- one time order
Given immediately in an emergency
STAT
When a medication is needed right away, but not STAT
NOW
Medications to be taken outside of the hospital
Prescriptions
Medication order is written with dosage having a range
Range order
Verbal telephone orders
Spell back and read back!
Medication administration
Right patient
Right medication
Right dose
Right time
Right route
Right reason
Right documentation
Right patient
Use two identifiers
Right medication
Check label
Right dose
Appropriate dose range
Right route
Know how the drug can and cannot be given
Order determines thus
Right time
Know schedule
Right reason
Is the order/medication appropriate
Right documentation
Always document
Stress and chronic illness are contributing factors leading to
Abuse
Hospital —- are drug of choice (DOC) for —
Narcotics : abusers
Diversion investigators assess
Concerning activity
Wastage of narcotics is always —— and immediately—-
Witnessed : documented
Consequences for drug use
Drug screening
Termination
Reported to peer review
Reported to BNE
Police can be notified
Lose license
Texas peer assistance program for nurses
> mandated volunteering
