Med Check Off Flashcards

1
Q

Pre check & 1st check

A

Hand hygiene
Review MAR for current time and appropriateness of administering scheduled meds

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2
Q

Pre check & first check

A

FIRST CHECK against MAR while removing meds
Right pt
Right med
Right route
Right dose
Right time
NOT EXPIRED
PMR DTE

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3
Q

Second Check & Medication Prep

A

Gathers materials: syringe, alcohol, pill splitter, juice, cup
Select appropriate needle

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4
Q

Second Check & Medication Prep

A

Injections: hand hygiene
Aseptic technique
One hand scoop method
Vial/packaging retained for scanning at bedside

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5
Q

Second Check & Medication Prep

A

Injections: 2nd RN verification of dose for high alert med (insulin, heparin)

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6
Q

Second Check & Medication Prep

A

SECOND CHECK against MAR
PMR DT

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7
Q

Second Check & Medication Prep

A

Verbalize labeling (med & concentration)

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8
Q

Pt edu & Third check

A

Hand hygiene
Introduce self
Explains procedure

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9
Q

Pt edu & Third Check

A

Prior to admin, provide edu regarding pt- specific indication, Se, and follow up labs for each med

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10
Q

Pt edu & Third Check

A

Scan pt barcode

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11
Q

Pt edu & Third Check

A

Verifies rt pt w/ two identifiers
Allergy assessment

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12
Q

Pt edu & Third Check

A

Scan each med prior to third check

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13
Q

Pt edu & Third Check

A

THIRD CHECK
PMR DT

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14
Q

Pt prep & med admin

A

Pt privacy
Bed to comfortable working height

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15
Q

Pt prep & med admin

A

Non-parenteral Meds: position pt appropriately
Gloves if necessary

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16
Q

Pt prep & med admin

A

Injection Site Prep: select appropriate injection sites
Pt preference, rotate
Avoid masses, scars, bruises, inflammation, edematous areas
LANDMARKS
CLEANSE SITE , circular motion
Gloves

17
Q

Pt prep & med admin

A

Subcut Injection: pinches with non dominant hand.
Heparin 45 deg
Insulin 90 deg
Safety***

18
Q

Pt prep & med admin

A

IM Z-tracking: 1-1.5 inch pull skin laterally

19
Q

Pt prep & med admin

A

IM Injection: 90 deg, 0.1ml/sec
Wait 10 seconds
Safety***
Gauze over site

20
Q

Documentation clean up

A

Soiled / used supplies disposed
Multidose back to pt bins

21
Q

Documentation clean up

A

Remove gloves
Hand hygiene

22
Q

Documentation clean up

A

Right documentation;
Injection site

23
Q

Overall

A

Low & locked
Call light
Bedside table
Belongings
Side rails
Anything else i can do for you?

24
Q

Overall

A

Hand hygiene upon exit