Medicaions Administration Part 1 Flashcards
If you make a mistake in giving meds what do you do first
Acess your patient
Thicker needles have
smaller gauge numbers
given for an intended therapeutic effect
Medication
not necessarily used for therapeutic effect (for example, “recreational drugs”)
Drug
The name of a molecule—
they are long and unwieldy. Nurses and physicians don’t use them much.
Chemical name
Assigned by the government. Only one of these per drug.
Generic name
Given by the manufacturer. Tends to be “catchy” and
consumer friendly. A medication may have several of these in addition to its generic name. Depending on patents, more than one manufacturer may make a specific generic medication, and each one will give it a different name.
Trade name
A single dose is labeled and packaged for the patient (rather than a bottle full of pills or liquid medication). Usually in a little “blister pack”.
Unit dose
Like a “big ATM
machine”. Nurses have to enter a personal PIN number to withdraw medications. Some facilities use bio-identification – with these systems, you place your finger on the screen to access. This system facilitates inventory control and prevents theft.
Automatic medication dispensing system (AMDS)
This system is often utilized in conjunction with AMDS. Requires the nurse to scan __________ to identify the patient and the medication. When used with AMDS, medication errors decrease.
Bar-code medication administration (BCMA)
Seven Rights of medication- DR TIMID
Right Med, Right Dose, Right Route, Right Time, Right Documentation, Right Indication
For “right medication and right dose”, do the “Three Checks” (comparing the label on the medication package against the order
three times)
When removing medication from the automatic dispenser system or patient’s medication drawer
Just before opening the unit dose package (or getting the dose out of the container, if not the unit dose)
Just before giving the unit dose to the patient
When using the household system do not use
teaspoons, tablespoons, or cups designed for household food measurement
Most hospitals have an electronic medication administration record (eMAR) system.
Right Medication
To minimize errors the unit-dose method is utilized. It was created to help decrease medication errors.
Right Dose
ALWAYS use TWO methods to identify patients.
Right Patient
Time-sensitive (time-critical) medications must be given priority – these medications should be administered within________________.
30 minutes either before or after their scheduled time
less non-time-critical medications can be administered within ______________
1 to 2 hours before or after the scheduled time or per the agency’s policy
what to never do when it comes to the right of documentation
NEVER chart a medication prior to administering it.
enhances the safety of every medication order, ensuring the patient is receiving the right medication for the right reason, and reduces the risk of the wrong medication being prescribed
Right Indication
Be aware that _____ medications in the hospital have to be ordered through the electronic chart (given verbally to an RN) by a licensed independent provider (Physician, Nurse Practitioner, Certified Nurse Midwife, Nurse Anesthetist, Dentist, or Physician’s Assistant) even seemingly innocuous medications like acetaminophen (Tylenol).
all
This occurs when patients take multiple medications or potentially inappropriate or unnecessary medications or when a medication does not match a diagnosis.
Polypharmacy
