Medication Administration Flashcards
t/f: Nurses are responsible for their own actions (including orders by provider)
true
process of checking home meds vs. meds ordered in the hospital when patients are admitted and discharged
medication reconciliation
7 components of a medication order
pt name date/time of order med name dosage route frequency provider signature
(not medical record number)
Who can write an order?
MD/DO
NP, Nurse Midwife, CRNA
Physician Assistant
Pharmacist
Which type of order is only to be used in an emergency situation?
- written
- verbal (VO)
- telephone orders (TO)
- protocol
verbal orders
RBVO
read back verbal order: the practice of repeating back an order that is given verbally in person or over the phone
- write it down
- read back what you wrote
Frequency: Cephalexin 500 mg PO every 6 hours x 7 days
Routine (until order to stop or pre-written in order)
Frequency: Morphine 2 to 4 mg IV q4 hours prn pain
PRN
Frequency: Morphine 4 mg IV stat
Stat (immediately)
Frequency: Atropine 0.3 mg subcut on call to OR
One time
Frequency: Reglan 10 mg IM now
Now (ideally within 15 minutes, but generally ASAP)
Checks on med after provider order
- checked by pharmacy
- checked by RN
- if paper system, may be transcribed by unlicensed person
What drug info do you need to know before administering?
- mechanism of action
- normal dosage
- adverse effects
- contraindications
- drug/drug or food/drug
- prescribed for…
- how to eval a therapeutic effect
- patient teaching
- nursing considerations
Patient assessment before administering med
- alert
- ability to swallow (crush)
- NPO
- ability to follow instructions
- GI motility (post-op)
- muscle mass (IM)
- water at the bedside
what to assess before administering HTN med
blood pressure
