medication administration part 1 Flashcards
what is third most common cause of death?
medical error
what are results of medication errors?
death, life threatening situations, hospitalizations, disabilities, and birth defects
tiers of preventable event:
provider order, resources/pharmacist/dispenses, nurse administers
types of medication errors - what
wrong patient, wrong drug, wrong route, wrong time, wrong dose/omitted dose, wrong dosage, wrong technique, and deteriorated drug error compliance/wrong documentation
points of medication errors- when
ordering/prescribing, transcribing, dispensing, administering, and monitoring
factors associated with medication errors - why provider/pharmacist/nurse
distractions, poor communication, lack of training, inadequate knowledge of patient, inadequate knowledge of drug, overworked or fatigued/lack of sleep, administration/technique, lack of knowledge drug-drug interactions, miscalculation of dosage, drug preparation, computer error, stocking error, transcription error
factors associated with medication error- why - patients
personality, literacy, language barriers, multiple health conditions, polypharmacy, and inconsistent method
factors associated with medication error - why - communication
name confusion, illegible handwriting, verbal order, brand name confusion, generic name confusion, and labeling
ways to reduce medication errors
patient and families take an active role and informed, must provide thorough education, and give healthcare workers tools & information needed to prescription dispense and administer
what is black box warning?
alert of increased risk, may result in death or serious injury, strictest labeling requirements
when an error occurs - who is your priority?
assess/monitor patient continuously for adverse reactions, notify the charge nurse, contact the physician, complete an incident report
patient rights: “the patient has the right to”
receive a qualified nursing assessment, be informed of drug name, dosage, reason for receiving, frequency, route, potential undesired effects, receive labeled medication and opened in presence, receive medications correctly, not to receive unnecessary medication, and refuse to take medication
standard or routine order:
administered until the dosage is changed or another medication is prescribed
PRN/contingency:
given when the patient requires it
single (one-time):
given once for only a specific reason
