Medication Management

Question 1

What are the 7 Rs of medication administration?

Answer 1

• Right patient
• Right medication
• Right time
• Right dose
• Right route
• Right to refuse
• Right documentation

Question 2

What is there to check when going through right patient?

Answer 2

• Name band
• Photo
• Ask person for name/date of birth
• NHS/Hospital Number

Question 3

What is there to check when going through right medication?

Answer 3

• Use the generic name
• Know the action of the drug so that you can rationalise the use of the drug for this adult
• Know the common drug endings

Question 4

What is there to check when going through the right time?

Answer 4

• Check the start date as drugs are sometimes prescribed to start on a future date
• Check the duration of the prescription: eg an antibiotic course may be for 5/7/10 days
  only
• Does the drug need to be administered with or after food?

Question 5

What are the common abbreviations for medication administration?

Answer 5

*OD- once a day
*BD- Twice a day
*TDS- three times a day
*QDS- four times a day
*PRN- as required

Question 6

What is there to check when going through the right dose?

Answer 6

• Understand units and standard abbreviations
• Do not use non-approved abbreviations
• Check the dose in the BNF/BNFc or relevant
  professional guidance

Question 7

What are the different routes of medication administration?

Answer 7

Oral - PO
* Nasal - IN
* Inhaled/nebulized
* Injections
 Intramuscular- IM
 Subcutaneous- SC
 Intravenous- IV
* Transdermal - TD
* Topical
* Eye/ear drops
* Sublingua l- SL
* Rectal - PR
* Vaginal - PV

Question 8

What is there to check with the right to refuse?

Answer 8

The importance of Informed Consent – what does the patient need to know, and why?

Question 9

How do you do the right documentation?

Answer 9

• Sign the prescription chart when you are sure the patient has taken the drug
• Record the appropriate number if administration was not possible