Principles + Legal Aspects

Question 1

what are the 3 guiding principles for nursing medication administration?

Answer 1

*The Code of Professional Conduct for Each Nurse and Midwife (NMBI 2014)
* Scope of Nursing and Midwifery Practice Framework (NMBI 2015)
* Guidance to Nurses and Midwives on Medication Management (NMBI, 2020)

Question 2

what are the key rules (9) for a nurse to follow?

Answer 2

1. accurate interpretation of prescription
2. record of administration
3. observe response
4. correct prescription
5. 10 rights
6. checking expiry, double-check medication, aseptic prep and administration
7. provide education
8. exercise judgement to withhold meds
9. no transcribing medication orders

Question 3

what are the 10 rights of medication administration?

Answer 3

1. right drug
2. right dose
3. right patient
4. right route
5. right time
6. right reason
7. right form
8. right action
9. right documentation
10. right response

Question 4

what are the 5 safety rules of medication management?

Answer 4

• do not leave unlocked trolley unattended
• do not give meds from memory
• do not use unlabeled container
• do not give drugs prepared by others
• do not return unused drug to container

Question 5

NMBI guiding principle 1 of medication administration

Answer 5

Nurses and midwives should respect the rights and autonomy of patients in gaining informed consent and the rights and autonomy of patients to refuse medication. The nurse or midwife may decide to withhold a medication based on specific clinical rationale.

Question 6

NMBI guiding principle 2 of medication administration

Answer 6

Nurses and midwives are responsible for the administration of medications within their scope of practice.

Question 7

NMBI guiding principle 3 of medication administration

Answer 7

Nurses and midwives should recognize their own level of competence in relation to medication administration and take measures to develop own competence.

Question 8

NMBI guiding principle 4 of medication administration

Answer 8

Nurses and midwives should adhere to the principles of the 10 rights of medication administration when administrating medications to patients.

Question 9

NMBI guiding principle 5 of medication administration.

Answer 9

Nurses and midwives should recognize the high importance of monitoring the effectiveness of the medication they have
administered. They should also understand the human and system factors that contribute and/or may lead to near misses or errors
with medications.

Question 10

NMBI guiding principle 6 of medication administration

Answer 10

Nurses and midwives should create and maintain a trusting relationship with patients. They should report every medication related error, whether actual or potential, and implement remedial action.

Question 11

NMBI guiding principle 7 of medication administration

Answer 11

Nurses and midwives may be required to supervise and communicate with members of the multidisciplinary team, the patients themselves and their families/legal guardians
in the safe administration of medications.