safe med administeration Flashcards
what are the different types of allergic reactions
- mild to severe
- urticaria (rash)
- hives
- swelling
- laryngeal edema
- circulatory collapse
- anaphylaxis reaction
what are the 10 right med administration
- client
- medication
- Dose
- route
- Time =
- Assessment
- documentation
- Refused
- education
- Evalution
why is time so important in terms of medication administration?
- administer medication in time according to the order
- late meds are med errors and early meds can be overdoses
- correct timing is important as some meds need to be administered at a certain time or they don’t work
in medication admin why is it important to do assessments before administering medication?
- because the pt may not need the medication
- is the pt allergic to the medication?
- what needs to be assessed?
what does the nurse do if the pt refused the medication?
- pt has the right to refused any med at any point
- nurse needs to educate the pt on the importance of the medication & then document why the pt refused the medication
how many checked does the nurse need to do before administering the medication
- 3 checks
- before administering a medication the nurse must carefully read the MAR and perform 3 checks with the labeled med
what do you do for your first med check?
- verify the medication label against the MAR when medications are obtained from medication drawer; perform dosage calculations can check the expiration date of the medication
what does the second med check consist of?
- prepared the med and again check the med label against the MAR
what does the third med check look like?
- Recheck the medication label before returning the medication to it storage place, or b reached the med a third time before opening a package
before administering any medication, the nurse should:
- Check the health provider care providers prescription/orders
- Check the patient medication administration record
- Review diet and fluid orders
- Review relevant laboratory value
- Perform a physical assessment, including obtaining vital signs
what must the nurse know about the medication before administering it?
- The nurse must understand the purpose and be cognizant of typical doses, routes, and side effects of a medication before admin
- The nurse should identify any order with the prescriber, if needed
- Provider should sign med
what is a medication administration record? MAR
- Is a handwritten or electronic form listing all medication ordered for a patient
- The method of charting medication admin varies per institution
- The MAR is used to document patient refusals, delays in administration ect
what do nurses use the MAR to do?
- check the med order
- Prepare the correct dosage
- Record the medication administered
what are contributing factors to med errors?
- Failure to follow the rights of med admin (all 10 of them)
- failure to check for accuracy of med prescription
- Failure to assess the client for any high-risk variables
- Giving medications before they can be varied by the pharmacist and other members of the interprofessional team
- incompetent or illegible prescriptions with missing components of the medication prescription. Unofficial abbreviations should not be accepted
- working under stressful conditions
what is a med reconciliation? & when is it done?
- Reviews all current meds and newly prescribed
- Addresses omissions, duplications, interactions and discrepancies of meds
- done at admission, transfer from one unit to another, discharge, from one facility to another
what can nurses do to prevent med errors
- Two identifiers
- Appropriate admin techniques
- Correct dosage calculations
- Be alert for sound alike medications
- Clarify any prescription
- Always witness medications
- Medication knowledge (if you don’t know, look it up or call pham)
- Educate clients
- Right to refuse meds
- Assise client
- Allergies
what are three factors associated with med errors
- Identification
- Interruption
- Correction:
- Workaround (nurses being lazy, ect)
- Override
-High alert meds
how can healthcare workers best prevent injury and promote safety?
- Speak up!! For errors or workarounds, we are there to protect patients
- Follow necessary steps to protect patients, families, and healthcare providers
- Do NOT take safety shortcuts or create workarounds
- Remember: you are the final gate keeper of patient safety
define PO
by mouth
define SL
sublingual (under the tongue)
define PR
- rectal
define enteral
inter
define Ophthalmic
near the eye
what is 1 T equal to in mL
1 t = 5 mL
