Safe Medication Administration and Error Reduction Flashcards

1
Q

what medication related tasks are nurses responsible for?

A
  • know federal, state, local laws
  • know facilities policies on medication
  • prepare and administer meds
  • evaluate patient response to meds
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2
Q

chemical name

A

reflects a medication’s chemical composition and molecular structure

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3
Q

controlled substances

A

have a potential for misuse and dependence

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4
Q

schedule I

A

has no medical use

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5
Q

schedule classification for controlled substances with medical uses

A

schedule II through V

classified by risk of misuse and dependence

schedule II has greater risk than schedule V

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6
Q

Pregnancy Risk Categories

A

A B C D X

A is safest, X is most dangerous

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7
Q

Mechanism of action

A

how medications produce their therapeutic effect

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8
Q

Therapeutic effect

A

expected physiological response

a med can have more than one therapeutic effect

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9
Q

precautions/contraindications

A

conditions that make it risky or unsafe for a patient to take a specific med

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10
Q

the rights of medication administration

A

patient
medication
dose
time
route

documentation
education
right to refuse
assessment
evaluation

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11
Q

how to identify patient sufficiently

A

two patient identifiers required - name, birth date, photo identification card, assigned ID number,
check that ID band matches
ask about allergies or review MAR
use barcode scanner

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12
Q

how to do 3 checks for right medication

A

when removing container from storage
when removing dose from container
in presence of patient before administration

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13
Q

why is right time important

A

to maintain therapeutic blood level

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14
Q

when should time-critical medications be administered

A

within 30 minutes of prescribed time, before or after

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15
Q

when should daily, weekly, or monthly non-time critical medications be administered

A

within 2 hours of the prescribed time

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16
Q

when should more than once daily non-time-critical medications be administered?

A

within 1 hour of prescribed time

17
Q

how should right documentation occur?

A

after administration
medication, dose, route, time, client’s response to the medication or any other relevant info

18
Q

how should patients be education on medication

A

purpose, what to expect, how to take it, what to report

19
Q

what should you do if patient refuses medication?

A

explain consequences
document refusal

20
Q

error-prone abbreviation list

A

abbreviations that have caused a high number of medication errors

21
Q

confused medication name list

A

sound-alike and look-alike medication names

22
Q

High-Alert Medication List

A

medications that have a high risk for resulting in significant harm to clients if a nurse administers them in error

23
Q

what should you do if prescription is not clear or seems inappropriate?

A

ask the provider

24
Q

what should you do if prescription seems unsafe

A

do not administer, talk to charge nurse

25
Q

what information should be included in a prescription?

A

patient name and DOB
generic or brand name of medication

provider’s signature