TOPIC 3 Flashcards
safety
to be free from harm or danger, protection from possible risk or injury
quality
high level of value or excellence, superior
right client
Two identifiers- first and last name, birthdate
Check or scan ID bracelet
right drug
check drug label 3 times
check or allergies, lab results and vitals
know WHY the patient is receiving that drug
right dose
give medication at the specific time
work medications around meal times
check expiration
military time reduces errors
right route
the right route is needed for adequate absorption
assess the ability to swallow
do not crush or mix without instruction
offer water
What do you document after administering a medication/drug?
name of the drug
dose
route
time and date
nurse initials or signature
When administering drugs, what technique is used?
aseptic technique
What ethical rights are the RNs responsibility?
right assessment
patients right to education
right evaluation
patients right to refuse
When should you check your drug label and how many times?
3 times:
at contact with the dug bottle
before measuring the drug
after measuring the drug
right assessment
collect health history, allergies, vital signs, lab results BEFORE drug administration
right to education
Teach patient accurate and complete drug information
right evaluation
determines the drugs effectiveness and the side/adverse effects
right to refuse
refers to the patient’s right to decline medication
the nurse should: explain the risks involved, reinforce reasons and benefits of the drug, document refusal IMMEDIATELY
follow up required
What are the NURSES RIGHTS when administering meds?
right to a complete and clear order
right to have the correct drug (route/form and dose)
right to have access to information
right to have policies to guide safe medication administration
right to administer medication safely and identify system problems
right to stop, thin k and be vigilant when administering drugs
What is the culture of safety?
ANA encourages organizations to avoid punitive approaches in drug error reporting
What is Just Culture?
fair and not punitive
encourages reporting of errors
goal is to repair system
What is the focus of the Joint Commission? What did they develop
focuses on healthcare safety problems and resolutions
TJC developed National Patient Safety Goals
What is the strongest form of warning?
Black box warning label
What is drug reconciliation?
the purpose is to have clients make an accurate list of their medications to carry on them in case of an emergency
the patient needs to update this if any of their drugs change
How do you dispose of medication?
follow the information on the drug label
take the drug out of the original container and put it in an undesirable substance (kitty litter)
make sure to remove all identifying information
Who created the Needlestick Safety and Prevention Act of 2000?
the Occupational Safety and Health Administration (OSHA)
What are the two main things that are safety risks of medication administration?
tablet splitting
buying drugs on the internet
What is the FDA MedWatch Program?
voluntary reporting system
What are high alert medications?
Medications that have been identified through national literature as having the greatest frequency of misuse, coupled with the highest severity of harm when administered improperly.
MAY HAVE SIMILAR NAME OR PACKAGING
What are some environmental things that a nurse can do to prevent medication errors?
distraction-free environment
medication safety zone
What is the first thing you think about when a medication error is made?
THE PATIENTS SAFETY! do not leave the patient
informed consent
clients have right to be informed and participation is voluntary
autonomy
right to self-determination
beneficence
obligation of RN to protect the client from harm (do good to patient)
justice
equitability or equal selection of research participants
the Harrison Act
increased record keeping for narcotics and requires a prescription for a client to be administered narcotics
the Federal Food, Drug, Administration Cosmetic Act
act that empowered the FDA to ensure a medication is safe prior to marketing
The Comprehensive Drug Abuse Prevention and Control Act
promotes drug research and education about treatment and drug dependence.
provided categories for controlled substance s according to abuse liability
Dietary Supplement Health and Education Act
act established labeling requirements for dietary supplements
Pediatric Research Equity Act
act that authorized the FDA to require drug manufactures to test drugs and biological products for safety and effectiveness in children
“children are NOT small adults
medication for pain relief
Analgesic
medication for reducing fever
antipyretic
medication to decrease nausea
antiemetic
Tuskegee Experiment
Infamous historical study in which core values of research (respect for persons, beneficence, and justice) were violated - studied the effects of syphilis in african-american men if left untreated.
Nuremberg Trials
Trials of the Nazi leaders, showed that people are responsible for their actions, even in wartime, cannot use prisoners of war for experiments
NUREMBERG CODE OF ETHICS
Thalidomide
drug was marketed to help with nausea “safely” in pregnancy, can produce a variety of malformations of the limbs (stunted limbs) , eyes, ears, and heart.
right time
give medication at the specific time
work medications around meal times
check expiration
military time reduces errors
