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
