W3:Drug admin & pt rights Flashcards
what is capacity?
pt ability to understand and appreciate what is occurring
in order for consent to be valid what needs to be present?
pt must meet aid to capacity, consent must be voluntary, must be specific to the treatment and pt, and must be informed
what does SBAR stand for? and when is it used?
S- situation
B- background
assessments
R-recommendations ( confirm and restate recommendations to reduce error)
- used for communication with BHP
how can you educate a pt?
explain tx, explain conditions that are present, tell them your plan, explain assesments etc. ask them if they have questions
inorder for a pt to refuse tx and transport what must they be able to do?
appreciate future consequences of refusal, pt must meet the capacity
if a pt refuses tx or transport what do we do?
a) make effort to inform pt or sdm
b) confirm sdm/pt meets capacity
c) advise them to call 911 if concerns arise
d) get everyones signatures
e) document if they refuse to sign
when would you transport a pt refusing w/o consent in a capable person?
under the mental health act, form 1-4
what are 2 different types of orders? explain them
med directive: written in ALS PCS by BH given ahead of time. give specific situations to use drugs in.
direct orders: over the phone with bhp, written in Rx form, or electronically transmitted
what do you need to include if you are self reporting?
oasis number, your name, base, date & time of call, Ix, run #, call location, contact info
what are ways we can prevent error in admin of drugs?
cross check, stocking the med bags, organizing med bags etc.
when would you self report?
patch failure, veering from directive, near misses, any challenges experienced on scene, doc omissions, excessive scene time etc.
Im needle size?
gauge: 19-25g
neddle size= 1” or 1 1/2 for obese pt
SC needle size
3/8–> 5/8
gauge: 25
what are 2 injection sites only acp can access?
ventrogluteal ( hip) &dorsal gluteal
what are common sites for SC?
triceps, inner thigh, and abdomen
