Week 1 - Medication Management Flashcards
What are the 6 rights?
- Patient
- Drug
- Dose
- Route
- Time
- Documentation
Right medication/Right drug
Check the drug three times – referring to both the order of the medication chart and the packaging/bottle
How many times do you need to check the medication?
3 times
When is the first check?
On initial location of medication in patient medication drawer,
drug trolley or medication room.
When is the second check?
At the time of preparing the medication
When is the third check?
Before administering to the patient (and before putting the medication container away)
What should you consider regarding “right time”
It is the nurses’ responsibility in this ‘right’ not only to administer the
medication on time but also to ensure the medication is being given at the appropriate time.
When is an appropriate time to give medication?
Approximately ½-1 hour on either side of prescribed administration time is
considered to be administering medication ‘on time’. Always check with the hospital
policy regarding administration times.
however….
Some medications must be given at specific times to ensure the effectiveness of
the drug, to ensure it meets the patient’s needs
o Insulin
o Antiparkinsonian drugs
o analgesic
What is a schedule 1 drug?
Blank - Not currently in use
What is a schedule 2 drug?
Pharmacy medicine
What is a schedule 3 drug?
Pharmacist only medicine
What is a schedule 4 drug?
Prescription only medicine
What is a schedule 5 drug?
Caution (commonly used for domestic purposes e.g. acetone)
What is a schedule 6 drug?
Poison (substances used in agricultural, industry, photography eg rodent baits)
What is a schedule 7 drug?
Dangerous poison (eg arsenic)
What is a schedule 8 drug?
Controlled drug (eg morphine)
What is a schedule 9 drug?
Prohibited substances (eg heroin)
What is a schedule 10 drug?
Substances of such danger to health at to warrant
prohibition of supply and use (e.g. lead)
What is a schedule 4 R/D drug?
Subset of prescription only medicines
What is a prescription?
-Prescriptions are a legal document
* ONLY doctors, dentists, optometrists, nurse practitioners and
midwife practitioners can prescribe
What does a valid order include
- date
- patient name, DOB
- generic name of drug
- dose
- route
-frequency
-time - prescriber signature and name
What is a PRN order?
as needed’; the nurse uses good judgment about
whether the medication is needed & when it can be safely
administered.
What is a Stat order
give immediately and only once
What is a single order?
one-time order, at the specified time
What is a standing order?
permits nurses to administer medication in certain
circumstances without a prior written order; protocols in place; must
be signed by MO within 24hrs
What are the 4 Australia National Medicines Policy
- Timely access to medicines that Australians’
need, at a cost individuals
and the community can
afford - Medicines meet appropriate standards of
quality, safety & efficacy - Maintaining a responsible and viable medicines industry.
- Quality Use of Medicines (QUM) is one of the main objectives of Australia’s National
Medicines Policy.
What is a Medicine?
Medicines are substances that help our bodies – physically or
mentally – to prevent, treat or cure diseases.
Who is involved in prescribing medication
- Doctors
- Pharmacists
- Dentists
- Allied health
professionals - physiotherapist, dieticians,
speech pathologists,
occupational therapists) - Nurses
What is the role of nurses with medication?
- administering and monitoring
- review prescription
- prepare medication
- administer to patient
- document administration
What is the generic drug name
What is the brand name?
What are the different types of medicine
Prescription medicines
Antibiotics (e.g. Amoxicillin)
* Non-Prescription medicines
Paracetamol
* Generic versus Brand name medicines
Paracetamol instead of Panamax or Panadol
* Vaccines
Influenza, Covid-19, Hepatitis B, Polio, Diptheria, Tetanus,
Whooping Cough
* Biological medicines
Insulin e.g. Optisulin® (glargine insulin)
Toujeo (glargine insulin)
What is a prescription?
Prescriptions are a legal document
* ONLY doctors, dentists, optometrists, nurse practitioners and
midwife practitioners can prescribe
