Week 1 - Study Cards Flashcards
Causes of Medical errors
- Lack of information about patient - allergies, meds
- lack of information about drug
- communication and teamwork failures
- unclear, absent, or look-alike and sound-alike meds
- unsafe standardization, storage, distribution, and devices
- Calculation errors and failures to adhere to rights
- errors in computer entry
Six Rights of Medication
- Right Medication
- Right Dose
- Right client
- Right Route
- Right time
- Right documentation
Explain the right of right medication
Compare medical administration record with order
Explain the right of right dose
Check calculations and labels
Explain the right of right client
Two unique identifiers (ie name, DOB)
NOT ROOM NUMBER
Explain the right of right route
- How medication is administered (orally, injection, etc)
- Check ordered & drug guides
- Special considerations with feeding tubes
Explain the right of right time
- Time of day and frequency
- 30 minute rule
Explain the right of right documentation
- No documentation leads to double dosing
- Avoid “Do Not Use” abbreviations
- Outcomes of meds
Explain the right of right to refuse
- Nurse should document and notify caregivers
Kendra’s Law
- Legislation designed to protect the public and individuals living with mental illness by ensuring that potentially dangerous mentally ill outpatients are safely and effectively treated.
- Court ordered assisted out patient treatment.
Emergency court orders
- May give medications forcibly
- Requires judges orders.
Other rights
- Right to education about medication being given
- Right to understand interactions
- Right to medication reconciliation across continuum of care
Seven essential components of written medication orders
- Clients full name
- Date and Time written
- Name of medication
- Dosage
- Route
- Frequency
- Signature of prescriber or proxy
Trade name
The brand name or proprietary name under which a manufacturer markets the medication (i.e. Advil)
Generic name
The proper name, chemical name, or nonproprietary name of the medication. (i.e. Ibuprophen)
By law, the generic name must appear on all medication labels