WEEK 12: Medication Safety

Question 1

What are the 10 rights of medication administration?

Answer 1

Right to:

1) Medication
2) Route
3) Dose
4) Patient
5) Time
6) Education
7) To refuse
8) Assessment
9) Evaluation
10) Documentation

Question 2

What do we compare in right to medication?

Answer 2

Compare the prescribers orders to the MAR when medication is initially ordered

Question 3

What do orders need?

Answer 3

Pt name, DOB, date prescribed, medication name, strength and dosage, route, dose frequency, and time of administration

Question 4

What is one time medication?

Answer 4

Comes in 2 forms either stat or now
Stat = used in emergencies which is given IMMEDIATELY and only once
Now =need quickly but not stat usually 90 minutes to give but depends on employers’ policy

Question 5

What information is NOT used to confirm pt identity?

Answer 5

room number

Question 6

What do orders via verbal or telephone require and who takes these orders?

Answer 6

• A “repeat back” of the complete order or test
• Only authorized employees can receive and record prescriptions that are not written
• MUST document time and date and order as well as HCP name if via verbal order or telephone

Question 7

How do we determine the right dose and how many times do we check medication?

Answer 7

• TRIPLE checking

- Packaging has dose. Check MAR and order to confirm you have the right one

Question 8

What form of medication errors are really common?

Answer 8

medication routes is where most mistakes are made

Question 9

What happens if medication is missing the route?

Answer 9

Consult prescriber immediately

Question 10

What is the window for giving medication?

Answer 10

Time sensitive usually within 30 minutes and non-sensitive 1-2 hour window BUT it all depends on the employer.

Question 11

What are 2 identifier for the correct patient?

Answer 11

Name AND DOB

Question 12

How do you document for medication?

Answer 12

Document once you have given the medication. Include the name of med, route, time, dosage on patient MAR

Question 13

Why right of assessment, evaluation and education?

Answer 13

• Assessment: is the med safe and appropriate to give?
• Education: asking about allergies
• Evaluation: assess for side effects, effectiveness

Question 14

What are the 3 principles by the CNO outlined related to medication practices promote public protection

Answer 14

1) Authority
2) Competence
3) Safety

Question 15

What units do we use for medications?

Answer 15

1mg = 0.001g
1L = 1000mL

Question 16

What is the formula for dosage calculation?

Answer 16

esired amount/ dose available for use = amount to give (or volume)

Question 17

What is the main cause of medical errors and how can we reduce them?

Answer 17

• Distractions

Reduce by: using no interruption zones, use of visible education preparation signs

Question 18

How does the nursing process tie with medication administration?

Answer 18

1) Assessment: allergies? Current meds?
2) Planning: organize to make sure you are creating safe administration of medication
3) Implementation: focus on med giving
4) Evaluation: monitor response to meds

Question 19

How many times doe we check order and MAR before giving?

Answer 19

3 times

Question 20

How many times are we checking dosage calculation and what other step do we do?

Answer 20

Double checking all calculations and getting another nurse to check the calculations

Question 21

What is the window to report med incidence?

Answer 21

Withing 24 hours from when it occurred