Week 7 medication administration Flashcards
area of potential liability for nurses
Failure to assess/evaluate
failure to ensure safety
medication errors
fraud
Components of a Medication Order
Patient’s name
Medication name
Dose with unit measurement (size )
Frequency
Route
Prescriber’s signature w/date and time
Indication may not be indicated with PRN
What is missing?
1. acetaminophen 650mg q6h prn pain
2. Vicodin tabs PO q4h prn pain
3. morphine sulfate 2 q2h prn pain
4. furosemide 40 mg one tab PO
- route
2/ doses unit
3/ route
4/ frequency
Rights of Medication Administration
Right Patient?
Right Drug?
Right Dose?
Right Time?
Right Route?
Right Documentation?
Right Reason?
Right Form?
Right Response?
Patients Do Drugs Round The Day: PPDRTD
P: Right Patient
D: Right Drugs
D: Right Dose
R: Right Route
T: Right Time
D: Right Documentation
RFR
Causes of Medication Errors
Not obtaining a thorough medical history
Lack of knowledge
Dosing miscalculations
Drug administration
Work-arounds
Environmental factors
Drugs and Tallman Lettering
OxyCODONE oxyCONTIN
HumuLIN HumaLOG
CeleBREX Cerebyx
Plavix Paxil
Miralax Mirapex
Adverse Drug
Events (ADE)
Preventing Medication Errors 11 in total part 1
Assess drug allergies, vital signs, and lab data
Use at least two patient identifiers
Never administer drugs you did not prepare yourself
Understand rationale for drug order
Never use trailing zeros for amounts > 1 (Ex: 1.0mg misinterpreted as 10mg)
Use leading zeros for amounts < 1 (Ex: .25mg misinterpreted as 25mg)
Recalculate doses for high-alert and pediatric patients and second RN
Preventing Medication Errors 11 in total part 2
Use generic names to avoid sound-alike, look-alike names
Use authoritative sources
Question the need for overriding systems
Investigate patient concerns
Reporting & Documenting Errors
Assess patient first!
Report to the instructor and nurse
Monitor changes in condition
Notify physician and follow-up orders
File incident report for errors and “near misses”
Provide full disclosure to the patient
Filing of the report is not documented in chart
List at least four ways a drug could be named.
Answer:
Drugs can be named in these four ways:
o Chemical name
Generic (nonproprietary) name
Official name
Brand (trade, proprietary) name
It is usually most important to know the brand name and
the generic name.
Right drug
The right medication/drug (right action)—giving the patient the medication prescribed on the medication administration record (MAR) and checking the label three times before giving the drug. Ensure that the drug is being given for the appropriate reason.
The right patient
© —identifying the patient using their iden- tification band, asking for their name so the medication is not given to the wrong patient.
The right dose—
giving the correct amount of the medica- tion (this includes giving the prescribed amount, as well as being certain that this amount makes sense in light of the patient’s weight or other condition).
The right route
giving the medication by the
prescribed route (e.g., oral, intramuscular, IV). Question-
ing the prescription if the drug is not available in the form
needed for the prescribed route or if the patient’s status
requires a route different from what is prescribed (e.g., an
oral medication is prescribed, but the patient is vomiting).
