9. Safety and Quality Flashcards
5 rights of medication administration
- right patient
- right drug
- right dose
- right time
- right route
extra 5 rights of medication administration
- right assessment
- right documentation
- right education
- right evaluation
- right to refuse
6 nurses rights to medication administration
- right to complete and clear order
- right to have correct drug, route (form), and dose dispensed
- right to have access to information
- right to have policies to guide safe medication administration
- right to administer medications safely and to identify system problems
- right to stop, think, and be vigilant when administering meds
What is involved in a culture of safety for drug administration?
- ANA encourages organization to avoid punitive approaches in drug error reporting
- individuals should be encouraged to report drug errors, so system can be repaired
Who created national patient safety goals and focuses on safety problems and resolution?
The Joint Commission (TJC)
process of creating the most accurate list of all meds a pt is taking and comparing it against the physician’s admission, transfer, and/or discharge orders to make sure the correct meds to with the pt to all points of care
medication reconciliation
What should a patient do for medication reconciliation
- update medication list when changes occur
- carry a list of personal drug info in the case of emergency
- bring accurate med list to all appointments
How to dispose of old medications?
- follow info on drug label
- put drug in undesirable substance (ex. kitty litter) and place in sealed container (ex. bag)
- remove all identifying info off empty container
- don’t flush down toilet unless specifically instructed
- community “drug take-back” programs
5 examples of safety risks for med administration
- tablet splitting (when not scored)
- buying drugs online
- counterfeit meds
- high risk meds
- look-alike and sound-alike meds
4 problems with counterfeit drugs
- may look like desired drug
- may have no active ingredient
- may have wrong ingredient
- may be improperly packaged or contaminated
T/F: never crush extended or sustained release drugs
True
factors to prevent medication errors
- 2 person check on high risk meds
- certain letters capitalized on look-alike or sound-alike meds
- distraction-free environment
- medication safety zone
pregnancy categories for meds
- A: human studies showed no risk
- B: animal studies showed no risk
- C: animal studies showed harm but no human studies (give if benefit outweighs risk)
- D: human studies showed harm but can be used in life threatening situations
- X: both human and animal studies showed serious harm (should never be used)
6 guidelines for med administration
- check expiration date
- never leave drugs unattended
- administer only drugs you prepared
- use 2 identifiers on patient
- stay w/ patient until all meds are taken
- record effectiveness and results of meds administered (the PRN meds)
