Chapter 2 Safely Giving Meds Flashcards
(58 cards)
These people mix and dispense drugs
Pharmacists
These ppl give drugs directly to patients
Nurses
What are the 6 rights of safe drug administration?
Right patient Right drug Right dose Right route Right time Right documentation
What can you do to be sure you have the correct patient when passing meds?
Ask them who they are (if alert)
Compare name , dob , and ID wristband with the MAR
Use pictures in long term care
What can you do to be sure you have the right drug when passing meds?
Compare drug you are about to administer with the drug order
Don’t mix the drug up with a similar drug name
What can you do to be sure you document right ?
Record drug administration immediately
Especially for PRN drugs
A patient has a right to refuse… but if they do you must do what ?
Explain to them what the drug is prescribed for
Explain consequences if they refuse
Document the refusal as well as the patients understanding of consequences
Know the patients right diagnosis
How ?
Check lab results
Check vitals before and after giving med
Right dose , right dose , and time
- what Information is needed for a written Prescription ?
Date Patient name Name and address of prescriber Generic or brand name of drug Strength of drug Number of times per day to take drug Specific drug instructions for use Number of doses to be dispensed Number of refills allowed Prescribers signature
What are the Type of drug orders ?
Standing
PRN
Single dose
STAT (immediately)
What are the different Drug errors ?
Omission error(something missing)
Wrong patient Wrong dose Wrong route Wrong rate Wrong dosage form Wrong time Error in preparation of dose Not
How do you prevent drug errors ?
Follow the 6 rights
Check dosage calculations with a coworker
Listen to the patient who questions a drug or dosage
Avoid distractions
Use bar code systems
How soon should you report a drug error?
Immediately
What should you do if a patient was given the wrong med?
Watch for adverse reactions
Notify the prescriber
Principles of administrating drugs
Know drug uses, actions, adverse reactions, precautions
Know patients drug history, allergies , changes in patients condition
Check prescribed limitations before administration
Always listen to patients
Guidelines for giving drugs :
Always check the ______ _______ first
Limit ________
_______ your hands
Keep drugs where until administrating ?
Avoid touching ______
Written order
Distractions
Wash
In their containers or wrappers
Medications
Guidelines for giving drugs:
Never _____ tablets or _____ capsules with out checking a drug guide/order
Never give drugs prepared by
_____
Use ____needles and syringes
Be alert for drug names that ____ alike
Crush/open
Someone else
Sterile
Sound
Guidelines for giving drugs :
Always _____ after administration of a drug
Check the patients for _____
Document
Effects
What are oral enteral drugs ordered as ?
What are the medications forms?
Patient must be able to ______
Onset of action is _____
PO
Tablets, liquid, capsules
Swallow
Slow
How to give oral enteral drugs ?
Sit patient _____ with a full glass of _____
Explain ____ and any special instructions
Stay where until patient swalllows med?
Never leave meds where?
Upright/water (drink whole glass)
Drug
Stay next to them
At bedside to take later
Giving oral enteral drugs :
Oral liquid drugs - use what to measure ? Hold at ____ level
The base of meniscus should be level with line on _____
Calibrated device /cup for correct dose / -hold at eye level
Scale
How to give NG or PEG enteral drugs :
Meds can be ____ and capsules can be ____
Place patient _____
Check ______ placement
_____liquids , ______ and _____ tablets _____ and _____ capsules
Let drugs run in by _____
Flush with at least ____ ml of water to prevent what?
Clamp tube ___ minutes before reattaching to suction
Crushed , opened
Upright
Tube
Dilute , crush and dissolve , empty and dissolve
Gravity
50mL , clogging tube
30 minutes
Who should take rectal enteral drugs ?
What forms are there?
Patients who are unable to swallow or have severe nausea and vomiting.
Suppositories, enemas
What to check for before giving rectal drugs ? What
Check for health problems that could make this route undesirable
