DRUG ADMINISTRATION

Question 1

What are the 10 Rights Rules?

Answer 1

Patient
Reason
Medication
Route
Time
Dose
Form
Action
Documentation
Response

Question 2

Explain the right patient

Answer 2

Identify correctly you patient without any doubt using 2 identifiers
Check medical record number on name band
Ask patient to state name and d.o.b
Have they consented and do they understand what is being given and why?

Question 3

Explain the right reason

Answer 3

Understand the intended purpose of medication
Contraindication: specific situation in which a medicine/procedure/surgery shouldn’t be used because it may be harmful to the person
Indication: medical treatment is suitable and useful

Question 4

Explain the right medication

Answer 4

Are there any contraindications?
Does the reason the medication is being given make sense?
Is patient allergic?
Does prescription match label on medication container?
Is it within expiry date?

Question 5

Explain the right route

Answer 5

Need to check form, route and method of administration are correct
Are you qualified to give medication by this route?

Question 6

Explain the right time

Answer 6

Check timing, frequency and duration
For what time is it ordered?
Is this the appropriate time- will it keep the patient awake all night?
If administration of medication is delayed, is it still ok to give?

Question 7

Explain the right dose

Answer 7

Have you double checked any calculations?
Is the dose within guidelines?
If number of tablets/units seems extreme, check first
Check use of appropriate equipment to measure liquid medication

Question 8

Explain the right form

Answer 8

Confirm that the form matches the specific route

Question 9

Explain the right action

Answer 9

Prescribed for the appropriate reason

Question 10

Explain the right documentation

Answer 10

Document after administration
Time, name of drug, dose, route, site, signature
Reason for omission of drug and signature
Documentation should be accurate, clear, legible
Patients details should be on each page

Question 11

Explain the right response

Answer 11

Observe for adverse side effects
Assess patient to see if desired effect has been achieved
Side effect: secondary, usually undesirable effect of a drug/ medical treatment

Question 12

What are the roles and responsibilities of a nurse/midwife in medication management?

Answer 12

Must have knowledge of legislation related to prescribing, dispensing, storing and administrating medication
Have legal and professional accountability for med management to ensure safe practice
Check relevant vital signs and laboratory values prior to administration
Observe for allergies, side effects, toxicity, interactions and contraindications

Question 13

What is the patient education prior to medication?

Answer 13

Explain meds to patient in way that is easy to understand
How meds act on body
Potential side effects
Signs and symptoms of any adverse side effects and actions to take
Possible interactions with other meds/food

Question 14

What is the Misuse of Drugs Act (MDA)?

Answer 14

Laws that regulate controlled drugs- Conditions of production, possession, supply, importation and exportation of controlled drugs
Drugs are put into 5 schedules with different controls for each category

Question 15

What are schedule 2 drugs?

Answer 15

Opiates, amphetamines, synthetic narcotics
Pharmacist can only supply to named individual by special prescription
Safe custody must be maintained
Records of drug activity must be maintained
Records of destruction must be witnessed

Question 16

What are schedules 3 drugs?

Answer 16

Barbiturates, potent analgesics, some benzodiazepines
Safe custody, special prescription

Question 17

What is the MDA management for schedule 2 drugs?

Answer 17

Controlled drugs that must be kept separate from other drugs and the keys kept separate- high risk of addiction