Exam 5 Medication Administration Part One Flashcards
Medication errors could cause
Death
Life threatening situation
Hospitalization
Disability
Birth defect
Can medication errors be preventable?
YES
When can medication errors happen?
Ordering/prescribing
Transcribing
Dispensing
Administering
Monitoring
What are you suppose to monitor?
Signs and symptoms
Types of errors
Wrong patient
Wrong drug
Wrong route
Wrong time
Wrong dose/omitted dose
Wrong dosage form
Wrong technique
Deteriorated drug error
Compliance
Wrong documentation
How to prevent giving the wrong drug?
Always re check!!!!
Arm band to help identify the patient
Make sure their last and first name match
Factors associated with medication errors- why
Providers/ pharmacist/ nurse
Distractions
Poor communication
Lack of training
Inadequate knowledge of the patient
Inadequate knowledge of drug
Overworked or fatigue/ lack of sleep
Physical/ emotional health issues/ stress
Administration technique
Lack of knowledge drug to drug admin
Drug prep
Computer error
Stocking error
Transcription error
Factors associated with medication errors- why
Patients
Personality
Literacy
Language barriers
Multiple health conditions
Poly pharmacy
Inconsistent method
Factors associated with medication errors- why
Communication
Name confusion
Illegible handwriting
Verbal order
Brand name confusion
Generic name confusion
Labeling
Ways to reduce medication errors
Educate the patient
Computerized order entry system
Having a clinical pharmacist accompanying physicians in high risk
Bar code system
Medication reconciliation
Not using error prone abbriviation
Medication education for new and existing staff
Limitations and safe guards for verbal orders
What is medication reconciliation
Going over meds with patient
What should faculty be doing?
Medication education for new and existing staff!!!!!
What is compliancy in the work place?
Getting so comfortable in your work that you start taking shortcuts in your task don’t perform to the same quality as you once did or become unaware of deficiencies
The TALL man system
Helps distinguish between medication that look alike and sound alike
Black box warning
Read carefully and make sure patient can have that med
