Med Admin Flashcards
(47 cards)
Medication Errors can lead to
-deaths
-life threatening situations
-hospitalization
-disabilities
-birth defects
Points of medication error- when
-Ordering/Prescribing
-Transcribing
-Dispensing
-Administering
-Monitoring
Types of medication errors- What
Wrong:
-patient
-drug
-route
-time
-dose/omitted dose
-dosage form
-technique
-documentation
-compliance
Black box warning
Alert of increased risk- may result in death or serious injury
Strictest labeling requirements FDA can mandate for prescription drugs
When an error occurs, what is your priority?
Assess/monitor patient continuously for adverse reactions
Notify charge nurse and physician
Complete incident report
Standing or routine
Administered until the dosage is changed or another medication is prescribed
Single (one-time)
Given once only for a specific reason
Now
When a medication is needed quickly, but not STAT
Range order
Medication order is written with dosage having a range
PRN/Contingency
Given when the patient requires it
STAT
Given immediately in an emergency and only once
Prescriptions
Medication to be taken outside of the hospital
7 rights
Right patient
Right medication
Right dose
Right time
Right route
Right reason
Right documentation
Right patient
Use two identifiers- name and DOB
Right medication
Check label for spelling, expiration date
Right dose
Know what the appropriate dose ranges are based on the route and patient
Right route
Know how the drug can and cannot be given, order determines route
Right time
Know medication schedules
Right reason
Is the order/medication appropriate
Right documentation
In the eMAR
Non-Parenteral Medications
-oral
-topical
-suppository
-eye drops/ointment
-ear drops/ointment
-inhalant
Toxicity
Severe Adverse Drug Reaction
-excessive drug dosing or therapeutic drug dosage
Idiosyncratic Effect
Uncommon drug response because of genetic disposition
Paradoxical effect
Opposite effect than drug was intended for
