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med admin part 1 Flashcards

1
Q

__________ ________ is the 3rd leading cause of death in the USA

A

medical error

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2
Q

medication errors (5)

A

-death
-life threatening situation
-hospitalization
-disability
-birth defect

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3
Q

medication errors - who

A

-preventable event : inappropriate medication use may cause harm

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4
Q

provider order

A

prescribes and monitors

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5
Q

pharmacist (resource/dispenses)

A

verification and preparation

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6
Q

nurse administers

A

administers and monitors

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7
Q

points of medication error - when (5)

A

-ordering / prescribing
-transcribing
-dispensing
-administering
-monitoring

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8
Q

types of medication errors - what (10)
error types

A
  1. wrong patient
  2. wrong drug
  3. wrong route
  4. wrong time
  5. wrong dose/omitted dose
  6. wrong dosage form
  7. wrong technique
  8. deteriorated drug error
  9. compliance
  10. wrong documentation
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9
Q

factors associated with med error - why
provide / pharmacist / nurse (12)

A

-distractions
-poor communication
-lack of training
-inadequate knowledge of pt
-inadequate knowledge of drug
-overworked or fatigued / lack of sleep
-physical / emotional health issues / stress
-lack of knowledge drug-drug interactions
-miscalculation of dosage
-drug preparation
-computer error
-stocking error ***

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10
Q

factors associated with med error - why
patients (6)

A

-personality
-literacy
-language barriers
-multiple health conditions
-polypharmacy
-inconsistent method

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11
Q

factors associated with med error - why
communication (6)

A

-name confusion
-illegible handwriting
-verbal order
-brand name confusion
-generic name confusion
-labeling

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12
Q

ways to reduce medication errors
patients and families take an ________ role and be informed
__________ the patient

A

active
educating

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13
Q

ways to reduce medication errors
give healthcare workers _______ and _______ needed to prescribe, dispense, and administer

A

tools
information

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14
Q

prevention
cause for HIGH alert

A

look-alike or sound-alike medications

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15
Q

prevention
TALL man system

A

capitalization of certain letters in words so you can see exactly what meds you are supposed to be giving

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16
Q

prevention
black box warning

A

-alert of increased risk - may result in death or serious injury
-strictest labeling requirements FDA can mandate for prescription drugs

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17
Q

prevention
when an error occurs, the priority is who ?

A

the PATIENT

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18
Q

prevention
when an error occurs, what do we do? (5)

A
  • assess and monitor pt continuously for adverse reactions
    -notify charge nurse
    -contact physician
    -complete an incident report
    -reflect
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19
Q

relevance
nurses need to know : (6)

A

-med knowledge : pros and cons
-pt allergies
-how to calculate medication dosages
-factors affecting the pt response
-nursing process
-nursing practice act (NPA)

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20
Q

role of nurse
up to date __________ base

A

knowledge

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21
Q

role of nurse
the nurse needs to know what about the medication when administering ? (6)

A

-known/new
-dose(s)
-route
-frequency
-reason
-instructions/considerations/precautions/drug-drug interactions

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22
Q

role of nurse
nursing care plan (APDIE)

A

Assessments
Problem
Desired outcomes/goal
Intervention(S)
Evaluation(S)

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23
Q

role of nurse
patient teaching from __________ to ___________

A

admission to discharge

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24
Q

role of nurse
__________ by protecting the patient

A

advocate

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25
role of nurse question / clarify incorrect or incomplete _________ ________
medication orders
26
role of nurse know when to ______ medications or request alternate ______, if needed
hold route
27
role of nurse know if meds are ________
compatible
28
role of nurse never leave meds ____________ or at the _______
unattended bedside
29
role of nurse who is hold accountable? why?
nurse
30
roles - patient rights receive a qualified __________ _____________
nursing assessment
31
roles - patient rights pt should be informed of ... (6)
-the drug name -the drug dosage -reason for receiving the drug -frequency or how often they will receive the drug -the route -potential underside effects
32
roles patient has the right to receive ________ medications and opened in their presence
labeled
33
roles patient has right to receive medications administered ___________
correctly
34
roles pt has right to not to receive ____________ medications
unnecessary
35
roles patient has right to _________ to take a medication. always ___________ ________ if pt questions you
refuse double check
36
roles components of a medication order (7)
-pt name -date and time -name of medication -dosage -route of administration -time/frequency of administration -signature/verification of prescriber
37
orders standing or routine
administered until the dosage is changed or another medication is prescribed
38
orders single (one-time)
given one time only for a specific reason
39
orders now
when a medication is needed right away, but not STAT
40
orders range order
medication order is written with dosage having a range
41
orders PRN/contingency
given when the pt requires it
42
orders STAT
given immediately in an emergency
43
orders prescriptions
medications to taken outside of the hospital
44
roles - verbal / telephone orders avoid ________ abbreviations
DNU
45
roles - verbal / telephone orders CN/RN must document "_____________" "____________"
read back spell back
46
roles - verbal / telephone orders provider must approve and verify within _____hrs
24
47
roles - verbal / telephone orders things included in telephone order (7)
-pt name -date and time -medication -dosage -route -time and frequency -signature of prescriber
48
students may NOT (4)
-admin meds alone -chemo,blood,etc -verbal/telephpne orders -perform any procedures alone
49
7 rights
1. 2. 3. 4. 5. 6. 7.
50
right
use 2 identifiers - what are they ? what else if needed?
51
right
check label!!! for spelling, expiration date
52
right
know what the appropriate dose ranges are based on the route and pt
53
right
know how the drug can and cannot be given : order determines route
54
right and
know medication schedules
55
right - is the order/medication appropriate
-pt history -thorough assessment
56
right - in the eMAR (3)
-may always require co-signature/updated info -always document delays, omissions/refusals,reassessments/responses -NEVER
57
ethics and legal diversion (defined by DEA)
use of prescription drugs for alternative purposes from the original intent
58
ethics and legal diversion : +/- ______% of healthcare workers divert narcotics
15%
59
ethics and legal - diversion ______ and _______ _________ are contributing factors leading to abuse
stress and chronic illness
60
ethics and legal - diversion hospital narcotics are (DOC) drug of choice for _________
abusers
61
ethics and legal diversion (defined by DEA) any employee who has knowledge a co-worker is stealing drugs has an obligation to __________ to immediate supervisor or employer
report
62
ethics and legal every time a narcotic is pulled a _________/________ count of that narcotic is reported
before/after
63
ethics and legal wastage of narcotics is always ___________ and immediately __________ by another license nurse
witnessed documented
64
ethics and legal diversion - consequences (7)
-drug screening w 3 day suspension for + findings of narcotics -immediate terminated if deemed necessary -report to Peer Review to establish treatment -report to BNE of violation and treatment -police are notified, report filed, CEO involved, etc. -can lose nursing license -TPAPN
65
TPAPN
Texas Peer Assistance Program for Nurses
66
ethics and legal if convicted for personal use ... (3)
-state jail felony (180 days to 2 years) -fine up to 10,000 -suspension or revocation of license
67
ethics and legal if convicted for benefit of others.. (3)
-2-10 years -fine up to 10,000 -suspension of revocation of license

Module 1 (13 decks)

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