Med Administration Flashcards
(49 cards)
Med error is the ____ leading cause of death in the US.
3rd
Nurse get approximately __ orders per shift and medication takes ____ of their time.
50; 1/3
How many Americans die as a result of med errors?
7000-9000
Med errors cause at least __ death every day in US
1
Med errors injure more than _____ ________ people every year in US
1.3 million
US spends more than __ _______ each year on pt’s affected by med errors.
40 billion
What percentage of med errors are admitted by nurses?
On the verge of med errors?
54.55%
31.37%
What are the most common types of errors?
wrong dose and infusion rate
What are the most common cause of nurse’s med errors?
lack of pharmacological knowledge
Med errors cause what?
death
disability
life-threatening situation
birth defects
hospitalization
Med errors are caused by who?
inappropriate med use
-provider’s orders (prescribes and monitors)
-resource, pharmacist, dispenses (verification and preparation)
-nurse administrators (administers and monitors)
When do medical errors occur?
ordering/prescribing
transcribing
dispensing
administering
monitoring
Type of med errors
wrong pt
wrong drug
wrong route
wrong time
wrong dose/omitted drugs
wrong form
wrong technique
deteriorating drug error
compliance
wrong doc
Providers/Pharmacist/Nurse
Factors associated with med errors
distractions
poor communication
lack of training
inadequate knowledge of pt/drug
overworked or fatigued
physical/emotional health issues/stress
Patients Factors associated with med errors
personality
literacy
multiple health conditions
polypharmacy
language barrier
inconsistent method
Where are the med errors of pharmacy/providers/nurses occur?
administration technique
lack of drug-drug interaction knowledge
miscalculation of dosage
drug preparation
computer error
stocking error
transcription error
Communication med errors occur
name confusion
illegible handwriting
verbal order
brand name confusion
generic name confusion
labeling
Ways to reduce med errors
pt and family active role and educated on meds
health care workers have the tools and info needed to prescribe, dispense, and administer
-computerized pharmacists with physicians in high-risk areas
-bar code systems
-med reconciliation
-error-prone abbreviations
-med education for new and existing staff
-limitations and safeguarding for verbal orders
No Place for complacency in nursing
when you become secure in your work that you take potentially dangerous shortcuts in your tasks, don’t perform to same quality as you once did or become unaware of deficencies
High Alert - TALL Man System
look alike/sound alike meds
Black Box Warning
alert of increased risk: result in death or serious injury
strictest labeling requirements FDA mandate for prescribing drugs
When an error occurs what priority is first?
access/monitor pt consciously for adverse reactions, notify the charge nurse, and contact the physician
-complete the incident report
-evaluate
-a culture of safety
Every step of safe med admin requires a _________ ___________ and a ____________, ______________ ____________.
disciplined attitude; comprehensive, systemic approach
The nurse needs to know
med knowledge: pros and cons
pt allergies
how to calculate med dosages
factors affecting pt’s response
nursing process
Nurse Practice Act (NPA)
