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test 2 Flashcards

1
Q

PATIENTS SAFETY IS LINKED DIRECTLY TO HEALTHCARE ORGINIZATIONS ABILITY TO:

A

-ATTRACT PATIENTS
-FUND SERVICES THAT ARE MARKET COMPETITIVE
-MEET THE REQUIREMENTS FOR ACCREDITATION BY REGULATORY AGENCIES
-DELIVER HIGH-QUALITY PATIENT CARE OUTCOMES (TOP GOAL)

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2
Q

MEDICATION AND PROCEDURE ERROS ARE RELATED TO WHAT

A

-FAST-PACED ENVIRONMENT
-ADVANCED TECHNOLOGIES
-DECREASES IN STAFFING
-A SICKER/OLDER PATIENT POPULATION
-DECLINING FINANCIAL RESOURCES

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3
Q

NEGATIVE PATIENT OUTCOMES CAN RESULT IN:

A

-INCREASES IN COST OF CARE - STAY IN HOSPITAL LONGER
-COMPLICATIONS THAT AFFECT THE PATIENTS ABILITY TO GET WELL AND GO HOME
-SERIOUS PHYSICAL PR PSYCHOLOGICAL HARM - MEDICATION ERROR CAN HARM PT
-DEATH

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4
Q

WHAT ARE THE 7 RIGHTS OF MEDICATION ADMINISTRATION?

A

-DRUG
-DOSE
-PATIENT
-ROUTE
-TIME
-DOCUMENTATION
-EXPIRATION DATE

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5
Q

TRAMPED STANDS FOR WHAT

A

TIME, ROUTE, AMOUNT, MEDICATION, PATIENT, EXPIRATION, DOCUMENTATION

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6
Q

WHAT IS THE IMPORTANT PIECE OF INFORMATION MISSING FROM THE TRAMPED PROCESS?

A

ALLERGIES

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7
Q

WHICH ABBREVIATIONS CAN YOU NOT USE?

A

-U
-u
-d.q, Q.D.
-QOD, qod
-trailing zero
-lack of leading zero
-ms
-ms04 and mgs04

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8
Q

instead of U or u what term should you use?

A

unit

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9
Q

instead of IU what term should you use

A

international unit

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10
Q

instead of QD what term should you use

A

daily

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11
Q

instead of QOD what term should you use

A

every other day

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12
Q

instead of MS, msO4 or mgsO4 what terms should you use

A

morphine sulfate
magnesium sulfate

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13
Q

look-alike and sound-alike medications have an increased risk for what

A

medication errors

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14
Q

what system do you use for look-alike and sound-alike medications?

A

tall man lettering system

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15
Q

how do you use tall man lettering system?

A

capitalize the letters that are different and leave letters that are the same lower case

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16
Q

many electronic IV pumps have:

A

-the capability to perform calculations
-safeguard parameters

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17
Q

personal safety with medications include:

A

-ppe (gloves, goggles, gowns)
-safety devices (safety syringes with needle guard)
-practice standards (proper disposal of medications/needles)

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18
Q

what are the advantages of automated medication dispending systems?

A

-leads to reduction in medication errors
-enhances patient satisfaction (timely administration of controlled substance_
-reduces time required for narcotic counts

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19
Q

what are the disadvantages of automated medication dispending systems?

A

-some open compartments = possibility of med errors
-medications may be incorrectly stocked by pharacists/techs
-nurses may have to wait in line

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20
Q

causes of medication errors for older adults

A

-cost - unable to afford meds
-forgetfulness (dementia)
-decrease in gross/fine motor skills (opening bottles and dropping meds)
-hearing impairment
-visual impairment (hard to see small writing on syringes)
-most people will not admit they dont know or understand

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21
Q

strategies to minimize medication errors for older adults

A

-make certain the older adult understands (teach back)
-family assistance
-large, easy to read directions
-pill organizers
-medication sheets
-minimize the times they take medications so they have less to remember throughout the day

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22
Q

what are the two ways for a licensed prescriber to write an order?

A

-electronic health record
-handwritten order

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23
Q

advantages to EHR orders:

A

-computer automatically records some info needed
-uses terminology that meets safety guidelines

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24
Q

MEDICATION ORDERS MUST CONTAIN THIS INFO:

A

-THE DATE IT WAS PRESCRIBED
-NAME OF THE MEDICATION
-DOSE OF THE MEDICATION
-ROUTE OF THE MEDICATION
-FREQUENCY OF ADMINISTRATION
-SPECIAL INSTRUCTIONS
-PURPOSE FOR AS NEEDED MEDICATIONS
-LENGTH OF TIME THE PATIENT IS TO RECEIVE THE MEDICATION

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25
Q

WHAT DOES “AC” STAND FOR

A

BEFORE MEALS

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26
Q

WHAT DOES “PC” STAND FOR

A

AFTER MEALS

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27
Q

WHAT DOES “AM STAND FOR

A

MORNING

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28
Q

WHAT DOES “PM” STAND FOR

A

EVENING

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29
Q

WHAT DOES PRN STAND FOR

A

AS NEEDED

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30
Q

WHAT DOES “QH” STAND FOR

A

EVERY HOUR

31
Q

WHAT DOES “Q2 H” STAND FOR

A

EVERY TWO HOURS

32
Q

WHAT DOES STAT STAND FOR?

A

IMMEDIATELY

33
Q

WHAT DOES “QHS” STAND FOR

A

RIGHT BEFORE BED

34
Q

WHAT DOES “QD” STAND FOR

A

ONCE DAILY

35
Q

WHAT DOES “BID” STAND FOR

A

TWICE DAILY

36
Q

WHAT DOES “TID” STAND FOR

A

THREE TIMES A DAY

37
Q

WHAT DOES “QID” STAND FOR

A

FOUR TIME A DAY

38
Q

WHAT DOES “QOD” STAND FOR

A

EVERY OTHER DAY

39
Q

WAHT DOES QHS OR HS STAND FOR

A

EVERY NIGHT

40
Q

WHAT DOES PO STAND FOR

A

BY MOUTH

41
Q

WHAT DOES IM STAND FOR

A

INTRAMUSCULAR

42
Q

WHAT DOES IV STAND FOR

A

INTRAVENOUS

43
Q

WHAT DOES SC, SQ, SUB Q STAND FOR

A

SUBCUTANEOUS

44
Q

WHAT DOES SL STAND FOR

A

SUBLINGUAL

45
Q

WHAT DOES VORB STAND FOR

A

VERBAL ORDER READ BACK

46
Q

WHAT DOES TORB STAND FOR

A

TELEPHONE ORDER READ BACK

47
Q

SCHEDULING OF MEDICATIONS MAY BE DETERMINED BY:

A

-PURPOSE OF MED
-DRUG INTERACTIONS
-ABSORPTION OF THE DRUG
-SIDE EFFECTS OF THE DRUG

48
Q

WHOSE RESPONSIBILITY IS IT TO ADMINSTER MEDS AT OPTIMAL TIMES?

A

THE NURSES

49
Q

WHAT MEDICATION CAN YOU NOT GIVE TO A PATIENT WITH ANY OTHER MED BECAUSE IT AFFECTS ABSORPTION

A

ANTACID

50
Q

WHAT ARE THINGS NURSES MUST KNOW WHEN ADMINISTERING MEDICATIONS

A

-MAXIMUM/MINIMUM DOSAGES FOR A MED
-ACTION OF MED
-CONTRAINDICATIONS OF MED
-PATIENT ALLERGIES

51
Q

WHAT INFO IS ON THE MAR

A

-PATIENT NAME
-MEDICAL RECORD NUMBER (MRN)
-DATE OF BIRTH
-ALLERGIES
-ADMIT DATE
-NAME OF MED
-DOSE
-ROUTE
-FREQUENCY
-SPECIAL INSTRUCTIONS
-REASON FOR PRN MEDS

52
Q

ADVANTAGES OF AND ELECTRONIC MEDICATION ADMINSTRATION RECORD (EMAR)

A

-SPEED FROM TIME OF ORDER TO ADMINISTRATION
-SPACE FOR ADDED MEDICATION INFO
-ACCESS TO ONLINE RESOURCES
-INSTANT DOCUMENTATION
-MULTIPLE PEOPLE CAN BE IN THE CHART AT ONCE

53
Q

ADVANTAGES OF HANDWRITTEN MAR

A

-ECONOMICAL COST
-ABILITY TO VIEW MULTIPLE DAYS AT A GLANCE
-MINIMAL AMOUNT OF TRAINING TO USE

54
Q

BRAND OR PROPRIETARY NAME

A

TRADE NAME

55
Q

OFFICAL NAME OF DRUG

A

GENERIC NAME

56
Q

DRUG NAME USUALLY CAPITALIZED

A

TRADE NAME

57
Q

EACH MEDICATION HAS ONLY ONE

A

GENERIC NAME

58
Q

APPEARS DIRECTLY UNDER THE TRADE NAME

A

GENERIC NAME

59
Q

DRUG NAME USUALLY IN BOLD PRINT

A

TRADE NAME

60
Q

DRUG NAME THAT IS THE FIRST NAME WRITTEN

A

TRADE NAME

61
Q

ALWAYS FOLLOWED BY THE REGISTRATION SYMBOL

A

TRADE NAME

62
Q

USUALLY IN SMALLER LETTERS

A

GENERIC NAME

63
Q

INDICATES WEIGHT OR AMOUNT

A

DOSAGE STRENGTH

64
Q

INDICATES HOW DRUG IS SUPPLIED

A

FORM

65
Q

HOW THE DRUG IS TO BE ADMINISTERED

A

ROUTE

66
Q

TOTAL AMOUNT OR VOLUME OF MED

A

AMOUNT

67
Q

SOME MEDS MUST BE MIXED BEFORE USE

A

DIRECTIONS

68
Q

WHAT IS THE PREFERRED METHOD OF MEDICATION ADMINSTRATION

A

ORAL

69
Q

WHERE ARE ORAL MEDICATIONS ABSORBED THROUGH?

A

GI TRACT

70
Q

WHAT ARE THE POSITIVES OF USING ORAL MEDS?

A

-SKIN NOT INTERRUPTED
-MORE ECONOMICAL
-SUPPLIED IN A VARIETY OF FORMS

71
Q

WHAT TWO THINGS CAN BE A DOWNSIDE OF ORAL MEDICATIONS

A

-ABSORPTION FACTORS INFLUENCE EFFECTIVENESS
-MAY BE IRRITAING TO THE STOMACH

72
Q

SOLID ORAL MEDICATION FORMS

A

TABLET
ENTERIC COATED TABLET
CAPLET
CAPSULE

73
Q

WHOSE RESPONSIBILITY IS IT TO KNOW IF YOU CAN DIVIDE OR CRUSH A MEDICATION

A

THE NURSES

74
Q

WHEN DIVIDING PILLS WHAT CAN IT AFFECT

A

THE DOSE COULD BE A LITTLE OFF FROM NOT CUTTING PERFECT EVERY TIME

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