test 2 Flashcards
(74 cards)
PATIENTS SAFETY IS LINKED DIRECTLY TO HEALTHCARE ORGINIZATIONS ABILITY TO:
-ATTRACT PATIENTS
-FUND SERVICES THAT ARE MARKET COMPETITIVE
-MEET THE REQUIREMENTS FOR ACCREDITATION BY REGULATORY AGENCIES
-DELIVER HIGH-QUALITY PATIENT CARE OUTCOMES (TOP GOAL)
MEDICATION AND PROCEDURE ERROS ARE RELATED TO WHAT
-FAST-PACED ENVIRONMENT
-ADVANCED TECHNOLOGIES
-DECREASES IN STAFFING
-A SICKER/OLDER PATIENT POPULATION
-DECLINING FINANCIAL RESOURCES
NEGATIVE PATIENT OUTCOMES CAN RESULT IN:
-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
WHAT ARE THE 7 RIGHTS OF MEDICATION ADMINISTRATION?
-DRUG
-DOSE
-PATIENT
-ROUTE
-TIME
-DOCUMENTATION
-EXPIRATION DATE
TRAMPED STANDS FOR WHAT
TIME, ROUTE, AMOUNT, MEDICATION, PATIENT, EXPIRATION, DOCUMENTATION
WHAT IS THE IMPORTANT PIECE OF INFORMATION MISSING FROM THE TRAMPED PROCESS?
ALLERGIES
WHICH ABBREVIATIONS CAN YOU NOT USE?
-U
-u
-d.q, Q.D.
-QOD, qod
-trailing zero
-lack of leading zero
-ms
-ms04 and mgs04
instead of U or u what term should you use?
unit
instead of IU what term should you use
international unit
instead of QD what term should you use
daily
instead of QOD what term should you use
every other day
instead of MS, msO4 or mgsO4 what terms should you use
morphine sulfate
magnesium sulfate
look-alike and sound-alike medications have an increased risk for what
medication errors
what system do you use for look-alike and sound-alike medications?
tall man lettering system
how do you use tall man lettering system?
capitalize the letters that are different and leave letters that are the same lower case
many electronic IV pumps have:
-the capability to perform calculations
-safeguard parameters
personal safety with medications include:
-ppe (gloves, goggles, gowns)
-safety devices (safety syringes with needle guard)
-practice standards (proper disposal of medications/needles)
what are the advantages of automated medication dispending systems?
-leads to reduction in medication errors
-enhances patient satisfaction (timely administration of controlled substance_
-reduces time required for narcotic counts
what are the disadvantages of automated medication dispending systems?
-some open compartments = possibility of med errors
-medications may be incorrectly stocked by pharacists/techs
-nurses may have to wait in line
causes of medication errors for older adults
-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
strategies to minimize medication errors for older adults
-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
what are the two ways for a licensed prescriber to write an order?
-electronic health record
-handwritten order
advantages to EHR orders:
-computer automatically records some info needed
-uses terminology that meets safety guidelines
MEDICATION ORDERS MUST CONTAIN THIS INFO:
-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
