Topic 14 Flashcards
Rights of medication administration
*Right patient
*Right drug
*Right dose
*Right time
*Right route
Five additional rights
*Right assessment
*Right documentation
*Patient’s right to education
*Right evaluation
*Patient’s right to refuse
what is needed to determine the right patient
Two forms of identification (name and DOB)
what is needed ti determine the right drug
*Order must be prescribed by licensed health care provider.
*Drug label must be read three times.
*Nurse should be familiar with patient’s health record, allergies, lab results, and vital signs.
*Nurse should know why the patient is receiving medication.
what is needed to determine the right dose
Nurse should check dosage calculation
before adminitering oral medication, what should you do
assess the patients ability to swallow
how should antibiotics be administered
*at even intervals throughout the day to maintain therapeutic drug levels
nurses should always offer water only when taking medications, what is the exception?
iron may be taken with orange juice
Right assessment
requires collection of appropriate data before administration of the drug (health history, allergies, VS, Labs
ight documentation
*Record drug administration immediately.
*Document patient’s response to medication
right to education
*Teach patient accurate and complete drug information.
right evaluation
*Determine drug effectiveness.
*Determine side effects and adverse drug reactions.
right to refuse
*Nurse should explain risks involved.
*Nurse should reinforce reasons and benefits of the drug.
*Nurse should document refusal immediately.
*Follow-up is required.
what are the nurses rights when administering medications
*Right to a complete and clear order
*Right to have the correct drug, route (form), and dose dispensed
*Right to have access to information
*Right to have policies to guide safe medication administration
*Right to administer medications safely and to identify system problems
*Right to stop, think, and be vigilant when administering medications
culture of safety
*ANA encourages organization to avoid punitive approaches in drug error reporting.
*Individuals should be encouraged to report drug errors, so the system can be repaired and fixed.
who developed the national patient safety goals
The Joint Commission
FDA’s black-box warnings
appears on a prescription drug’s label and is designed to call attention to serious or life-threatening risks. cause disability, are life-threatening, result in hospitalization or death, or are birth defects
drug reconciliation
*Develop an accurate list of current medications.
what should the nurse advise the patients about with drug reconcilation
*carry a list of personal drug information in the case of emergency.
*Advise patient to update drug list whenever a change occurs.
*bring a list of medications to each doctor appointment.
disposal of medications
*Follow specific information on drug label or insert.
*Transfer drug from original container to undesirable substance (i.e., kitty litter).
*Place mixture in container (i.e., sealed plastic bag).
*Remove all identifying information on label before disposing of empty container.
*Do not flush drugs down toilet unless specifically instructed.
*Return drugs to community “drug take-back” program.
who do you contact if you have any disposal questions of medications
consult pharmacist
what are some examples of safety risks for medication administration
*Tablet splitting
*Buying drugs over the internet
Counterfeit drugs
*May look like desired drug
*May have no active ingredient
*May have wrong ingredient
*May be improperly package or contaminated
*Purchase drugs only from licensed pharmacies
what is important about extended- or sustained-release drugs
do not crush them
