W7:Identification, Medication, and Task Delegation Flashcards
(24 cards)
What are the three key identifiers for patient identification?
Full name, date of birth, and Medical Record Number (MRN).
Why is patient identification important in nursing practice?
It promotes patient safety and prevents errors in procedures, medication administration, and diagnostic testing.
What is the procedure for identifying a patient upon admission?
Ask the patient or their representative to state their full name and date of birth without leading them with the information.
What is the purpose of a red armband in patient identification
It indicates an allergy or adverse reaction that must be accessed from patient notes.
What is the significance of a nurse’s registration in relation to medication management?
It is a license that permits them to perform actions that could be harmful in the wrong hands, such as administering controlled substances.
What are the 6 Rights of medication administration?
Right patient, right medication, right dose, right route, right time, and right documentation
What is a Schedule 2 medication?
Over-the-counter medications for minor ailments (e.g., Panadol).
What is a Schedule 8 medication?
Controlled drugs with a high potential for abuse, such as morphine, stored in a secure location.
How should Schedule 4 (S4) medications be stored?
In a locked cupboard or room, with access restricted to authorized personnel.
What is required for the storage of S8 medications?
They must be stored behind two locked doors in an approved drug safe, and keys must be carried by an RN.
Who can carry the S8 key?
Only a Registered Nurse (RN).
How should a medication order be ceased?
The prescriber must draw a line across the chart, sign, and date it, or cancel the order in an electronic system.
What is the protocol for verbal or telephone orders?
Two nurses must confirm the order, repeat it back to the prescriber, and the order must be signed by the prescriber within 24 hours.
What is the role of an Assistant in Nursing (AIN) in medication management?
They can assist with certain medications under delegation in aged care only and must have completed a Cert IV unit in medication knowledge.
What is the scope of practice for an Enrolled Nurse (EN) in medication administration?
ENs can administer S4 medications but not S8 medications and must have completed relevant medication administration education.
What is the purpose of the NMBA Decision-Making Framework (DMF)?
To guide scope of practice and delegation in a manner that is consistent, safe, and person-centred.
What are the five principles of the DMF?
- Meet health needs or enhance outcomes.
- Recognize when a task is beyond scope and seek guidance.
- Expand scope only after proper training.
- RN is accountable for task delegation.
- Decisions are made in a collaborative, risk-managed context.
Why is accurate patient identification critical in nursing?
To prevent medication errors, ensure correct procedures, enhance patient safety, and avoid legal repercussions by verifying two identifiers (e.g., name, DOB) before care.
how are schedule 4 drugs stored
Must be stored in a locked room or cupboard away from patient and public access
❑ Keys kept by the nurse in charge of the ward or their delegate who must be authorised person (which includes a nurse)
❑
DMF – Expanding Scope of Practice
Occurs when an EN takes on new responsibilities or when employers seek to improve service efficiency
DMF – Professional Judgement
- Nurses assess when tasks are beyond their scope
- Consult or refer as necessary
DMF – Collaborative Decision-Making
Involves planning, risk management, and evaluation
DMF – Delegation Accountability
RNs decide who to delegate to based on the care plan
DMF – Primary Decision-Making Principle
Aim: Meet health needs and enhance outcomes
