Week 1 - Medication Management

Question 1

What are the 6 rights?

Answer 1

• Patient
• Drug
• Dose
• Route
• Time
• Documentation

Question 2

Right medication/Right drug

Answer 2

Check the drug three times – referring to both the order of the medication chart and the packaging/bottle

Question 2

How many times do you need to check the medication?

Answer 2

3 times

Question 3

When is the first check?

Answer 3

On initial location of medication in patient medication drawer,
drug trolley or medication room.

Question 4

When is the second check?

Answer 4

At the time of preparing the medication

Question 5

When is the third check?

Answer 5

Before administering to the patient (and before putting the medication container away)

Question 6

What should you consider regarding “right time”

Answer 6

It is the nurses’ responsibility in this ‘right’ not only to administer the
medication on time but also to ensure the medication is being given at the appropriate time.

Question 7

When is an appropriate time to give medication?

Answer 7

Approximately ½-1 hour on either side of prescribed administration time is
considered to be administering medication ‘on time’. Always check with the hospital
policy regarding administration times.

however….
Some medications must be given at specific times to ensure the effectiveness of
the drug, to ensure it meets the patient’s needs
o Insulin
o Antiparkinsonian drugs
o analgesic

Question 8

What is a schedule 1 drug?

Answer 8

Blank - Not currently in use

Question 9

What is a schedule 2 drug?

Answer 9

Pharmacy medicine

Question 10

What is a schedule 3 drug?

Answer 10

Pharmacist only medicine

Question 11

What is a schedule 4 drug?

Answer 11

Prescription only medicine

Question 12

What is a schedule 5 drug?

Answer 12

Caution (commonly used for domestic purposes e.g. acetone)

Question 13

What is a schedule 6 drug?

Answer 13

Poison (substances used in agricultural, industry, photography eg rodent baits)

Question 14

What is a schedule 7 drug?

Answer 14

Dangerous poison (eg arsenic)

Question 15

What is a schedule 8 drug?

Answer 15

Controlled drug (eg morphine)

Question 16

What is a schedule 9 drug?

Answer 16

Prohibited substances (eg heroin)

Question 17

What is a schedule 10 drug?

Answer 17

Substances of such danger to health at to warrant
prohibition of supply and use (e.g. lead)

Question 18

What is a schedule 4 R/D drug?

Answer 18

Subset of prescription only medicines

Question 19

What is a prescription?

Answer 19

-Prescriptions are a legal document
* ONLY doctors, dentists, optometrists, nurse practitioners and
midwife practitioners can prescribe

Question 20

What does a valid order include

Answer 20

• date
• patient name, DOB
• generic name of drug
• dose
• route
  -frequency
  -time
• prescriber signature and name

Question 21

What is a PRN order?

Answer 21

as needed’; the nurse uses good judgment about
whether the medication is needed & when it can be safely
administered.

Question 22

What is a Stat order

Answer 22

give immediately and only once

Question 23

What is a single order?

Answer 23

one-time order, at the specified time

Question 24

What is a standing order?

Answer 24

permits nurses to administer medication in certain circumstances without a prior written order; protocols in place; must be signed by MO within 24hrs

Question 25

What are the 4 Australia National Medicines Policy

Answer 25

- Timely access to medicines that Australians’ need, at a cost individuals and the community can afford - Medicines meet appropriate standards of quality, safety & efficacy - Maintaining a responsible and viable medicines industry. - Quality Use of Medicines (QUM) is one of the main objectives of Australia’s National Medicines Policy.

Question 26

What is a Medicine?

Answer 26

Medicines are substances that help our bodies – physically or mentally – to prevent, treat or cure diseases.

Question 27

Who is involved in prescribing medication

Answer 27

- Doctors * Pharmacists * Dentists * Allied health professionals * physiotherapist, dieticians, speech pathologists, occupational therapists) * Nurses

Question 28

What is the role of nurses with medication?

Answer 28

- administering and monitoring - review prescription - prepare medication - administer to patient - document administration

Question 29

What is the generic drug name

Question 30

What is the brand name?

Question 31

What are the different types of medicine

Answer 31

Prescription medicines Antibiotics (e.g. Amoxicillin) * Non-Prescription medicines Paracetamol * Generic versus Brand name medicines Paracetamol instead of Panamax or Panadol * Vaccines Influenza, Covid-19, Hepatitis B, Polio, Diptheria, Tetanus, Whooping Cough * Biological medicines Insulin e.g. Optisulin® (glargine insulin) Toujeo (glargine insulin)

Question 32

What is a prescription?

Answer 32

Prescriptions are a legal document * ONLY doctors, dentists, optometrists, nurse practitioners and midwife practitioners can prescribe