Week 1 - Study Cards Flashcards

1
Q

Causes of Medical errors

A
  • Lack of information about patient - allergies, meds
  • lack of information about drug
  • communication and teamwork failures
  • unclear, absent, or look-alike and sound-alike meds
  • unsafe standardization, storage, distribution, and devices
  • Calculation errors and failures to adhere to rights
  • errors in computer entry
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2
Q

Six Rights of Medication

A
  1. Right Medication
  2. Right Dose
  3. Right client
  4. Right Route
  5. Right time
  6. Right documentation
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3
Q

Explain the right of right medication

A

Compare medical administration record with order

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4
Q

Explain the right of right dose

A

Check calculations and labels

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5
Q

Explain the right of right client

A

Two unique identifiers (ie name, DOB)

NOT ROOM NUMBER

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6
Q

Explain the right of right route

A
  • How medication is administered (orally, injection, etc)
  • Check ordered & drug guides
  • Special considerations with feeding tubes
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7
Q

Explain the right of right time

A
  • Time of day and frequency

- 30 minute rule

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8
Q

Explain the right of right documentation

A
  • No documentation leads to double dosing
  • Avoid “Do Not Use” abbreviations
  • Outcomes of meds
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9
Q

Explain the right of right to refuse

A
  • Nurse should document and notify caregivers
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10
Q

Kendra’s Law

A
  • Legislation designed to protect the public and individuals living with mental illness by ensuring that potentially dangerous mentally ill outpatients are safely and effectively treated.
  • Court ordered assisted out patient treatment.
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11
Q

Emergency court orders

A
  • May give medications forcibly

- Requires judges orders.

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12
Q

Other rights

A
  • Right to education about medication being given
  • Right to understand interactions
  • Right to medication reconciliation across continuum of care
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13
Q

Seven essential components of written medication orders

A
  1. Clients full name
  2. Date and Time written
  3. Name of medication
  4. Dosage
  5. Route
  6. Frequency
  7. Signature of prescriber or proxy
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14
Q

Trade name

A

The brand name or proprietary name under which a manufacturer markets the medication (i.e. Advil)

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15
Q

Generic name

A

The proper name, chemical name, or nonproprietary name of the medication. (i.e. Ibuprophen)
By law, the generic name must appear on all medication labels

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16
Q

Medications are written in the following order

A
  1. Name of medication
  2. Dosage
  3. Route
  4. Frequency
17
Q

True or False: prn must have a frequency which designates the maximum time allowed between doses.

A

True

18
Q

Medication Administration Record

A
  • Handwritten or electronic form used to document medications client has and will receive
  • Method of charting varies per institution
  • Used to document patient refusals, delays in administration, and medication responses
19
Q

Use the MAR to:

A
  • Check medication order
  • Prepare correct dosage
  • Record medication administration
20
Q

True or False: Oral (verbal) orders must be written down, read back to the prescribers, and confirmed with the prescriber that the order is correct.

A

True

21
Q

Scored Tablets

A
  • Tablets with indented markings designed to cut and deliver 1/2 to1/4 of tablet
  • Breaking an unscored tablet is dangerous and can result in unintended dose
22
Q

Oral Medication

A
  • Most economical
  • Easiest to administer
  • Most common type of medication given
  • Available as solids and liquids
  • Most convenient and comfortable for patient
23
Q

Enteric-coated tablets

A
  • Special coating that protects against gastric secretions

- Never crush EC tablets - defeats the purpose

24
Q

Layered Tablets

A

Layers or cores of two meds with different compatibilities or absorption components

25
Q

Tablets

A

Powdered medications molded in shapes

26
Q

Caplets

A

Elongated tablets coated to ease swallowing

27
Q

Time Released or Extended release

A

Never crush, chew, or break

28
Q

Capsules

A

Contains powder, liquid, or oil with hard or soft gelatin coating
- Never crush, chew, or break without consulting a pharmacist

29
Q

Troches and Lozenges

A

A small medicated lozenge designed to dissolve

Slowly dissolved in mouth

30
Q

Oral Liquid Meds for clients with dysphagia, NG tube or gastrostomy tube, infants, or young children

A
  • Elixers, Suspentions, syrups

- Never give oral liquids by IV

31
Q

Elixer

A

Medications dissolved in alcohol and water

32
Q

Suspension

A

One or more medications finely divided into a liquid such as water

33
Q

Syrup

A

Medication dissolved in concentrated solution of sugar and water