Six Rights
This is the first right of medication administration.
What is the right patient?
IV push medications can be given by these nurses.
What are RN's only (cannot delegate to the LPN)
What is immediately after administration according to policy.
This is where controlled substances should be stored.
What is the Automated Dispensing Cabinets (ADCs) in patient care areas.
This should always be verified before administering medication.
What is the patient's identity?
The six rights of medication administration are important for these 2 reasons.
What are they reduce medication errors and they ensure safe medication administration?
These steps should be taken if a patient refuses their medications.
What are document the refusal, notify the provider as appropriate and follow hospital policy.
This must be documented after giving an injection.
What is the injection site?
This is what should be done if there is a discrepancy in the controlled substance count.
What is report it immediately according to policy and complete the required SA Event
These resources should be used when diluting injectable medications.
What are Lexicomp or manufacturer recommendations.
This right ensures the medication is given at the correct time.
What is the right time?
This is the information a patient should receive about their medications.
What is information that helps them understand the purpose, implications and how it should be administered?
These things should be documented about the patient's response to medication administration.
What is assessment and evaluation of the medication's effectiveness and any adverse reactions?
This is when you should waste a controlled substance.
What is immediately if a partial dose is given or immediately after administration if the full dose is not given?
This is necessary if the scanner on your WOW is not working.
What is find a different WOW to use for medication administration.
This right verifies the medication is charted correctly after administration.
IV push medications can be diluted with this.
What is saline or sterile water using new syringe. (May not use prefilled syringes.
This login should be used to document medication administration.
What is the clinician's own EMR username and password.
Wasting a controlled substance requires what?
What is a witness?
These are the steps taken if you experience a needle stick.
This is the first right of medication administration.These are the six rights of medication administration.
What are the right patient, medication, dose, route, time and documentation?What is the right patient?
These are the three identifiers.
What are name, date of birth and MRN number.
These are the reasons accurate documentation is important.
What are ensuring continuity of care, legal compliance, and patient safety.
These are the steps that should be taken if you suspect a co worker is diverting medications.
What is notify your manager.
These are the steps taken if a patient receives the wrong medication.
What are notify the patient and the provider. Monitor patient for adverse reactions and complete an SA report.