The communication tool used by nurses to relay vital information to providers informing of the situation, background of the event, assessment and the nurses recommendation.
What is SBAR?
This "right" ensures you are giving the medication to the person for whom it was actually prescribed, often verified by checking an ID band.
What is Right Pt?
This person is appointed by the Pt to make healthcare decisions should the Pt become incapacitated.
What is a Healthcare Power of Attorney?
Refers to a state in which the Pt has lower-than-normal count of platelet cells
What is thrombocytopenia?
Reduces phosphate in the blood of dialysis patients.
What are phosphate-binders (Renagel, phoslo etc)?
Charting to THIS makes the nurse's job easier because the nurse does not need to repeat information in the original assessment unless it has changed
What is the exception?
To satisfy this right, a nurse must double-check the physician's order against the medication label to ensure the correct chemical substance is being given.
What is Right Drug?
The responsibility still lies with THIS person, even if the task was delegated to an unlicensed assistive personnel
What is the LPN?
This antibiotic requires a trough be drawn to ensure 30 minutes prior to each administration to prevent nephrotoxicity
What is vancomycin?
A Pt taking lasix complaining to the nurse of a Charlie horse (calf muscle spasm) is at high risk for this abnormal electrolyte finding.
What is hypokalemia?
The level of assistance charted when a Pt requires only stabilization assistance
What is MIN (minimum) assist?
This right involves performing a mental or manual calculation to ensure the amount of medication administered matches the prescriber's order.
What is Right Dose?
Coworkers the LPN can delegate technical tasks that do not require nursing judgement
Who are UAPs (unlicensed assistive personnel)?
Patients taking THIS epileptic medication must have serum levels drawn to ensure the drug stays in therapeutic range
What is Dilantin (Phenytoin)?
This cardiac medication class is often the cause of male ED.
What are beta-blockers?
This is the patient teaching the LPN provides FIRST when giving instructions to obtain a clean catch urine specimen from an uncircumcized male
What is retract the foreskin?
Whether it is sublingual, intravenous, or intramuscular, this right confirms the medication is entering the body through the correct physical path.
What is Right Route?
This specific type of patient condition or status is a requirement before a task can be safely delegated to a UAP or a less experienced staff member.
What is Stable (or Predictable)?
Along with serum lithium levels, the nurse would follow this lab closely for patient taking lithium
What is BUN?
An Pt with a cardiac arrythmia taking this medication should seek emergency treatment if the skin turns blue or grey.
What is Amiodarone?
A nurse that provides a Pt's Dx to a random visitor in the Pt's room is in danger of breaking this act
What is The Health Insurance Portability and Accountability Act (HIPAA)
Maintaining this right requires the nurse to administer the dose within the facility's approved window—usually 30 to 60 minutes before or after the scheduled slot.
What is Right Time?
PN can be delegated the administration of these types of medications, provided they are not given via the intravenous route.
What are Oral, Topical, or Intramuscular (IM) Medications?
Antidote for a benzodiazapine overdose
What is flumazinil (Romazicon)?
While this over-the-counter pain reliever is easy on the stomach, taking too much can cause severe damage to your liver.
What is Acetaminophen (Tylenol)?