Medication Administration
The right drug, dose, time, patient and route
What are the 5 rights of medication administration
Medication reconciliation should be performed at these three key points during a patient's hospital stay
What are admission, transfer, and discharge?
This is the antidote for warfarin overdose.
What is vitamin K?
Before administering opioids, nurses should always assess this vital sign.
What is respiratory rate?
Insulin should always be administered using this type of syringe to prevent dosing errors.
What is an insulin syringe (measured in units, not mL)?
The BCMA percentage goal for all inpatient units.
What is 95%
This setting on the Alaris pump should only be used if the medication cannot be found in the pump library
What is basic infusion?
This lab value is used to monitor the efficacy of a heparin drip.
What is anti-Xa?
This is the antidote to an opioid overdose
What is naloxone (Narcan)?
This special type of labeling is used to prevent errors with look-alike/sound-alike medications
What is Tall Man Lettering?
Medication compatibility can be verified by using this reference
What is Micromedex?
When a medication event occurs, it should be reported in this place so it can be investigated
What is Verge?
Before administering warfarin, this lab value must be checked to make sure it is within range.
What is INR?
Pain assesment should be conducted when giving a pain med at these times
What are pre and post pain med adminsitration?
This process requires a second nurse to verify the order and Alaris pump settings for certain medications.
What is an independent double check?
Our medication administration policy allows this amount of time for a ROUTINE (daily) medication to be administered before or after the scheduled time
What is +/- 2 hours?
The process of scanning a medication before administering it.
What is BCMA?
Low platelet count can be seen as an adverse event from the use of Heparin
What is HIT- heparin induced thrombocytopenia?
Patients receiving patient controlled analgesia (PCA) should have this type of monitoring
What is end-tidal CO2?
This IV electrolyte should NEVER be given as an IV push due to the risk of cardiac arrest
What is potassium chloride?
Our medication administration policy allows this amount of time for a STAT medication to be administered before or after the scheduled time
What is +/- 30 minutes?
To prevent medication errors, this step should always be taken when receiving a verbal or telephone order.
What is verbal with readback?
These medications can interfere with heparin anti-Xa levels causing them to be falsely elevated.
What are direct oral anticoagulants (apixaban, rivaroxaban, edoxaban)?
This formulation of fentanyl should not be given to opioid naïve patients.
What is a fentanyl patch?
Neuromuscular blocking agents (NMBAs) should only be used in patients who are also receiving these two supportive interventions?
What are mechanical ventilation and sedation?