Who Am I?
These are the 5 rights of medication administration
What are the right drug, the right dose, the right time, the right patient and the right route
These are two patient identifiers.
What are name and date of birth?
Before you administer a medication to your patient you should always check the chart for...
Drug Allergies
How many times do you match the medication label with the MAR?
3 (three)
1) when acquiring the medication from pyxis
2) when preparing the medication for administration
3) at the bedside, before administering to the patient
True or False:
Betty, RN receives an urgent phone call and asks you to administer the medications she has in her hand to her patient so she can take the call. It is ok for you to administer the medications because you trust her.
False! NEVER administer meds prepared by someone else!
4 requirements of a medication order Name of drug, dosage, route and frequency
Name of drug, dosage, route and frequency
This review of medications is done upon admission, transfer of care and at discharge.
What is medication reconciliation?
If you, as the nurse are having trouble reading the prescription written by the doctor, your next action would be
call physician and clarify the order
This is available in either electronic or paper format and lists all of the medications ordered by the HCP.
What is the Medication Administration Record (MAR)?
True or false:
Poor communication and distractions during medication preparation are common medication safety issues.
True
Using two of these is a National Patient Safety Goal aimed at improving the accuracy of patient identification.
What is using 2 patient identifiers?
Use of this single letter as an abbreviation is prohibited by Joint Commission.
What is "U" instead of units?
When is a stat order meant to be carried out or completed?
Immediately
If you commit a medication error your very first priority (prior to reporting to your clinical instructor or charge nurse) is to immediately
Assess the patient!
True or False:
If your patient wishes to wait until after lunch to take her 10:00 medications it is okay for you to leave them on her bedside tray unattended.
False
Doing this is known as "Reading Back".
What is verbally reviewing new orders received from a provider?
This area is marked to reduce distractions in the medication room (often marked by red tape on the floor).
What is the "quiet zone"?
When an order is written as PRN it means
As needed
This type of instruction should be completed by the nurse prior to the patient taking their medications.
What is patient education?
True or False?
Enteric coated pills may be crushed.
False
The process of comparing medications the patient took in a previous setting (i.e. home, NH, another unit) with the medication orders received upon admission to a new setting
What is a medication reconciliation?
Name two look-ailke, sound-alike medications.
EPINEPHrine, ePHEDrin; hyDRALAZINE , hydrOXYzine
Examples of these include: anaphylaxis, injection site pain, tissue necrosis, and hematoma.
What are adverse reactions?
Taking an apical pulse prior to administering a blood pressure medication is an example of this.
What is a nursing assessment?
True or False?
It is acceptable for you to sign off as a witness when a friend asks you to witness a waste of a narcotic that they already poured down the drain.
False! Never sign off as a witness for something you didn't actually see happen!