Pharm
What are the 5 rights of medication administration?
Right... Medication, Dose, Route, Time, PATIENT
What is the additional/extra vital sign?
Pain
What is the first and foremost way to prevent the spread of infection?
Hand hygiene!
What is the primary function of the respiratory system?
To exchange oxygen and carbon dioxide between the body and environment.
What are the 3 medication checks?
1. When pulling medication
2. When preparing medication
3. When about to administer - last chance to catch mistakes!
Always run through your 5 rights while doing these checks!
What are the main 3 P's when rounding on your patients?
Pain, potty, and positioning
What are standard precautions?
Standard precautions are for every patient. This includes proper hand hygiene, gloves, appropriate PPE, respiratory etiquette, and sharps safety to prevent spread of infection and ensure safety.
True or False: A patient has dropped their nasal cannula on the floor, as long as it is not visibly dirty it's fine to put it back on the patient.
False; If any supply hits the floor, air on the side of caution and get a new one.
What are the different routes of medication administration?
Oral, Sublingual, IV (push, infusion), SQ, IM, ID, topical, Inhaled, tubes (NG, PEG)
Pain is .... which means it's .....
Pain is SUBJECTIVE which means it's WHATEVER THE PATIENT SAYS IT IS.
What are some general rules for sterile technique?
What is are telltale signs of an asthma attack?
Shortness of breath, dyspnea, wheezing
What needle size do you use for SQ injections? IM?
SQ - 25 to 30g, 1/2" to 5/8"
IM - 20 to 25g, 1" to 1 1/2"
What are some non-pharmacological interventions to assist with patient comfort?
What are some safety considerations in patient rooms?
Tubes and lines, bed low and locked, alarm on if necessary, call bell and belongings within reach, is the path to the bathroom clear of obstacles, are the patient's needs met before you leave the room.
True or False: Stridor is a medical emergency
True! This could mean an obstructed airway, apply oxygen and call for help.
What parts of the patient chart should you check while planning medication administration?
Allergies and labs.
True or False: A patient asks you a question you don't know the answer to, you should make something up to put their mind at ease.
False; It is ok to not know an answer, but lying or making up and answer could lead to distrust and cause more issues during care.
"I'm not entirely sure, but let me find out and get back to you, or I'll have your nurse come in to answer your questions so you are getting the best information."
A patient is becoming increasingly agitated, what should you do while also protecting yourself?
Try to de-escalate if possible, do not corner yourself, make sure you are able to quickly move out of harms way, and call for backup.
What position should a patient be placed in to promote better oxygenation if they are experiencing difficulty breathing?
High Fowler's, sitting upright as much as possible.