Medication Orders
When do you do your 3 med checks?
1. Pyxis
2. Outside patient's room
3. At bedside
How do you keep your medication safe?
Locked in drawer
Why do you need to use the right size blood pressure cuff?
To ensure accuracy of blood pressure
What liters do you place someone on nasal cannula?
1-6
How do you promote advocacy?
Examples
What are the types of medication orders?
Standing
PRN
STAT
SINGLE
What are some ways to prevent medical errors?
1.DO NOT leave medications at the patient bedside
2.Reconcile patient medications by comparing to the medications administered to the patient on the day before, and reviewing the patient medical record to
justify any change to the record for the current day administration
3.Careful with abbreviations
4.Careful with decimals
5.Careful with dosage calculation 6. 6.Six rights of med pass 7. 3 med checks
How many times do you pump up the BP cuff when you are taking a manual BP and why?
2 times
1st time to get reading when you stop feeling pulse
2nd time is to take the BP
What liters do place someone on a simple mask?
5-10
Available: 200mg tablets of Ibuprofen
How many tablets are you going to give?
4 tablets
What are the route is the fastest way to give a medication?
Intravenous
What are the first things you do before doing anything to your patient?
First Five
1. Introduce yourself
2. Wash hands
3. Ask for name and DOB while looking at wristband
4. Provide privacy
5. Educate
What liters do you place someone on nonrebreather?
15
Order: Penicillin 500 mg
Available: Penicillin 250 mg/5ml
How much penicillin should you give?
10 ml
What do you do when you do not feel safe giving a medication?
Hold med, contact and question the provider
What is malpractice and what is needed to prove?
Negligence) requires proof of four areas
1.Assignment of Duty
2.Break in Standard of Care
3.Injury to the Patient
4.Proof that the Break in Standard of Care caused the Injury to the
Patient
How do you properly document a pulse and respiratory finding?
Regular vs irregular
What areas can you place a pulse ox?
finger
earlobe
toe
How do you manipulate the pinna of a child and adult when you apply ear gtts?
Adult- pull up and back
What are the 6 rights of med administration?
1. RIGHT: medication
2. RIGHT: patient
3. RIGHT: time (within 1 hour before or after prescribed)
4. RIGHT: method of administration
5. RIGHT: dose
6. RIGHT: documentation (including patient response
What are the differences and similarities between a generic name vs brand name?
Same active ingredient, same amount in dose, treats with same effectiveness
Generic: Is only available after the patent expires
◦ More cost effective
◦ Usually appears in small type or in parenthesis
When giving an ophthalmic medication, how far should the solution be held above the lower conjunctival sac?
2 cm (3/4 in)
How much oxygen is being delivered with RA, NC, Simple mask and Nonrebreather?
RA-21%
NC-24-44%
SIMPLE-30-50%
NONREBREATHER- greater than 60%
What are the parts of the chain of infection?
Infectious Agent
Reservoirs
Portal of exit
Means of transmission
Portal of entry
Susceptible host