Administration
Medications that are administered are documented in this part of the electronic medical record
What is the Medication Administration Record or MAR?
Pump technology that should be used during set up when administering IV medication infusions?
What is guardrails technology?
Monitoring required for administration of IVP Morphine the patient has been taking for severe pain 3 days
What is pain and sedation scores pre and post administration?
Appropriate scale to evaluate for unintended sedation outside the ICU
What is Pasero Opioid-Induced Sedation Scale or POSS?
Time interval before or after scheduled time which time-critical scheduled medications must be administered.
What is 30 min?
Electronic safety feature that must be used if available during medication administration and patient identification.
What is Barcoded Medication Administration (BCMA)?
Two important monitoring parameters for a patient receiving a Bumex drip
What is output and serum electrolytes?
Appropriate indications for IV push administration of versed on a level 4 unit
What is seizure and anxiety?
Example of a medication administration where clinical judgement must be used to coordinate the administration time with meal consumption
What is rapid acting insulin?
This should always be used in addition to BCMA to ensure medications are administered safely
What is nursing clinical judgement or medication rights?
Type of patient that can be administered a Fentanyl PCA on a level 4 unit
What is comfort care code status/ Hospice?
Administration of an insulin drip can only be performed on units with these levels of care
What is level 1-3?
What time interval before and after the scheduled administration time can medications that are prescribed daily be given
What is 2 hours?
What PPE is required for administering a hazardous non-injectable liquid medication with a reproductive risk category.
What are gloves and gown?
Reversal agent for benzodiazepine overdose
What is flumazenil (romazicon)?
Only insulin type that can be administered intravenously
What is regular insulin?
According to Prisma Health standard medication administration times medications ordered every evening would be given on this shift
What is 7am-7pm shift or day shift (1800)?
Xanax XR 1mg PO/via peg tube daily. Safety concern with order- your patient is NPO but does have a functioning peg tube with an “OK to use order”
What is do not crush med or extended-release medication
Monitoring criteria during the administration of a PCA with a controlled substance (opioid) infusion after the first 24 hours.
What is · RR · ETCO2 or O2 sat · HR · BP · Pain · Sedation level every 4 hours?
Appropriate pain medication for the patient that has orders for Morphine 1mg IV Every 2 hours PRN for severe pain and Percocet 5/325 mg Every 4 hours for mild pain. It is now 1008 am and your patient is c/o pain 6/10. Morphine was last administered at 0800 and Percocet @0600.
What is neither of these is appropriate -6 is a score for moderate pain or call the provider for orders?