Medication rights and orders
What are the 5 rights of medication administration?
Right Patient
Right Dose
Right Time
Right Medication
Right Route
Right Documentation
Drug name
Dose
Route
Injection site
Time/date
Nurse's initials with credentials
Medication Error
any preventable event that may cause or lead to inappropriate medication use or patient harm while the medication is in the control of the health care professional, patient, or consumer.
Forms of patient identifcation
ID bracelet
Photo
Birthday + address
Can ask patient's name
What drugs have to be given on time due Trough Levels (Therapeutic Levels)
Aminoglycosides
Vancomycin
Antibioitics
medication error index
categorizes medication errors by evaluating the extent of the harm an error can cause
Components of a properly written order
Date and Time
Drug Name
Dose
Route
Frequency AND Duration
Any parameters (hold if HR < 55bpm)
Signature of prescriber
How long do you wait to call the Dr. if antibiotics are not working?
48 hours
Medication Error Category A
An actual error did not occur
Types of orders
-One-Time
-Standing
-PRN
-STAT
What drugs should you hold if HR <60 and should take a full minute Apical Pulse?
-Digoxin
- Calcium and Beta Blockers
Medication Error Category B
An actual error occurred
The error did not reach the patient
How many errors are made for every 100 meds administered?
40 errors
What two drugs have to be given 2 hours apart?
Digoxin and Lasix
Medication Error Category C
An actual error occurred
The error reached the patient