Rights of Medication Administration
What is the names of the 5 main "rights of medication administration"?
Right Patient, right medication, right dose, right route, right time.
What is a Black Box warning.
The strongest safety alert from the FDA, highlights severe, life-threatening or disabling risks.
What is absorption?
Process of moving the medication into systemic circulation.
What is the route that includes drugs given orally, or by NG or gastrostomy tubes?
Enteral Route
What is a 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, or patient.
What is the number of client identifiers that must be used to ensure the correct patient.
TWO
What is an ASAP medication order?
should be available to the client for administration within 30 minutes of the written order.
What is two major factors that affect absorption?
Route of administration and medicaiton form.
What is the route of a tablet or capsule being placed in the oral cavity between the gum and the cheek.
Buccal Route
What is a sentinel Event?
Results in an unexpected, serious, or fatal injury following a medication error.
What is the additional rights of medication administration?
Right Documentation, Right client education, Right assessment, Right Evaluation
What is TID?
Medical abbreviation for three times a day.
What is the four organs that recieve the most blood supply during distribution?
Heart, liver, kidneys, and brain.
What is the steps to transdermal patch application?
Apply gloves, label patch with date, time, and nurse initials, remove previous patch then place new patch.
What is the term for a client that has medications prescribed from several different providers that can contribute to medication errors?
Polypharmacy
What is the steps to ensure "right medication" is being completed?
Read medication labels and compare them with the MAR three times.
Process where the concentration of an oral drug is greatly reduced by the liver before it reaches the rest of the body.
What is the place where metabolism happens most often and name two factors that affect this process.
The liver, and age, genetics, hepatic and renal function, first pass effect.
What is the quickest way to remove an IV medication from the bloodstream?
It CANNOT be removed. Antidotes or other medications may be given to counteract the IV drug.
What is the medication error type that should be reported to the hospital.
ALL medication errors should be reported.
What is the appropriate way to document medication administration.
Document the medication dose, route, time, and any pertinent information (vital signs etc) and administration AFTER the client has taken the medication not before.
What is peak plasma level?
Occurs when the medication has reached its highest possible concentration in the bloodstream.
What is the four parts and order of pharmacokinetics.
Absorption --> Distribution --> Metabolism --> Excretion.
What is a subcutaneous injection?
Injection that is delivered to the deeper tissue layers associated with the skin. Does not go into the muscle.
What is the times that medication reconciliation should occur to help prevent medication errors?
On Admission, upon any transfers, and upon discharge.