Safety First
The right drug, right patient, right dose, right route, right time, right reason, right documentation
The 7 "rights" of medication administration.
Where would you find right dose, right time, right reason?
EMAR
Vital signs, neurological status, pain assessment
Monitor/assess
Wandering, yelling, hitting, pacing, crying.
Behavior documentation
Men get hiccups more often than women
TRUE
These account for 7000 DEATHS in hospitals EVERY year
Medication errors
Resident asks for meds to be left at bedside
NO
Completed after administering, prior to transfer, and post intervention
Pain assessment
Appearance, size, location, type, exudate, treatment provided
Skin/wound documentation
On average how many sesame seeds are on a McDonalds Big Mac bun
178
You realize you incorrectly gave your patient an AMBIEN at 8am for sleep - you have violated this right.
Right time
Done before and after every med pass
Hand hygiene
Possible narcotic side effects
GI upset, rash, shortness of breath, abnormal VS
Adverse reaction documentation
The average person is about________________at night
1/4 inch taller
The FACILITY decides which medical abbreviations are safe to use (true or false)
FALSE
Prefilling medication cups to make the best use of your time is preferred. (true or false)
FALSE
Warm blankets, music, one on one conversations, repositioning
Non-pharm interventions for pain
Braden, elopement, neuro, fall risk, weekly skin observation
Types of assessments
The fear of beards
Pogonophobia
Who to notify in the event of: med error, medication start, change of condition (COC), injuries, significant behaviors, death
POA, MD, DON
What medication requires double verification prior to administration.
Insulin
PO PRN pain medication given 15 minutes ago. Residents family continues to demand more stating residents pain is not gone and they "always used to take WAY more than this". Nurse should administer more to please the family. (true or false)
FALSE.
Falls, bruising, aggression, med errors, antibiotics
Risk management topics
What is a TITTLE
The dot over the letter "i" - you filthy animal