Know your Rights!
What is...the right to refuse?
This formula is used to determine the correct dosage, available concentration, and desired quantity.
What is...Dimensional Analysis?
Ordered: 5 mg Tylenol
Available: 2.5 mg/mL
Dose in mL, round to whole number.
What is...2 mL?
An order reads furosemide 40 mg IV push. On the vial reads "100 mg/10 mL". How many mL will the nurse prepare to administer? Round to the nearest whole number.
What is...4 mL?
Tell me what you will always do before interacting with a patient. (you walk into the room, introduce yourself, and...?)
What is...WASH THOSE HANDS?
The doctor has ordered Hydroxyzine for your patient. After misreading, you give the patient Hydralazine, making this medication error.
What is...Wrong Medication?
T or F: Nurses are allowed to prescribe, order, and administer medications.
What is...False?
Ordered: Acetaminophen 60 mg
Available: Acetaminophen 130 mg/mL
Dose in mL. Round to tenths place.
What is...0.5 mL?
The physician orders 1 g of Zofran. There are 400 mg tablets available.
Dose in tablets.
What are...2.5 tablets?
Tell me what you are looking for when looking at the medication.
What are...expiration date, NAME, dosage?
The patient is prescribed Clotrimazole (Canesten) 200 mg at bedtime for 3 nights intravaginally. The nurse gives the patient their medication PO. The patient is now vomiting and is dizzy, all because of this medication error.
What is...Wrong Route.
This route of med admin is the most common route for rapid onset of action, but beware, as it cannot be reversed!
What is...IV Admin?
Ordered: NaCl 80 mEq q8hrs
Available: NaCl 40 mEq/15 mL
Dose in mL. Round to the nearest whole number.
What is...30 mL?
Give Erythromycin 25 mg/kg/day in 3 equally divided doses. The patient weighs 13.2 lb.
Give dose in mg.
What is...50 mg?
Tell me important things you should consider BEFORE giving the patient medication.
What is...Order, MAR, pts labs, VS?
Asking for the patient's full name and DOB enforces this medication right.
What is...Right Patient?
These are the unintended consequences of medication (shortness of breath...swelling...vomiting)
What are...adverse effects?
Ordered: Lipitor 0.3 mg PO
Available: Lipitor 150 mcg per tablet.
Dose in tablets.
What is...2 tablets?
Your pediatric patient is ordered 100 mg PO TID of Ampicillin suspension. On hand is a 100 mL bottle of Ampicillin suspension labeled 0.6 gm/3 mL.
Give dose in mL.
What is...0.5 mL?
Tell me the 7 rights of medication administration.
What is...Right patient, med, dose, route, time, documentation, indication (and refuse)
The order says .2 mg/mL Hydromorphone. The nurse misreads, and gives 2 mg/mL. The patient overdoses and dies, all because of this fatal medication rights error.
What is...Wrong Dose?
The 3 checks go as follows...
What is...Order to MAR, MAR to Medication, Medication, Order, Mar to Patient?
Ordered: Ensure 30 oz per NGT
Available: Ensure 1000 mL per bottle
Dose in mL. Round to nearest whole number.
What is...900 mL?
Your newborn patient needs 360 mL of formula every 8 hours. The available formula provides 300 calories/6 oz. How many calories per feeding would the pt receive? (Bonus 500 points if you can tell me how many calories per day)
What is... 600 calories? (Total daily calories: 1,800)
Tell me the 3 vital things to ask your patient BEFORE administering medication.
What are...2 pt ID's, allergies, and ability to swallow?