Let's Verify
What are the 6 rights of medication?
right patient
right medication
right dose
right route
right time
right documentation
What must you do when overriding a vaccine or medication?
Verify the medication and override reason with the nurse/provider.
Document in the comments your reason for overriding and who verified this.
Vaccines and medications must be prepared where?
All medications must be prepared in a designated clean area in nursing station
What site is Bicillin given?
Dorso gluteal site
What adult vaccines can be given without an order (name 3)?
Flu, covid, all tetanus, hep A, hep B
What must be handed to the patient prior to giving a vaccine?
VIS, vaccine questionnaire, VFC/VFA eligibility form
What are appropriate spots to engage the safety on a needle?
any hard, stable surface- the counter in the exam room
Vaccines and medications cannot be prepared until...
the provider or nurse has verified the medication
When is DTAP vs. TDAP given?
DTAP: 6 weeks-7 years
TDAP: 10 and older
Can a TB test be done as a nursing visit?
NO
If a patient has no vaccine records in the EHR, where should we check next?
CAIR
Lidocaine, heparin, methotrexate, insulin, epinephrine, terbulatine, methylene blue, opiates
What special step do I need to take when a vaccine must be reconstituted?
Verify it once before it is drawn up and again after it has been prepared
What is Kinrix?
DTAP + Polio
MMRV can be given for what age?
4-12
How do you verify that it's the correct vaccine/medication?
You must check the EHR and compare it to the order, the vaccine/medication and the patient information
Name the Look Alike Sound Alike drugs
Acetaminophen/Acetazolamide
Medroxyprogesterone/Methylprednisolone
Prednisone/Prednisolone
How do you clean an injection site?
start at the center and make circles outward with alcohol pad
What vaccines are given subq (name at least 3)?
live vaccines- MMR, MMRV, Varicella
What vaccines require a pregnancy test or LMP?
MMR, varicella, HPV
What do you need to bring to the nurse/provider in order to verify a medication/vaccine?
The order
The medication/vaccine
The screening checklist
The payor source
What would you check first before giving a vaccine/medication to a patient?
Check provider order, follow 6 rights of medication administration, ask allergies, payor source
What action must be taken after a medication has been prepared in a secondary container?
Label container with medication name, dose/strengeth
What must you do with a MDV after using it?
Adhere open vial sticker - write initials, open date, exp date (28 days after). Don't forget tally marks!
What pediatric vaccines need provider orders?
RSV, MenB