Terms
Term for substance administered for the diagnosis, cure, treatment, or relief of a symptoms or for prevention of disease
Medication
Provides law for governing nursing practice in each state and provides guiding principles for the scope of nursing regulation to include: defining phrases and terms for law, defining composition of board members, defining nursing school educational program standards, defining the scope of nursing practice, overseeing licensure processes, protecting titles and providing grounds for disciplinary actions and violations
Nurse Practice Acts
When is a stat order meant to be carried out or completed?
Immediately
The Institute for Safe Medication Practices lists:
Acetazolamide & acetohexamide
Bupropion & Buspirone
Chlorpromazine & Chlorpropamide
Dopamine & Dobutamine as examples of
Look alike, sound alike drugs
The correct drug, correct dose, correct route, correct time, correct patient and correct documentation are also called
The 6 rights of medication administration
Can be another term used for medication but also refers to illicitly obtained substances.
Drug
The rules or definition of what it means to provide competent care developed by the American Nurses' Association (ANA) to provide guidelines for nursing performance.
Standards of Nursing Care
The client's full name; date, time; medication name, dosage size and number of doses, route, frequency, reason for medication if written PRN and the printed name and signature of prescriber are all important components of what?
Medication order or prescription
The Institute for Safe Medication Practices (ISMP) formulated a list designed to assist HCPs with identifying and prioritizing opportunities for reducing patient harm when prescribing, dispensing and administering certain medications including:
Neuromuscular Blocking Agents
Concentrated electrolyte injections
Magnesium sulfate injections
Moderate sedation in adults and minimal sedation in children
Insulin, SubQ and IV
Chemotherapy, anticoagulants, opioids and more this list of meds is called
HIGH ALERT medications
How many times do you match the medication label with the MAR?
3 (three)
1) when acquiring the medication from pyxis
2) when preparing the medication for administration
3) at the bedside, before administering to the patient
The written directions for the preparation and administration of a drug
Prescription
Provide the organization's views and values on specific issues, and what will occur if they are not followed and include general statements of how an organization want to behave and and define exactly how to do a task step by step
Policies and procedures
If you, as the nurse are having trouble reading the prescription written by the doctor, your next action would be
call physician and clarify the order
True or false:
Poor communication and distractions during medication preparation are common medication safety issues.
True
What form available in electronic or paper format lists all of the medications ordered by the HCP and should always be checked against the chart prior to medication administration?
The Medication Administration Record (MAR)
What government agency is responsible for regulating controlled substances?
Drug Enforcement Agency (DEA)
What is the term for an order that can be carried out until cancelled by another order?
Standing order
Before you administer a medication to your patient you should always check the chart for
the physician's order
True or False:
If your patient wishes to wait until after lunch to take her 10:00 medications it is okay for you to leave them on her bedside tray unattended.
False
If you commit a medication error your very first priority (prior to reporting to your clinical instructor or charge nurse) is to immediately
assess the patient!
When a controlled substance is being discarded or "wasted" it requires
A witness from or signature of another nurse
When an order is written as PRN it means
as needed
The process of comparing medications the patient took in a previous setting (i.e. home, NH, another unit) with the medication orders received upon admission to a new setting
Medication reconciliation
Yes or No:
Betty, RN receives an urgent phone call and asks you to administer the medications she has in her hand to her patient so she can take the call, should you pass the medications?
NO!! NEVER administer meds prepared by someone else!
The administration of many drugs at the same time or the administration of an excessive number of drugs
Polypharmacy