Administration
Medications that are administered are documented in this part of the electronic medical record
What is the Medication Administration Record or MAR?
Pump technology that should be used during set up when administering IV medication infusions?
What is pump integration/guardrails technology?
Monitoring criteria required for the administration of IVP Morphine that the patient has been taking for severe pain for 3 days
What is pain and sedation scores pre and post administration?
Appropriate scale to evaluate for unintended sedation outside the ICU
What is Pasero Opioid-Induced Sedation Scale or POSS?
The frequency tubing should be changed for TPN
What is every day?
Time interval before or after scheduled time which time-critical scheduled medications must be administered.
What is 30 min?
These are the signs and symptoms of a possible blood infusion reaction (name three)
What are chills, itching, rash, hematuria, muscle aches, and difficulty breathing?
Two important monitoring parameters for a patient receiving a Bumex drip
What is output and serum electrolytes?
Appropriate indications for IV push administration of versed on a level 4 unit
What is seizure and anxiety?
The frequency should needleless connectors be changed for patients receiving a continuous infusion
What is every 7 days and with every continuous infusion tubing change?
Example of a medication administration where clinical judgement must be used to coordinate the administration time with meal consumption
What is rapid acting insulin?
This should always be used in addition to BCMA to ensure medications are administered safely
What is nursing clinical judgement or medication rights?
Type of patient that can be administered a Fentanyl PCA on a level 4 unit
What is comfort care code status/ Hospice?
Administration of an insulin drip can only be performed on units with these levels of care
What is level 1-2?
Frequency of CVAD transparent dressing change
What is at minimum every 7 days and PRN?
This document is needed prior to the administration of blood products.
What is Informed consent?
What PPE is required for administering a hazardous non-injectable liquid medication with a reproductive risk category.
What are gloves and gown?
How long do you need to monitor the patient when initiating blood products?
What is a minimum of 15 mins?
This nurse can be the second verifier to sign off on blood product administration but cannot be the nurse performing the administration.
What is an LPN?
Type of treatment required daily for patients with CVAD unless contraindicated
What is CHG treatment?
Medication that may be administered when a CVAD has sluggish or no blood return
What is Alteplase (rTPA)?
Xanax XR 1mg PO/via peg tube daily. Safety concern with order- your patient is NPO but does have a functioning peg tube with an “OK to use order”
What is do not crush med or extended-release medication
Monitoring criteria during the administration of a PCA with a controlled substance (opioid) infusion after the first 24 hours.
What is · RR · ETCO2 or O2 sat · HR · BP · Pain · Sedation level every 4 hours?
Appropriate pain medication for the patient that has orders for Morphine 1mg IV Every 2 hours PRN for severe pain and Percocet 5/325 mg Every 4 hours for mild pain. It is now 1008 am and your patient is c/o pain 6/10. Morphine was last administered at 0800 and Percocet @0600.
What is neither of these is appropriate -6 is a score for moderate pain or call the provider for orders?
Product used instead of CHG after hygiene bath if allergy or contraindication?
What is Theraworx (colloidal silver)