Safe Communication
Written, Verbal Or Telephone
What are medication orders?
Client name, medication, dose, time & frequency, route, reason
What are the rights?
resource for administering parenteral medications
What is the Medication Manual for parenteral drugs?
copying a med order form the order to the MAR
What is transcribing?
Fixing wrong counts/missing meds
What is resolving a discrepancy?
Insulin, general Medical, Delirium, Stroke/TIA, adult alcohol withdrawal
What is a Preprinted Order Set?
Name and date of birth or PHN
What is patient verification?
3 ways to administer IV Meds
What is Direct, intermittent and continuous?
2 nurses required to confirm
What is an Independent Double Check?
Report to your supervisor then to triage, call Worksafe
What is reporting a hazardous drug exposure?
a reconciliation process for inpatient medications
What is a BPMH?
requires full PPE prior to administration
What is a Hazardous Drug?
process of mixing a diluent and medication
What is reconstitution?
reviewing the last 24 hours orders to ensure all are processed
What is the 24 hour (or night) chart check?
Phenytoin for one
What is a hazardous Drug?
Dose, Route, Frequency
What are required elements of a med order?
Insulin, heparin, chemotherapy, mag sulphate
What is an IDC?
Health Canada Approved
What is Indication for use?
DA"R"
What is Data, action, response, charting requirements for documenting when giving a med.
record of all employees who compound, prepare, or administer hazardous drugs that is separate from the Medication Administration Record (MAR)
What is Hazardous Drugs Handling Record?
Meds per Pharmanet
What is a Prohibited Order?
Develop safety guidelines for medication administration
What is the Institute for Safe Medication Practices (ISMP)
Potassium greater than 22mmol/hour
What is requires monitoring so LPN's unable to give?
Has all patient demographics, date range, allergy section, provides generic and trade name, dosage, route, frequency, strength
What is a MAR?
13 mm Vial Spike, Bag Spike, Port, spinning injector
What is a Closed System Transfer Device?