Medication Checks
How many checks do we complete at the med cart?
3
Dose ordered: 300 mg
Available 500 mg/ml
0.6 ml
Pain, GI, and G-tube site
What is the angle of insertion for HDC?
30 degrees
What needle do you use to draw up from an ampule?
Which 5 rights do you check with every medication check at the med cart?
Right patient, right drug, right dose, right route, right time/frequency
Available 300 mg/2 ml
1 ml
What are common sites for HDC?
Anterior chest, abdomen, lateral thigh, lateral upper arm and back scapula region
What is the angle of insertion for SC meds?
45-90 degrees
When giving more than one inhaler, which medication gets administered first?
Bronchodilator
What are the remaining bedside rights?
Right reason, right education, right to refuse, right documentation, right evaluation
Rate
125 ml/hr
Drop factor 10
How many drops per minute?
21 drops
What are the two most common IM muscles for adults?
Ventrogluteal and Deltoid
What is the angle of insertion for IM?
90 degrees
What is a FIT test for?
Blood in stool. Testing colon cancer
What medications require a verification nurse/co-sign?
Rate: 100 ml/hr
Drop factor 15
25 drops
What assessments do you do for anticoagulant?
Skin- bruising and bleeding
Lab values
What is the angle of insertion for insulin pen?
90 degrees
What is the drainge from an ostomy called?
effluent
What documentations do you fill out for insulin?
Insulin and Blood Glucose Record and MAR
Dose ordered
2 mg/ml
2 ml ampule
How much are you wasting?
2 mg
What sites do you avoid for HDC?
Atleast 3
waistline, areas of constriction from clothing, areas of large underlying muscles/nerves, bony prominence, irritated or infected sites
Ventrogluteal and deltoid
What is the difference between culture and sensitivity?
Culture: which bacteria is present
Sensitivity:Which antibiotic the bacteria is resistant to