DR. TIM...
When do I give this medication
What is the right time
Where you can look to see when medications were last given, due, or who administered them.
HINT: its on SCM
What is the EMAR
I know this is the right patient to administer this medication to by _______________.
What is using two patient identifiers:
- ID Band against EMAR or patient label
- Patient date of birth
- Having patient spell their first and last name
Should be reviewed prior to administering an IV medication in order to know rate at which to administer the IV medication (ml/hr).
What is the AHS parental monographs
How is this medication given to the patient
What is the right route
Requires a nursing student signature and one registered nurse's signature (can be the nursing instructor or a nurse from the unit).
What is a narcotic
According to AHS policy medications need to be administered either ______ minutes ______ or ______ their scheduled time.
What is 30 / before / after
All IV medications must be administered using an _____ _______.
What is an infusion/IV pump
How much of this medication do I give to the patient
What is the right dose
To prevent medication errors such, as a patient receiving two doses of a medication, it is important to ______________ (finish the sentence).
....sign off medications on the EMAR IMMEDIATELY after administering them.
The Orange IV Medication label should at minimum include the following information when affixing it to a mini-bag in which the IV medication has been added to:
1) Patient Name
2) Medication Name
3) Dose of Medication
4) Date and Time mixed
HINT Writing this information with a sharpie makes it easier to read at a distance
When administering more than one IV Piggyback medication to a patient it is important to check their ___________ (also need to check it for the primary IV solution).
What is compatibility
Lexi-Comp Trissel's Compatability
Micromedex
Why am I giving this medication to the patient
What is the right indication
Requires a nursing student signature and two registered nurses' signatures (should be the nursing instructor and a nurse from the unit).
What is a narcotic waste
When preparing a medication I check it 3 times:
1)
2)
3)
1) When it is pulled from the medication cupboard or patient's medication drawer/tray
2) When it is being prepared while looking at the EMAR
3) When at the patients bedside before administering it
Student nurses can NEVER administer IV medications via _________.
What is IV push
What is the medication's name
What is the right medication
P - otassium
I - nsulin & other oral antihyperglycemics
N - arcotics
C - hemotherapy (NOT GIVEN BY STUDENTS)
H - eparin & other anticoagulants
What Medications needing an independent double check as a registered nurse (may be unit or population specific as well)?
While the physician’s order is required to give a medication, the nurse must preform the ________ prior to administering a medication. It is the nurse’s _____ that will help prevent a ________ ________.
What is right assessment / knowledge / medication error
BONUS POINT
What is using clinical judgement
In Oncology once completing the ________ module and passing the _______ _______ student nurses can administer IV medications through a ________ only ________ the pump and under _______ ________.
What is CVAD / CVAD Quiz (90%) / CVAD (CVC, PICC, etc) / above / direct supervision