Nursing Essentials 2 Medication Administration Study Guide

Topics: Hypodermic needle, Patient, Syringe Pages: 11 (3277 words) Published: June 28, 2015
1. Review the generalized areas of nursing knowledge
Responsible for the actions and effects of medications
Responsible to understand disease processes and common treatment regimens Responsible to know why a med is prescribed for a patient
Accountable to utilize available resources as a guide
Accountable to serve as a patient advocate and know patients rights 2. Define the proper technique for ear drop administration for adults and children? Adults: pull upward and toward back of head

Child: (under the age of three) pull down and back
3. Identify nursing responsibility when accuracy of an order is in question Review drug book; check with pharmacist; clarify with physician, solicit opinion of senior/charge nurse 4. Discuss the procedure for proper patient identification

2 forms for patient identification
Compare name and birthdate on ID band with name on MAR
ALWAYS identify your patient with each administration
Ask patient to state his/her patient with each administration Ask patient to state his/her name and birthdate
Never say “Are you….?”-they could say yes to name
The confused patient
Check the ID band against the name on the MAR
Ask family if available, identify with another staff person during report 5. Discuss nursing responsibility in passing medications prepared by another nurse DO NOT give meds someone else has prepared!!!!!!!!

YOU are accountable if an error is made!!!!!!!
6. Define the acceptable time-frame a nurse is allowed to pass scheduled medications Drugs may be given 30 min before and 30 min after prescribed time (some facilities allow 1 hour before and 1 hour after) 7. Define each rule related to the “six rights”, and define how the nurse is absolutely sure he/she has the correct medication Right Patient

Two forms for patient identification
Compare name and birthdate on ID band with name on MAR
ALWAYS identify your patient with each administration
Ask patient to state his/her name and birth date-never say “Are you….?”-can say yes to any name The confused patient
Check the ID band against the name on the MAR
Ask family if available, Identify with another staff person during report Right Drug
Know intended action of the drug
Double-check orders and meds that have sound alike, look alike characteristics Ex. Digoxin or digitoxin
If a patient questions the drug-thouroughly double check before giving Check the name on the med 3 times
Before selecting the drug
Before preparing or measuring the drug
Before opening unit dose package at the bedside
Right Dose
Ask yourself, is this dose within normal range
Carefully review the units of measurement ordered against the units of measurement supplied Gram-milligrams
Micrograms-milligrams
During clinical, work on developing familiarity and skills using med cups, eye/ear droppers, and needles/syringes Shake all liquid suspensions well before pouring
Double check pediatric dosages with another nurse
Double check high risk meds with another nurse
Clarify all your questions first
Right Route
Physicians order the route to be given
If no route is ordered-clarify with the physician and rewrite order correctly If patient cannot tolerate the ordered route, clarify and obtain or write the new order Assure the route ordered is compatible with drug reference recommended route When mixing powders, be reasonable in amount you mix in-make sure patient will be able to drink all of it. Right Time

The physician orders the number of times per day
Bid, tid, quid, q 6 h, daily
Know the standard administration times policy in your facility Daily’s @0900 or HS @2100
Drugs may be given 30 minutes before and 30 minutes after prescribed time (some facilities allow 1 hour before and 1 hour after) For PRN drugs, know the purpose for which the drug was ordered, assuring it corresponds to why you are giving it Always check on time it was last given

Chart immediately after administration
Always perform a follow up evaluation
Right Documentation
DO...
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