Term
| How many identifiers must be used and what are the different types |
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Definition
2, patient ID band
have patient state their birth date
have patient state their name
patient photo |
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Term
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Definition
Full name of patient
Date and time order was written
Name of medication to be administered
Dose of medication
Route of medication
Time or frequency of administration
Signature of person writing the order |
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Term
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Definition
| 30 before, 30 after. *stat might not have this window |
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Term
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Definition
| med is given immediately and once |
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Term
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Definition
| 1x med to be given at specific time-pre-op is an example |
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Term
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Definition
| Admin. as specified until it is cancelled or the order expires |
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Term
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Definition
| given as needed at the nurses' discretion |
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Term
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Definition
| Med administration record. Keeps track of meds. |
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Term
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Definition
| Contains patient name, list of medications including dose and route, time and frequency of administration, patient allergies, a place to initial that medication was given, and place to sign. |
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Term
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Definition
| Computerized Physical Order Entry. Physician can directly put in the order |
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Term
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Definition
| Barcode enabled medication administration |
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Term
| Who is responsible for checking the MAR and making sure it matches the original order/checking the dose and appropriateness? |
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Definition
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Term
| Medication Reconciliation |
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Definition
| The process of creating the most accurate list possible of all medications a pt is taking |
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Term
| When do you perform med reconciliation? |
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Definition
| Admission, transfer and discharge |
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Term
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Definition
| individual drawers that contains the meds for each patient. Move cart in hallway from room to room |
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Term
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Definition
| Nurse access is documented and it is almost like a vending machine for pills. Tracked for inventory and to make sure the pt is getting drugs as needed |
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Term
| 5 more rights (not the standard) |
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Definition
| right pt education, right to refuse, right documentation, right assessment, right evaluation |
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Term
| what does not count for identifiers? |
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Definition
| Room name or last name only |
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Term
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Definition
| compare med label to MAR 3x |
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Term
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Definition
| some meds need double checks. Perform and check calculations! |
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Term
| Medications that need double checks by another RN |
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Definition
| Insulin, heparin, chemotherapy |
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Term
| Patient teaching for meds (GENERAL) |
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Definition
Provide written information
Drug safety
Things to avoid
Medication storage
Proper administration
Side/adverse effects to report |
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Term
| How many meds can you prep at a time? |
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Definition
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Term
| Can you administer meds another nurse prepared? |
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Definition
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Term
| What do you do when you are done with the med cart/not by it? |
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Definition
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Term
| When do you remove a unit dose from a package? |
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Definition
| When you are already in the patient's room |
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Term
| What do you do first with multi-dose tabs/caps? |
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Definition
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Term
| Can you ever return a med to a container? |
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Definition
| Yes, but only directly from the cap to the container--it cannot touch any other surface! |
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Term
| When do you use separate med cups? |
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Definition
| When med must be identified or assessments made |
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Term
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Definition
| Pour when dose greater than 5cc. Pour at eye level on a flat surface with the palm covering the label |
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Term
| Liquid med prep less than 5cc |
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Definition
| Use oral syringe for accuracy. Label syringe with med name and route (PO) |
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Term
| What do you use to give infants and young children liquid meds? |
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Definition
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Term
| Where do you put meds for infants and young children (orally) |
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Definition
| Between the gum and cheek to avoid aspiration |
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Term
| Should you use an essential for favorite food to mix medication for children? |
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Definition
| No, because they might not want to eat that particular food anymore |
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Term
| What should you tell older children before giving PO meds? |
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Definition
| That the taste might be objectionable |
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Term
| What can you give a child to make meds easier? |
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Definition
| A frozen ice pop because it numbs the tongue and decreases the taste of meds. It can also be used as a reward |
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Term
| Tips for admin. meds to older adults |
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Definition
| extra time, assess swallowing, evaluate dosing differences, assist patient to set up home drug regime, teach patient to learn drugs by name and NOT color |
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Term
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Definition
| Give with water and straw as it can stain teeth |
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Term
| Can you leave meds with a patient for later? |
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Definition
| No, you need to stay and make sure all meds are given. Need to check mouth of unreliable patients. |
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Term
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Definition
| Never chart until after you give meds, and asap. Document clarifyers: injection site, pulse BP, blood sugar results, ect |
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Term
| What do you do if a med error? |
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Definition
1st assess pt
2nd notify physician
3rd fill out an incident report |
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Term
| What happens to previous meds when a pt goes to surgery |
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Definition
| ALL pre-op meds are discontinued. Post-op meds MUST be ordered/re-ordered |
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Term
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Definition
| Always must be double locked in med cart/med room or pyxsis. Special forms are used for recording these meds! Counted by two staff members at the end of each shift. |
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Term
| If a narcotic is wasted, what would you do? |
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Definition
| 2 staff members must witness and sign |
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Term
| What special forms are used for recording these meds when not in pyxis |
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Definition
| Name of client, drug, dose, date/time administered, MD prescribing, signature of person giving |
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