Shared Flashcard Set

Details

Skills test 4
Oral Meds
45
Nursing
Undergraduate 3
04/07/2014

Additional Nursing Flashcards

 


 

Cards

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