Term
| What are the nurse's 6 rights? |
|
Definition
1.) Complete and clear order
2.) Correct drug route
3.) Access to information
4.) To policies to guide safe medication administration
5.) To administer medication safely and to identify systems problems
6.) Stop, think, and be vigilant when administering |
|
|
Term
| What are the 5 rights to safe drug administration? |
|
Definition
1.) Right patient
2.) Drug
3.) Dose
4.) Time
5.) Route |
|
|
Term
| What are the 5 additional rights essential to professional nursing? |
|
Definition
1.) Right assessment
2.) Right documentation
3.) Client's right to education
4.) Right evaluation
5.) Client's Right to Refuse |
|
|
Term
| What are the 2 ways JACHO ensures you have the right patient? |
|
Definition
| Verify 1.) name 2.) birthdate |
|
|
Term
|
Definition
|
|
Term
| What makes up a drug order? What happens if any are missing? |
|
Definition
- Date & time of order
- Drug name
- Dosage
- Route
- Freq
- ANy special instructions
- Physician or HCP signature
IF ANY ARE MISSING, THE DRUG SHOULDN'T BE ADMINISTERED |
|
|
Term
| How many times should the drug label be read? When? |
|
Definition
3 TIMES!
1.) Contact with container
2.) Before administering the drug
3.) After measuring it |
|
|
Term
| What variables should be considered when calculating the correct dose? |
|
Definition
- Drug's availability
- Prescribed dose
- Hepatic/Renal fxn
- Weight |
|
|
Term
| What are the 2 types of drug distribution? |
|
Definition
1) Stock Method
2) Unit Dose |
|
|
Term
| What is the stock method? |
|
Definition
| Stored on unit and dispensed to all clients from the same container. |
|
|
Term
| What is the unit dose method? |
|
Definition
| Drugs are packaged in doses for 24 hours by the pharmacy |
|
|
Term
|
Definition
| Within 1 hour before or after the time prescribed. |
|
|
Term
| How does half-life affect when a drug is given? |
|
Definition
- Long half-life = given once a day
- Short half-life = given multiple times a day |
|
|
Term
| What are the abbreviations for times drugs are given? |
|
Definition
- B.I.D = 2x
- T.I.D = 3x
- Q.I.D = 4x
- Q6H = 6x |
|
|
Term
| What are the different routes for administration? |
|
Definition
1.) Oral
2.) Buccal
3.) Topical
4.) Inhalation
5.) Instillation
6.) Eye
7.) Nose
8.) Ear
9.) Suppository
10.) Rectal
11.) Vaginal
12.) Parenteral
13.) Intradermal
14.) Subcu.
15.) Intramuscular
16.) Intravenous |
|
|
Term
| What should you document when administering drugs? |
|
Definition
1.) Name
2.) Dosage
3.) Route
4.) Time & Date
5.) Nurses' initials
6.) Response of Client |
|
|
Term
| What does a right to education mean? |
|
Definition
| Requires that client's received accurate and thorough info about the medication and how it relates to their situations. |
|
|
Term
| What are some common medication errors? |
|
Definition
1.) Wrong medication/IV fluid
2.) Incorrect dose/rate
3.) Wrong client
4.) Incorrect schedule interval
5.) Administration of a known allergy
6.) Omission of a dose/discontinuation |
|
|
Term
| What is a medication error? |
|
Definition
| Any preventable event that may cause/lead to inappropriate medication use or harm to the patient. |
|
|
Term
| What solutions have been made for medication errors? |
|
Definition
- Medication Administration Record on wrist band
- Black box warnings |
|
|
Term
| What were some 2010 National Safety Goals? |
|
Definition
- Improve accuracy of identification
- Improve effectiveness of communication
- Timely reporting of critical tests/results
- Improve safety of using medications
- Labeling mechanisms
- Reducing harm for anticoagulation therapy |
|
|
Term
| How should you dispose medication? |
|
Definition
-Follow specific info on drug label
-Unless specifically instructed, DO NOT FLUSH
-Remove the drug from its container, dispose of it in a sealed bag with kitty litter or coffee grounds.
-REMOVE IDENTIFYING INFO ON LABEL |
|
|
Term
| What are some elements of creating safe culture? |
|
Definition
- Use drug references
- Contact HCP
- Document clarification
- Double check all calculated doses
- DO NOT USE TRAILING ZEROS
- Avoid verbal orders
- Use a computer |
|
|
Term
| What are some safety risks for medicine administration? |
|
Definition
- Pill splitting
- Buying drugs on internet
- Counterfeit drugs
- Do not crush oral dosage forms or SR/ER |
|
|
Term
| What are the consequences with misdosage and shit with high-alert medications? |
|
Definition
| Errors with these types of medication are GRAVE |
|
|
Term
| What are high-alert medications? |
|
Definition
- Andrenergic agents
- Adrenergic antagonists
- Anesthetic agents
- Antithrombotic
- Cardioplegic
- Chemotherapeutic
- Dextrose
- Dialysis
- Epidural/Intrathecal agents
- Hypoglycemics
- Liposomal forms
- Moderate sedation agents
- Narcotics/opiates
- Neuromuscular blocking agents
- IV Radiocontrast agents |
|
|
Term
| What is pregnancy classification A? |
|
Definition
|
|
Term
| What is pregnancy classification B? |
|
Definition
| Assumed little to no risk |
|
|
Term
| What is pregnancy classification C? |
|
Definition
| Risk versus benefit must be determined. |
|
|
Term
| What is pregnancy classification D? |
|
Definition
| Could be used in life threatening situations. |
|
|
Term
| What is pregnancy classification X? |
|
Definition
| Risk outweighs benefit, should NOT be used during pregnancy. |
|
|
Term
| Who is more sensitive to drugs? |
|
Definition
|
|
