Podcast
Questions and Answers
What type of medication order is written as 'Demerol 100 mg IM stat'?
What type of medication order is written as 'Demerol 100 mg IM stat'?
Which of the following is NOT one of the nine patient rights of drug administration?
Which of the following is NOT one of the nine patient rights of drug administration?
Why is it important to confirm the right drug before administration?
Why is it important to confirm the right drug before administration?
What is indicated by a 'standing order' like 'Mul2vitamin 1 capsule po daily'?
What is indicated by a 'standing order' like 'Mul2vitamin 1 capsule po daily'?
Signup and view all the answers
What should a provider do if they do not understand the rationale for administering a medication?
What should a provider do if they do not understand the rationale for administering a medication?
Signup and view all the answers
Which order type allows for medication to be given only when needed?
Which order type allows for medication to be given only when needed?
Signup and view all the answers
How can a provider ensure the right dose is being administered?
How can a provider ensure the right dose is being administered?
Signup and view all the answers
What is a critical consideration when administering medication in tense environments?
What is a critical consideration when administering medication in tense environments?
Signup and view all the answers
What should be done if the dose of medication being administered is questioned?
What should be done if the dose of medication being administered is questioned?
Signup and view all the answers
Which of the following routes of administration requires confirmation of the patient's ability to take medication?
Which of the following routes of administration requires confirmation of the patient's ability to take medication?
Signup and view all the answers
How long should a slow IV push medication generally be administered?
How long should a slow IV push medication generally be administered?
Signup and view all the answers
What is an essential aspect to inform the patient of before medication administration?
What is an essential aspect to inform the patient of before medication administration?
Signup and view all the answers
Who may have the right to refuse medication administration?
Who may have the right to refuse medication administration?
Signup and view all the answers
What should be observed following medication administration to evaluate its response?
What should be observed following medication administration to evaluate its response?
Signup and view all the answers
What must a paramedic obtain before administering medication?
What must a paramedic obtain before administering medication?
Signup and view all the answers
Which of the following is a precaution regarding sustained-release medications?
Which of the following is a precaution regarding sustained-release medications?
Signup and view all the answers
What is a common implication of failure to follow a patient's refusal of medication?
What is a common implication of failure to follow a patient's refusal of medication?
Signup and view all the answers
Which of the following best defines online medical direction?
Which of the following best defines online medical direction?
Signup and view all the answers
In which scenario would a 'stat order' be appropriate?
In which scenario would a 'stat order' be appropriate?
Signup and view all the answers
What does a prn order allow a healthcare professional to do?
What does a prn order allow a healthcare professional to do?
Signup and view all the answers
What information is NOT typically included in a medication order?
What information is NOT typically included in a medication order?
Signup and view all the answers
What distinguishes a single order from a standing order?
What distinguishes a single order from a standing order?
Signup and view all the answers
Which type of medical direction is primarily used in most cases?
Which type of medical direction is primarily used in most cases?
Signup and view all the answers
What is the primary purpose of the medical director's protocols in medication orders?
What is the primary purpose of the medical director's protocols in medication orders?
Signup and view all the answers
What should be monitored to evaluate the effect of medication on a patient's condition?
What should be monitored to evaluate the effect of medication on a patient's condition?
Signup and view all the answers
Which of the following is a potential sign indicating medication may have worsened a patient’s condition?
Which of the following is a potential sign indicating medication may have worsened a patient’s condition?
Signup and view all the answers
What is the best practice for preventing medication errors in communication?
What is the best practice for preventing medication errors in communication?
Signup and view all the answers
Why should trailing zeros be avoided in medication orders?
Why should trailing zeros be avoided in medication orders?
Signup and view all the answers
What action should be taken when uncertain about a medication order?
What action should be taken when uncertain about a medication order?
Signup and view all the answers
How should decimal dosages be properly documented?
How should decimal dosages be properly documented?
Signup and view all the answers
What should be documented after administering medication?
What should be documented after administering medication?
Signup and view all the answers
Which abbreviation indicates that a medication should be given immediately?
Which abbreviation indicates that a medication should be given immediately?
Signup and view all the answers
What does the abbreviation 'IM' stand for in medical terminology?
What does the abbreviation 'IM' stand for in medical terminology?
Signup and view all the answers
Which PPE item is specifically mentioned as a barrier against contaminated body fluids?
Which PPE item is specifically mentioned as a barrier against contaminated body fluids?
Signup and view all the answers
Why should goggles have side shields when worn by a provider?
Why should goggles have side shields when worn by a provider?
Signup and view all the answers
What is the first priority for a provider in an emergency care situation?
What is the first priority for a provider in an emergency care situation?
Signup and view all the answers
Which bloodborne pathogens are highlighted as having no cure?
Which bloodborne pathogens are highlighted as having no cure?
Signup and view all the answers
What should a provider do immediately after using a needle?
What should a provider do immediately after using a needle?
Signup and view all the answers
When is it particularly important for a provider to wear a mask?
When is it particularly important for a provider to wear a mask?
Signup and view all the answers
What is NOT a standard precaution to protect healthcare providers?
What is NOT a standard precaution to protect healthcare providers?
Signup and view all the answers
Study Notes
Drug Administration Safety - Module 3
- Paramedics require a medical direction physician's order to administer medication.
- Medical direction is the process where physicians direct and monitor prehospital care within an EMS system.
- Medical direction can be online or offline.
- Online medical direction (online medical control) allows real-time consultation and order-taking via radio or phone.
- Offline medical direction occurs when the physician isn't available in real-time.
- Most medical direction cases are offline.
- The medical director approves protocols detailing prehospital care for clinical scenarios.
Medication Orders - Parts
- A medication order includes the patient's full name, order date/time, drug name, dosage, administration frequency, route, and the writer's signature.
Types of Medication Orders
- A stat order requires immediate, single-dose administration (e.g., Demerol 100 mg IM stat).
- A single order or one-time order is for administration at a specific time (e.g., Seconal 100 mg before surgery).
- A standing order may have no termination date; carried out indefinitely or for a specified period (e.g., multiple vitamins daily; Demerol 100 mg IM q4h x 5 days).
- A prn or as-needed order allows administration when the healthcare professional deems it necessary (e.g., Amphojel 15 mL prn).
Examples of Medication Orders
- Stat order: Demerol 100 mg IM stat
- Single order: Seconal 100 mg hs before surgery
- Standing order: Multivitamin 1 capsule po daily; Demerol 100 mg IM q4h x 5 days
- PRN order: Amphojel 15 mL prn
Patient Safety in Drug Administration
- A checklist called the "nine patient rights" is used to ensure patient safety in drug administration.
- Using this checklist helps to minimize errors in medication administration.
Patient Rights of Drug Administration
- Right patient: Is the person who is receiving the medication the correct person?
- Right drug and right indication: Does the medication name and the order/protocol match the patient's situation/condition?
- Right dose: Is the correct amount of medication being administered?
- Right route: Is the administration route the appropriate one for the drug?
- Right time: Timing for administration of a medication; important when administering IV medications as boluses.
- Right education: Informing the patient about the name, indication, expected side effects, and unusual sensations during/after administration.
- Right to Refuse: Patients (and their guardians) have the right to refuse medication.
- Right response and evaluation: Observe how the patient responds to the medication—vital signs, mental status, and other conditions—and document any complications. This includes ongoing monitoring for any signs of harm/side effects.
- Right documentation: Documenting the administration of the medication, including dosage, time, route, and any changes in the patient's condition.
Preventing Medication Errors
- Minimize verbal/telephone orders; repeat, spell out, and speak slowly clearly.
- Avoid medical shorthand/abbreviations.
- Never assume information that's not in the order (i.e., route).
- Always confirm medication information.
- Do not try to decode illegible orders; contact the prescriber for clarification.
- Do not use "trailing zeros" in medication orders (1.0 mg = 1 mg). Always include a "leading zero" with decimal dosages (0.25 mg, not .25 mg)
Provider Safety
- Ensure personal safety when providing emergency care.
- Use appropriate personal protective equipment (PPE), including gloves and masks.
- Follow standard precautions, assuming all blood, bodily fluids, and patient materials are contaminated.
- Observe for hazards like sharps (needles, scalpels). Do not recap/bend needles.
- Immediately place needles in properly secured puncture-resistant/leak-proof boxes.
- Avoid contaminating surfaces; place sharps safely inside the protective containers.
Abbreviations
- Includes lists of common drug administration abbreviations (e.g., BD, TDS, QID, STAT, PRN, ac, pc, q.h., q2h, q4h, BUC, PO, SL, ID, IM, SC, IV, NEB, PR, TOP, VAG).
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Related Documents
Description
This quiz focuses on the critical aspects of drug administration safety for paramedics, including the processes involved in medical direction, types of medication orders, and essential components of a medication order. Understand the differences between online and offline medical direction and familiarize yourself with various medication order types.
