Medication Administration and Nursing Practices
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Questions and Answers

Which of the following medications should be administered immediately?

  • Codeine
  • Morphine
  • Lactulose (correct)
  • None of the above
  • According to the provided information, which medication is administered "as needed"?

  • Morphine
  • Codeine
  • Lactulose
  • Both Codeine and Morphine (correct)
  • Which of the following is NOT a documentation consideration for a medication administration record (MAR)?

  • Patient's weight (correct)
  • Route of administration
  • Presence of diarrhea
  • Time of administration
  • What is the proper documentation if a patient refuses a medication?

    <p>R (B)</p> Signup and view all the answers

    According to the provided information, which of the following is an example of patient education that needs to be emphasized?

    <p>All of the above (D)</p> Signup and view all the answers

    According to the provided material, what is the primary role of the Nursing Council of Hong Kong regarding nurses and AOM practice?

    <p>To establish standards of professional practice and ethical conduct for nurses. (A)</p> Signup and view all the answers

    Which of the following best describes the 'Principles for good practice in AOM' as outlined in the provided material?

    <p>To ensure that nurses apply necessary knowledge and skills in all AOM situations. (A)</p> Signup and view all the answers

    Which of the following is NOT a defined nurse responsibility for good practice in AOM, according to the material?

    <p>Reporting medication incidents to their peers. (B)</p> Signup and view all the answers

    What specific measure is recommended for the proper storage of dangerous drugs in the context of AOM?

    <p>Keeping them in a locked drug trolley, in accordance with the DDA_Cap 134 regulations (A)</p> Signup and view all the answers

    In addition to clean procedure, what specific practice is emphasized in the material when handling medication to maintain safety?

    <p>Implementing a strict non-touch technique, during handling. (C)</p> Signup and view all the answers

    What is the PRIMARY focus of careful drug effect monitoring, according to the material provided concerning AOM?

    <p>To actively look for contraindications and ensure patient compliance. (C)</p> Signup and view all the answers

    What is considered a medication error?

    <p>Medication use that results in patient harm while medication is in the control of a healthcare professional, patient, or consumer. (C)</p> Signup and view all the answers

    Which example is mentioned as a possible cause of medication error?

    <p>Non-compliance with the 3 checks and 5 rights approach. (B)</p> Signup and view all the answers

    Regarding the medication administration, what is the best practice in order to prevent error?

    <p>Strictly adhere to the 3 checks and 5 rights processes. (D)</p> Signup and view all the answers

    What is the primary purpose of a palliative drug?

    <p>It relieves symptoms without affecting the disease. (A)</p> Signup and view all the answers

    Which of the following is NOT included in the five rights of medication administration?

    <p>Right form (C)</p> Signup and view all the answers

    What type of drug effect is characterized as an unintended yet predictable outcome?

    <p>Side effect (C)</p> Signup and view all the answers

    What condition could lead to drug toxicity due to impaired metabolism?

    <p>Drug accumulation in the blood (B)</p> Signup and view all the answers

    In a severe drug allergy, which of the following symptoms is most indicative of anaphylactic reaction?

    <p>Wheezing and shortness of breath (B)</p> Signup and view all the answers

    Which medication classification primarily aids in restoring health to the body?

    <p>Restorative (A)</p> Signup and view all the answers

    Which of the following actions is crucial for nurses to take before administering a medication?

    <p>Assess contraindications for the drug (A)</p> Signup and view all the answers

    What should be done if there is doubt about the appropriateness and safety of a drug order?

    <p>Confirm the order with the doctor (B)</p> Signup and view all the answers

    What is the primary goal of the Hospital Authority's Standard Drug Formulary?

    <p>To ensure equitable access to effective drugs (B)</p> Signup and view all the answers

    Which of the following is NOT a category in the HA drug formulary?

    <p>Essential medications (A)</p> Signup and view all the answers

    What must a licensed medical practitioner include in a medication order?

    <p>Patient identity and dosage instructions (C)</p> Signup and view all the answers

    What is emphasized regarding the administration of medication?

    <p>Follow the 3 check 5 right principle (A)</p> Signup and view all the answers

    What does the acronym MAR stand for in the context of medication administration?

    <p>Medical Administration Records (D)</p> Signup and view all the answers

    When should a practitioner ask about a patient's allergic history?

    <p>At every medication administration instance (C)</p> Signup and view all the answers

    Which of the following is a part of the '5 Rights' of medication administration?

    <p>Right Drug, Right Dosage (A)</p> Signup and view all the answers

    Which of the following should be verified according to the guidelines for drug administration?

    <p>The patient’s allergic history (D)</p> Signup and view all the answers

    What action is crucial when administering medication to a patient?

    <p>Check the drug for proper storage (D)</p> Signup and view all the answers

    What is a common contributing factor to medication errors, as identified in the text?

    <p>Non-compliance with medication checking procedures. (A)</p> Signup and view all the answers

    Which of the following is NOT a common type of dangerous drug (DD) mentioned in the text?

    <p>Antibiotics (D)</p> Signup and view all the answers

    How often should a DDA key be counted?

    <p>At least weekly and every time drugs are removed from storage. (A)</p> Signup and view all the answers

    Which of the following is NOT a safety measure for dangerous drug administration outlined in the text?

    <p>Dangerous drugs should be administered by the same nurse throughout the patient's stay. (B)</p> Signup and view all the answers

    What does the "Ward Stock" drug supply system entail, according to the text?

    <p>Bulk stock of drugs that are frequently used, refilled weekly by a pharmacist. (B)</p> Signup and view all the answers

    What does the phrase "有疑必問" (you yi bi wen) translate to, and how does it apply to drug safety?

    <p>Ask first, then act; it encourages nurses to question any uncertainties they have about medication administration. (A)</p> Signup and view all the answers

    Which of the following scenarios is a potential medication error contributing to "Look alike & sound alike" drug confusion, as mentioned in the text?

    <p>A nurse administers a medication with a similar name but different dosage, leading to an incorrect dosage. (C)</p> Signup and view all the answers

    What is the main purpose of the Dangerous Drugs Ordinance (DDO) 134, according to the text?

    <p>To regulate the manufacturing, supply, possession, and administration of dangerous drugs. (A)</p> Signup and view all the answers

    Which of the following is NOT a direct consequence of medication errors, based on the text?

    <p>Reduced patient satisfaction with the healthcare provider. (A)</p> Signup and view all the answers

    Why is it crucial to report any missing dangerous drugs, as mentioned in the text?

    <p>To ensure that all missing drugs are properly accounted for and prevented from falling into the wrong hands. (C)</p> Signup and view all the answers

    Flashcards

    Therapeutic Effect

    A drug effect that is the intended and desired response to a medication. Example: Using ibuprofen to reduce pain.

    Side Effect

    A drug effect that is unintended and not the intended response to a medication. Example: Feeling nauseous after taking antibiotics.

    Drug Toxicity

    Harmful effects of a medication due to overdose or buildup in the body. Example: Liver damage from excessive acetaminophen use.

    Palliative Drug

    Types of drugs that address the symptoms of a disease without affecting the disease itself. Example: Using morphine to relieve pain from cancer.

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    Curative Drug

    Types of drugs that cure a disease or condition. Example: Antibiotics for bacterial infections.

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    Chemotherapeutic Drug

    Types of drugs that destroy malignant cells. Example: Chemotherapeutic drugs for cancer treatment.

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    Anaphylactic Reaction

    A severe allergic reaction to a medication, potentially life-threatening. Symptoms include: Difficulty breathing, swelling, rapid heart rate.

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    Dangerous Drugs (DD)

    Medications that are subject to strict control due to their potential for abuse.

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    Drug Supply System

    A system used to ensure the safe and effective administration of medications.

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    DDA (Dangerous Drugs Administration) Guideline

    A rule or guideline to be followed when handling Dangerous Drugs (DD).

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    Who supervises nurses in Hong Kong?

    The Nursing Council of Hong Kong (NCHK) oversees and regulates the nursing profession in Hong Kong, ensuring ethical conduct and professional standards.

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    What document guides ethical practice for nurses in Hong Kong?

    The Code of ethics and professional conduct for Nurses in Hong Kong, developed by the NCHK in 2015, outlines principles for nurses to uphold safe, competent, and ethical practice.

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    What principles guide safe AOM practice?

    Principles for good practice in AOM (Administration of Medications) were established by the NCHK in 2017, emphasizing safe and effective medication practices across various healthcare settings.

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    What are nurses' responsibilities in AOM?

    Nurses have a crucial responsibility to ensure the safe and effective handling of medications. This involves understanding local policies, correctly administering medications, and carefully monitoring the effects on patients.

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    How should medications be stored safely?

    Proper storage of medications is vital for ensuring safety. This includes using secure storage, like locked drug trolleys, and adhering to regulations for dangerous drugs (DDA).

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    What practices ensure safe medication handling?

    Safe handling of medications requires strict adherence to the '3 check 5 rights' principle, employing clean procedures, and avoiding drug reuse. This ensures the right medication is given to the right patient at the right time.

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    Why is drug effect monitoring important?

    Close monitoring of medication effects is crucial. This involves recognizing potential contraindications (interactions), maintaining patient understanding, and ensuring compliance with prescribed dosages.

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    What are the consequences of medication errors?

    Medication errors can lead to patient harm, both short-term and long-term. They can be caused by various factors, including professional practice errors, problems with healthcare products, procedures, and systems.

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    What are some common causes of medication errors?

    Common causes of medication errors include non-compliance with the 3 check 5 rights, poor communication, inadequate labeling or packaging of medication, and insufficient patient education.

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    Right Drug

    Checking that the right medication has been administered, based on the patient's prescription and medical history.

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    Right Time

    The scheduled time for giving a medication, determined by the patient's needs and the drug's properties.

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    Right Route

    Administering a medication through the appropriate route - oral, intravenous, intramuscular, topical, etc. - based on the drug's properties and the patient's ability to receive it.

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    Right Dosage

    The appropriate amount of medication to be given, based on the patient's weight, age, and medical condition.

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    Right Documentation

    Recording the medication administration in the patient's chart, including the time, route, dose, and any observation.

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    Confirming Medication Orders

    A process where a healthcare professional verifies that a medication order is accurate, safe, and appropriate for the patient before administering it.

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    Hospital Drug Formulary

    A standard list of medications approved for use by a healthcare facility.

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    General Drug

    A drug included in the standard formulary, readily available and covered by the hospital.

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    Special Drug

    A medication with special requirements or restrictions, possibly requiring additional approval for use.

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    Self-Financed Item (SFI) with Safety Net

    A service where a hospital provides financial support for patients requiring specific, often expensive, medications.

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    Self-Financed Item (SFI) without Safety Net

    A medication that is fully self-funded by the patient, without any additional financial support.

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    Medication Order

    A detailed written instruction providing all the necessary information for administering a medication.

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    5 Rights of Medication Administration

    The five crucial aspects that must be correct when administering medication: Right patient, right drug, right dose, right route, right time.

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    Patient Allergy History

    A list of previous allergies, medications, and medical history of the patient.

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    Risk Alert

    A potential risk arising from a drug interaction or contraindication that can be serious for a patient.

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    Study Notes

    Principle of Administration of Medications (AOM)

    • AOM is the administration of medications.
    • Learning objectives include defining common terms in AOM, understanding basic principles (3 checks and 5 rights), describing various routes, calculating dosages, understanding roles of nurses, and discussing lab results related to AOM.
    • Different types of drugs have different purposes:
      • Palliative: Relieves symptoms but doesn't cure the disease.
      • Curative: Cures a disease or condition.
      • Supportive: Supports body function until other treatments work.
      • Substitutive: Replaces body fluids or substances.
      • Chemotherapeutic: Destroys malignant cells.
      • Restorative: Returns the body to health.
    • Drug effects include:
      • Therapeutic effect: Desired effect.
      • Side effect: Unintended, usually predictable.
      • Adverse effects/reactions: Harmful effects from drug toxicity, overdosage.
      • Drug accumulation in blood from the impaired metabolism or excretion.
    • Drug allergies can cause mild or severe reactions like skin rashes, itching, angioedema, diarrhea.
    • Severe reactions are life-threatening, such as wheezing, dyspnea, SOB, acute hypotension, and tachycardia.
    • Nurses in AOM are supervised by healthcare professionals.
    • Legal documents such as the Code of Conduct and Practice from the Nursing Council of Hong Kong guide AOM practice.
    • Policies for AOM (NCHK, 2017) include: understanding policies, assessment before administering, administering correctly, ensuring proper device use and disposal, evaluating progress, educating clients, reporting incidents, and maintaining medication knowledge.
    • Safe administration includes proper storage (drug trolley with locked key), safe handling (3 check 5 rights, and non-touch technique), and careful monitoring of drug effects.

    Medication Errors

    • Inappropriate medication use results in patient harm.
    • Causes include poor professional practice, faulty health care products/procedures, communication issues, and inadequate training.
    • Examples include non-compliance with 3 check 5 rights, miscommunication, wrong labelling and packaging, and inappropriate training.
    • Medication errors can be prevented.
    • Common types of error in medication are non-verification of allergic history, non-compliance with checks, look-alike/sound-alike problems, incorrect dosage, administration route, missing doses, improper timing.

    Medication Storage and Handling

    • Proper storage of medications is critical (e.g., drug trolley with locked key, dangerous drugs storage).
    • Safe handling practices include adhering to the 3 checks and 5 rights. Practices should be consistent and follow hospital policies.
    • Leftover drugs should not be reused.
    • Patient understanding & compliance are important aspects for monitoring.
    • Nurses are supervised by healthcare professionals in AOM.
    • Legal documents like the Code of Conduct and Practice set the standards for nursing practice in Hong Kong.

    Inpatient Medication Entry (IPMOE)

    • IPMOE is a system for managing inpatient medication administration.
    • Benefits include reduced medication errors, improved efficiency, streamlined workflow, improved communication among caregivers, and better medication documentation.
    • A workflow diagram shows how IPMOE streamlines the drug supplying and admin process.
    • The workflow system ensures patient safety by checking patient identity.

    Over-the-Counter (OTC) Medications

    • OTC medications are not controlled drugs and can be sold in retail shops.
    • Pharmaceutical products without poision are OTC medicines whereas poisons are regulated by part 2 regulation.
    • Specific regulations for OTC medication exist.

    Topical Skin Medications

    • Topical skin medications are applied directly to skin/mucous membranes.
    • Preparations include powders, suspensions, creams, ointments, pastes, lotions, sprays, and patches.
    • Procedure for use includes 3 checks, infection control, proper discarding of old patches, selection of an appropriate area for the new patch, writing the date and time.

    Ophthalmic Medications (Eye Medication)

    • Used for eyes
    • Ophthalmic medications follow procedures, including infection control with gloves, patient positioning, and avoiding squeezing the eye.
    • Liquid/ointment medications applied (careful procedures)
    • Sterile preparation and technique are critical.

    Otic Medications (Ear Medication)

    • Used for ears.
    • Procedure includes warming drugs, applying procedures to prevent vertigo or nausea, accurate application, and position holding.

    Nasal Medications

    • Nasal medications involve self-administration.
    • Following correct procedures, such as positioning, shaking, and proper insertion technique, ensures efficient and effective drug delivery.

    Inhaled Medications (Metered-Dose Inhalers, Dry-Powder Inhalers, Nebulizer)

    • Metered-dose inhalers (MDIs), Dry-powder inhalers (DPIs) & Nebulizers are methods of administering inhaled medication.
    • Procedure includes proper techniques to ensure correct application in order to guarantee proper delivery of medication.
    • Using a spacer can enhance proper inhaler use, especially for children, older adults, weaker patients.
    • Nebulizers are high potential cross-infection procedures that are used for acute exacerbation of asthma or chronic obstructive pulmonary disease (COPD), etc
    • Safe use practices for all inhalers should be followed to ensure patient safety.

    Therapeutic Drug Monitoring

    • Purposes of therapeutic drug monitoring are to optimize patient clinical outcome and minimize drug-induced toxicity.
    • Laboratory tests show results with a specific range for each drug.
    • High levels of vancomycin can cause ototoxicity and nephrotoxicity..
    • Recommended target levels are specific to each drug for intermittent or continuous infusion.

    Parenteral Medication Administration

    • Parenteral routes bypass enteral (GI) routes of administration.
    • Methods include: Intradermal (ID), Subcutaneous (SC), Intramuscular (IM), and Intravenous (IV).
    • Specific procedures are used for each method.

    Other Information

    • Time scheduling for drug administration is in policy compliance and should be specific. Use of abbreviations for drug administration times are important.
    • Important concept of confirming, before dispensing and giving medication using the correct procedure.

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    Description

    This quiz assesses your knowledge on medication administration, nursing responsibilities, and patient education practices. It covers essential documentation considerations and the guidelines set by the Nursing Council of Hong Kong for good practice in AOM. Test your understanding of critical nursing concepts and ensure safe medication practices.

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