Podcast
Questions and Answers
What does the abbreviation 'prn' stand for in medication administration?
What does the abbreviation 'prn' stand for in medication administration?
- Periodically Refill Needed
- Patient Requires Now
- Prior to Needs
- As needed (correct)
What is the purpose of the PYXIS system in medication management?
What is the purpose of the PYXIS system in medication management?
- It supports decentralized medication management and safe dispensing. (correct)
- It is primarily used for prescription tracking.
- It is a manual logging system for medications.
- It is a storage system for expired medications.
What is indicated by 'OD' in a medication administration record?
What is indicated by 'OD' in a medication administration record?
- Both Eyes
- Left Eye
- Right Eye (correct)
- None of the Above
Which of the following best describes the Kardex record?
Which of the following best describes the Kardex record?
The abbreviation 'Tbsp' is commonly used to denote which measurement?
The abbreviation 'Tbsp' is commonly used to denote which measurement?
What does a narcotic control system primarily enforce?
What does a narcotic control system primarily enforce?
In medication administration, what does the term 'allergies' typically refer to?
In medication administration, what does the term 'allergies' typically refer to?
What does 'OU' stand for in medication records?
What does 'OU' stand for in medication records?
What is the nurse required to do if a prescriber’s order does not specify a route for medication administration?
What is the nurse required to do if a prescriber’s order does not specify a route for medication administration?
Why is proper documentation essential in medication administration?
Why is proper documentation essential in medication administration?
Which of the following actions can a nurse take to prevent the transfer of microorganisms when preparing medication?
Which of the following actions can a nurse take to prevent the transfer of microorganisms when preparing medication?
What should an authorized health personnel question in relation to medication orders?
What should an authorized health personnel question in relation to medication orders?
What is a priority consideration when administering medication that is required to act at specific times?
What is a priority consideration when administering medication that is required to act at specific times?
What is the importance of asking the client for their name during the medication administration process?
What is the importance of asking the client for their name during the medication administration process?
What does the term 'suboptimal monitoring' refer to in medication administration?
What does the term 'suboptimal monitoring' refer to in medication administration?
What fundamental rule should be followed when administering medications?
What fundamental rule should be followed when administering medications?
What should be done with medications that are cloudy in color?
What should be done with medications that are cloudy in color?
Which right allows a client to refuse medication?
Which right allows a client to refuse medication?
What should a healthcare personnel do immediately after administering a drug?
What should a healthcare personnel do immediately after administering a drug?
Who is responsible for properly assessing a client's medication history?
Who is responsible for properly assessing a client's medication history?
What action should be taken if a medication error occurs?
What action should be taken if a medication error occurs?
What does the 'six rights' of medication administration include?
What does the 'six rights' of medication administration include?
Which muscle site is NOT commonly used for injections?
Which muscle site is NOT commonly used for injections?
What is the purpose of relabeling medications?
What is the purpose of relabeling medications?
What is the primary consideration for the timing of medication administration?
What is the primary consideration for the timing of medication administration?
What should a healthcare personnel do before administering medication to a client?
What should a healthcare personnel do before administering medication to a client?
Which action is NOT part of the 'Right Manner' in medication administration?
Which action is NOT part of the 'Right Manner' in medication administration?
Which of the following steps should be performed before administering medication?
Which of the following steps should be performed before administering medication?
What is the correct technique for preparing the ventrogluteal site?
What is the correct technique for preparing the ventrogluteal site?
Which action should follow after injecting medication intramuscularly?
Which action should follow after injecting medication intramuscularly?
What should be observed when injecting medication intradermally?
What should be observed when injecting medication intradermally?
When verifying medication against the Kardex or order, what is a key consideration?
When verifying medication against the Kardex or order, what is a key consideration?
What is defined as any errors in the medication process?
What is defined as any errors in the medication process?
Which of the following is NOT one of the rights of drug administration?
Which of the following is NOT one of the rights of drug administration?
Which error occurs from misinterpretation of drug orders?
Which error occurs from misinterpretation of drug orders?
What should a nurse confirm to ensure the right client is receiving medication?
What should a nurse confirm to ensure the right client is receiving medication?
Which of the following is a prescribing error?
Which of the following is a prescribing error?
What does the right dose ensure during medication administration?
What does the right dose ensure during medication administration?
Which error involves the wrong administration time?
Which error involves the wrong administration time?
Which of the following rights grants a patient the option to decline medication?
Which of the following rights grants a patient the option to decline medication?
Study Notes
Medication Administration Overview
- Medication Administration Record (MAR) documents prescribed medications for patients, including PRN (as needed) and scheduled medications.
- "OU" refers to both eyes, "OS" refers to the left eye, and "OD" refers to the right eye.
- Common volume measurements include "tsp" for teaspoon and "Tbsp" for tablespoon.
Kardex Record and Pyxis System
- Kardex is a large index card system that holds vital patient information, including name, diagnosis, allergies, treatment, and a nursing care plan.
- The Pyxis system is an automated medication dispensing system enhancing medication management in healthcare settings.
- Narcotic Control Systems are crucial for handling controlled substances with strict enforcement.
Medication Errors and Their Categories
- Medication errors comprise prescribing, transcription, dispensing, administration, and monitoring errors, leading to compromised patient safety.
- Prescribing errors involve inappropriate drug therapy decisions (e.g., wrong drug for known allergy, incorrect dosage).
- Transcription errors can arise from illegible handwriting, misunderstanding orders, and the use of unapproved abbreviations.
Rights of Drug Administration
- Essential rights for safe medication administration include:
- Right Client
- Right Dose
- Right Time
- Right Drug
- Right Route
- Right Documentation
- Right Assessment
- Right Evaluation
- Client's Right to Education and to Refuse.
Administration Protocols
- Authorized health personnel should verify medication orders three times: before retrieval, during preparation, and before administration.
- Ensure appropriate identification of clients via medication administration forms and patient bracelets to prevent errors.
Monitoring and Evaluation
- Monitoring includes assessing drug response and patient education for safe medication use.
- Right route of administration must match the prescriber's order; if not specified, consult the prescriber.
Documentation Requirements
- Documentation must capture patient's name, medication name, time, dose, route, and frequency to ensure accountability and traceability.
- Report any omitted medications, errors, or adverse effects immediately to the nurse in charge or physician.
Injection Techniques
- Common intramuscular injection sites include:
- Ventrogluteal Site
- Dorsogluteal Site
- Anterolateral Thigh (Vastus Lateralis)
- Deltoid Muscle
- Injections require specific techniques, such as spreading skin taut, inserting the needle at the correct angle, aspirating, and pressing the site post-injection to minimize discomfort.
Patient Communication
- Always verify the patient's understanding of their medication name, purpose, and potential side effects before administration to promote safety and adherence.
- Administer medications, adhering to the prescribed schedule for optimal therapeutic effects, and respect the patient's developmental level when discussing medication plans.
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Description
Test your knowledge on the Medication Administration Record (MAR) and related documentation. This quiz covers PRN medications, patient education records, and case management practices. Ensure you understand the importance of accurate record-keeping in medication administration.
