Questions and Answers
What are the National Patient Safety Goals for 2016?
Improve accuracy of patient identification, improve effectiveness of communication among caregivers, improve the safety of using medications.
What alarming trend is associated with medication use in America?
Which of the following are causes of medication errors? (Select all that apply)
What does safe medication administration include?
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What is the nurse's responsibility when administering medications?
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What is medication reconciliation?
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Nurses can administer any medication without a prescription from a licensed practitioner.
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The label should be read __ times before administering medication.
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What should be verified to ensure the Right Patient during medication administration?
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It is acceptable to administer medication prepared by another person.
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What does the Right Dose entail?
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What must be verified concerning the Right Route of medication administration?
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What does the Right Time refer to in medication administration?
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What does the Right Reason involve?
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What is involved in the Right Assessment?
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When should documentation occur regarding medication administration?
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What should be monitored after medication administration?
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What is the Right to Education in medication administration?
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What is the Right to Refuse in medication administration?
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All medication errors should be reported.
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Study Notes
National Patient Safety Goals
- Aimed to improve accuracy in patient identification and communication among caregivers.
- Focuses on enhancing medication safety.
Alarming Trends
- 700,000 annual emergency room visits attributed to adverse drug effects.
- 82% of American adults use at least one medication; 29% take more than five.
- An aging population increasingly suffers from chronic illnesses.
Causes of Medication Errors
- Common sources include transcription errors and prescribing mistakes.
- Additional issues arise from inadequate documentation and not adhering to medication rights.
- Familiarity with drug names and avoiding distractions are critical to prevent errors.
- Use of trailing zeros and inappropriate abbreviations can lead to misinterpretation.
- Outdated or contaminated medications also contribute to errors.
Safe Administration Knowledge Requirements
- Nurses must know the difference between generic and trade names.
- Awareness of DEA schedules and pregnancy/lactation categories is essential.
- Understanding the safety of dosages, medication actions, side effects, and interactions is necessary.
Nurse's Responsibility
- Legally accountable for administered medications; must question unclear orders.
- Must adhere to facility policies and procedures for safe drug administration.
Principles of Medication Administration
- Medications must be prescribed by licensed practitioners.
- Safe practices require following written or typed orders; verbal orders only permissible in emergencies.
Medication Reconciliation
- Involves creating and maintaining an accurate and detailed list of a patient’s medications.
Three Checks and Rights of Medication Administration
- Three readings of the medication label are vital:
- When obtaining the dose.
- After retrieval and before pouring.
- Before administering to the patient.
Right Patient
- Confirm patient identity using full name and date of birth.
- Cross-check MAR with the patient's identification bracelet.
- Verify allergies at every administration.
Right Medication
- Conduct triple checks against the medication label.
- Recognize brand vs generic names and be cautious of similarly named drugs.
- Do not administer medication prepared by another individual or unlabeled products.
Right Dose
- Verify medication concentration and compare with prescribed dosage.
- Triple-check all calculations to ensure it falls within the therapeutic range.
Right Route
- Confirm the administration route prior to giving the medication.
- Use appropriate tools for each specific route of administration.
Right Time
- Check the medication schedule against the order for accuracy.
- Administer within a half-hour of the scheduled time and monitor for appropriate timing of doses.
Right Reason
- Validate the rationale for each prescribed medication.
- Review patient history and long-term medication purposes.
Right Assessment
- Perform a thorough assessment to ensure medication safety.
- Document any instances where medication was not administered due to safety concerns.
Right Documentation
- Documentation should be completed immediately following administration, including any signs and symptoms observed.
Right Response
- Monitor patient for complications and evaluate health status regularly.
- Assess lab values correlated to medication effects, and ensure patient education about their treatment.
Right to Education
- Assess patient knowledge of their medication regimen, including dosage and side effects.
- Provide clear information regarding potential adverse effects and contraindications.
Right to Refuse
- Patients (or their responsible parties) have the legal right to refuse medication.
- Inform them of the consequences of refusal and document the understanding of those consequences.
Reporting Medication Errors
- All medication errors, including near misses, must be reported to facilitate learning and improve safety practices.
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Description
Test your knowledge on the eleven rights of medication administration, focusing on patient safety goals and alarming trends in drug effects. This quiz covers essential information necessary for healthcare professionals to ensure safe medication practices.