Medication Administration Rights Quiz

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?

700,000 ER visits for adverse drug effects per year

29% of American adults take more than 5 medications

82% of American adults take at least one medication

All of the above (correct)

Which of the following are causes of medication errors? (Select all that apply)

Not adhering to medication rights (correct)

Expired medication (correct)

Proper documentation

Transcription errors (correct)

What does safe medication administration include?

Knowledge of generic/trade names, DEA schedule, pregnancy/lactation category, dosage safety, medication action, side effects, route of excretion, interactions, and nursing considerations. Signup and view all the answers

What is the nurse's responsibility when administering medications?

Legally responsible for medications administered, questions orders, and assumes accountability for safe drug administration. Signup and view all the answers

What is medication reconciliation?

A process specifying and maintaining an accurate list of medications. Signup and view all the answers

Nurses can administer any medication without a prescription from a licensed practitioner.

False Signup and view all the answers

The label should be read __ times before administering medication.

3 Signup and view all the answers

What should be verified to ensure the Right Patient during medication administration?

All of the above Signup and view all the answers

It is acceptable to administer medication prepared by another person.

False Signup and view all the answers

What does the Right Dose entail?

Check label for medication concentration, compare dose with medication order, triple check calculations, and ensure the dosage is safe for the patient. Signup and view all the answers

What must be verified concerning the Right Route of medication administration?

Verify the medication route with the medication order. Signup and view all the answers

What does the Right Time refer to in medication administration?

Verify medication schedule with order, check frequency, and evaluate the patient within 30 minutes. Signup and view all the answers

What does the Right Reason involve?

Confirm rationale for ordered medication and revisit reasons for long-term use. Signup and view all the answers

What is involved in the Right Assessment?

Properly assess the patient to determine if the medication is safe and notify the provider if it is not. Signup and view all the answers

When should documentation occur regarding medication administration?

Documentation should be completed immediately after administration. Signup and view all the answers

What should be monitored after medication administration?

Monitor the patient, detect complications, evaluate health changes, assess lab values, and document responses. Signup and view all the answers

What is the Right to Education in medication administration?

All of the above Signup and view all the answers

What is the Right to Refuse in medication administration?

Legally responsible party can refuse medication, must inform them of consequences, and document refusal. Signup and view all the answers

All medication errors should be reported.

True Signup and view all the answers

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.