Medication Prescription Process

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Questions and Answers

What should be avoided when writing prescriptions to reduce errors?

Writing complete information

Using generic and brand names

Using computers

Illegible handwriting (correct)

What should be included in patient-specific data to reduce prescribing errors?

Age and weight only

Age, weight, allergies, medical history, and laboratory test results (correct)

Allergies and medical history only

Only patient's name and concurrent medications

Why should 'QD' or 'OD' not be used to represent the word 'daily'?

Because they can be confused with other abbreviations (correct)

Because they are not abbreviations

Because they are only used in specific hospitals

Because they are not commonly used

What is the correct way to write 0.5 g when prescribing?

500mg Signup and view all the answers

Why should 'µg' be avoided when representing microgram?

Because it can be confused with 'mg' Signup and view all the answers

What should be done when writing drug names to reduce errors?

Use generic names instead of trade names Signup and view all the answers

What should be done when writing decimals to reduce errors?

Avoid using a terminal zero Signup and view all the answers

Why should 'look-alike' or 'sound-alike' drug names be avoided?

Because they can be confused with other drug names Signup and view all the answers

What is a key responsibility of nurses in administration of medication?

Checking for allergic reactions Signup and view all the answers

What is the main purpose of the '5 Rs' in medication administration?

To prevent medication errors Signup and view all the answers

What should nurses do to confirm a patient's identity before administering medication?

Ask the patient to identify themselves Signup and view all the answers

What is a common cause of medication administration errors?

All of the above Signup and view all the answers

Why is it important to check the frequency of the ordered medication?

To ensure the patient receives the medication on time Signup and view all the answers

What should nurses do to reduce medication administration errors?

All of the above Signup and view all the answers

Why is it important to confirm the appropriateness of the medication dose?

To calculate the correct dose using a current drug reference Signup and view all the answers

What is a key aspect of documenting medication administration?

Recording all of the above Signup and view all the answers

What information should be included when taking a thorough medication history?

Name, dose, route, frequency, and duration of every drug the patient is taking Signup and view all the answers

What type of medications require extra attention during dosage calculations?

Oral anticoagulants and insulin Signup and view all the answers

What is the purpose of a medication reconciliation form?

To document an accurate and up-to-date list of a patient's medications Signup and view all the answers

Why is it important to use patient-specific information during dosage calculations?

To calculate the correct dosage based on the patient's height, weight, and age Signup and view all the answers

What should be avoided when giving verbal orders?

Avoiding pronouns and stating numbers clearly Signup and view all the answers

What is the benefit of using standardized concentrations for all IV medications?

It reduces the risk of medication errors Signup and view all the answers

What type of medications are examples of high alert medications?

Oral anticoagulants, insulin, and chemotherapeutic agents Signup and view all the answers

Why is it important to enquire about recently ceased medications?

To identify potential medication interactions Signup and view all the answers

What is the purpose of dispensing a unit of use?

To reduce the risk of medication errors Signup and view all the answers

What should be included in a medication history, apart from prescription medications?

Dietary supplements and complementary medicines Signup and view all the answers

Which patient population is more susceptible to medication errors due to communication barriers?

Patients who cannot communicate well Signup and view all the answers

What is a common staff factor that contributes to medication errors?

Rushing and doing multiple tasks at once Signup and view all the answers

What is a design factor that can contribute to medication errors in the workplace?

Absence of a safety culture Signup and view all the answers

What is a way to make medication use safer?

Use generic names where appropriate Signup and view all the answers

Why is it important to learn and practice collecting complete medication histories?

To reduce medication errors Signup and view all the answers

What should be remembered when prescribing and administering medications?

The 5 Rs of medication use Signup and view all the answers

Why is it important to develop checking habits and report errors?

To reduce medication errors Signup and view all the answers

What is the overall goal of using medications wisely and correctly?

To improve health outcomes Signup and view all the answers

Who is typically responsible for administering medication?

Nurses Signup and view all the answers

What is an essential step in the medication prescription process?

Choosing an appropriate medication Signup and view all the answers

What is a common source of error in prescribing?

Inadequate knowledge about drug indications Signup and view all the answers

What is an example of a mathematical error in prescribing?

Incorrect dosage calculation Signup and view all the answers

What should a physician consider when choosing a medication?

Patient's medical history and allergies Signup and view all the answers

What is an important aspect of documenting a medication prescription?

Writing clearly and legibly Signup and view all the answers

What is a potential error in the medication administration process?

All of the above Signup and view all the answers

What is a benefit of clear communication in the medication prescription process?

Reducing the risk of medication errors Signup and view all the answers

Study Notes

Medication Use Process

Medication prescription is a physician-related process involving choosing an appropriate medication, selecting the administration route, dose, time, and regimen, and documenting the plan.

Prescribing Errors

Sources of error in prescribing include:
- Inadequate knowledge about drug indications and contraindications
- Not considering individual patient factors (e.g., allergies, pregnancy, comorbidities, other medications)
- Illegible handwriting
- Mathematical errors when calculating dosage
- Incomplete or ambiguous documentation
- Inadequate communication
- Incorrect data entry when using computerized prescribing

Strategies to Reduce Prescribing Errors

Write complete and clear information, including patient-specific data and medication details
Avoid using abbreviations and symbols
Use computers for prescribing
Be alert to "look-alike" or "sound-alike" drug names
Learn and practice thorough medication history taking
Know the high-alert medications

Medication Administration

Administration involves obtaining the medication in a ready-to-use form, checking for allergies, and giving the right medication to the right patient, in the right dose, via the right route, at the right time.
Documentation is essential for administration.

Administration Errors

Errors can occur due to:
- Wrong patient, route, time, dose, or drug
- Omission or failure to administer
- Inadequate documentation

Strategies to Reduce Administration Errors

Follow the 7 Rs (right patient, medication, route, time, dose, and documentation, and checking for allergies)
Be familiar with the institution's policies and procedures
Use preprinted and standardized labels and infusion devices
Be aware of patients who cannot communicate well

Factors Contributing to Medication Errors

Staff factors include:
- Inexperience, rushing, and fatigue
- Lack of checking and double checking habits
- Poor teamwork and communication
Workplace design factors include:
- Absence of a safety culture
- Inadequate staff numbers
- Absence of memory aids for staff

Making Medication Use Safer

Ways to make medication use safer include:
- Using generic names where appropriate
- Tailoring prescribing for individual patients
- Learning and practicing thorough medication history taking
- Knowing high-risk medications and taking precautions
- Being familiar with the medications you prescribe
- Using memory aids and communicating clearly
- Developing checking habits and reporting errors
- Encouraging patients to be actively involved

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Description

Learn about the steps involved in the medication use process, including prescribing, preparing, dispensing, administration, and monitoring in an institutional setting.

Medication Prescription Process

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Questions and Answers

What should be avoided when writing prescriptions to reduce errors?

What should be included in patient-specific data to reduce prescribing errors?

Why should 'QD' or 'OD' not be used to represent the word 'daily'?

What is the correct way to write 0.5 g when prescribing?

Why should 'µg' be avoided when representing microgram?

What should be done when writing drug names to reduce errors?

What should be done when writing decimals to reduce errors?

Why should 'look-alike' or 'sound-alike' drug names be avoided?

What is a key responsibility of nurses in administration of medication?

What is the main purpose of the '5 Rs' in medication administration?

What should nurses do to confirm a patient's identity before administering medication?

What is a common cause of medication administration errors?

Why is it important to check the frequency of the ordered medication?

What should nurses do to reduce medication administration errors?

Why is it important to confirm the appropriateness of the medication dose?

What is a key aspect of documenting medication administration?

What information should be included when taking a thorough medication history?

What type of medications require extra attention during dosage calculations?

What is the purpose of a medication reconciliation form?

Why is it important to use patient-specific information during dosage calculations?

What should be avoided when giving verbal orders?

What is the benefit of using standardized concentrations for all IV medications?

What type of medications are examples of high alert medications?

Why is it important to enquire about recently ceased medications?

What is the purpose of dispensing a unit of use?

What should be included in a medication history, apart from prescription medications?

Which patient population is more susceptible to medication errors due to communication barriers?

What is a common staff factor that contributes to medication errors?

What is a design factor that can contribute to medication errors in the workplace?

What is a way to make medication use safer?

Why is it important to learn and practice collecting complete medication histories?

What should be remembered when prescribing and administering medications?

Why is it important to develop checking habits and report errors?

What is the overall goal of using medications wisely and correctly?

Who is typically responsible for administering medication?

What is an essential step in the medication prescription process?

What is a common source of error in prescribing?

What is an example of a mathematical error in prescribing?

What should a physician consider when choosing a medication?

What is an important aspect of documenting a medication prescription?

What is a potential error in the medication administration process?

What is a benefit of clear communication in the medication prescription process?

Study Notes

Medication Use Process

Prescribing Errors

Strategies to Reduce Prescribing Errors

Medication Administration

Administration Errors

Strategies to Reduce Administration Errors

Factors Contributing to Medication Errors

Making Medication Use Safer

Studying That Suits You

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