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?

    <p>500mg</p> Signup and view all the answers

    Why should 'µg' be avoided when representing microgram?

    <p>Because it can be confused with 'mg'</p> Signup and view all the answers

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

    <p>Use generic names instead of trade names</p> Signup and view all the answers

    What should be done when writing decimals to reduce errors?

    <p>Avoid using a terminal zero</p> Signup and view all the answers

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

    <p>Because they can be confused with other drug names</p> Signup and view all the answers

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

    <p>Checking for allergic reactions</p> Signup and view all the answers

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

    <p>To prevent medication errors</p> Signup and view all the answers

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

    <p>Ask the patient to identify themselves</p> Signup and view all the answers

    What is a common cause of medication administration errors?

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

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

    <p>To ensure the patient receives the medication on time</p> Signup and view all the answers

    What should nurses do to reduce medication administration errors?

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

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

    <p>To calculate the correct dose using a current drug reference</p> Signup and view all the answers

    What is a key aspect of documenting medication administration?

    <p>Recording all of the above</p> Signup and view all the answers

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

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

    What type of medications require extra attention during dosage calculations?

    <p>Oral anticoagulants and insulin</p> Signup and view all the answers

    What is the purpose of a medication reconciliation form?

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

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

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

    What should be avoided when giving verbal orders?

    <p>Avoiding pronouns and stating numbers clearly</p> Signup and view all the answers

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

    <p>It reduces the risk of medication errors</p> Signup and view all the answers

    What type of medications are examples of high alert medications?

    <p>Oral anticoagulants, insulin, and chemotherapeutic agents</p> Signup and view all the answers

    Why is it important to enquire about recently ceased medications?

    <p>To identify potential medication interactions</p> Signup and view all the answers

    What is the purpose of dispensing a unit of use?

    <p>To reduce the risk of medication errors</p> Signup and view all the answers

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

    <p>Dietary supplements and complementary medicines</p> Signup and view all the answers

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

    <p>Patients who cannot communicate well</p> Signup and view all the answers

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

    <p>Rushing and doing multiple tasks at once</p> Signup and view all the answers

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

    <p>Absence of a safety culture</p> Signup and view all the answers

    What is a way to make medication use safer?

    <p>Use generic names where appropriate</p> Signup and view all the answers

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

    <p>To reduce medication errors</p> Signup and view all the answers

    What should be remembered when prescribing and administering medications?

    <p>The 5 Rs of medication use</p> Signup and view all the answers

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

    <p>To reduce medication errors</p> Signup and view all the answers

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

    <p>To improve health outcomes</p> Signup and view all the answers

    Who is typically responsible for administering medication?

    <p>Nurses</p> Signup and view all the answers

    What is an essential step in the medication prescription process?

    <p>Choosing an appropriate medication</p> Signup and view all the answers

    What is a common source of error in prescribing?

    <p>Inadequate knowledge about drug indications</p> Signup and view all the answers

    What is an example of a mathematical error in prescribing?

    <p>Incorrect dosage calculation</p> Signup and view all the answers

    What should a physician consider when choosing a medication?

    <p>Patient's medical history and allergies</p> Signup and view all the answers

    What is an important aspect of documenting a medication prescription?

    <p>Writing clearly and legibly</p> Signup and view all the answers

    What is a potential error in the medication administration process?

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

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

    <p>Reducing the risk of medication errors</p> 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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    Related Documents

    Improving Medication Safety Lecture Notes PDF

    Description

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

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