Nursing Medication Administration Standards

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is a significant factor exacerbating the issue of controlled substance diversion in hospitals?

High levels of public trust in healthcare systems

Increased patient awareness of medication errors

Gaps in medication-use systems (correct)

Excessive reporting of incidents

Which of the following is NOT mentioned as a cause of loss of controlled substances?

Theft

Accidental overdoses by patients (correct)

Employee pilferage

Break-ins

How does diversion impact patient care according to the content?

It can lead to untreated symptoms (correct)

It enhances public trust

It improves documentation accuracy

It reduces the need for investigations

What is the primary purpose of measuring the peak level of a drug?

To check if it reaches therapeutic and non-toxic levels Signup and view all the answers

What cultural challenge may prevent healthcare providers from seeking help regarding substance abuse?

Fear of stigma and job loss Signup and view all the answers

Which statement correctly describes the trough level of a drug?

It is measured just before the next dose is due. Signup and view all the answers

What is the primary reason for measuring trough levels of a medication?

To prevent subtherapeutic levels that may cause treatment failure. Signup and view all the answers

What do the recent recommendations include to improve diversion detection?

Establishing multidisciplinary diversion prevention committees Signup and view all the answers

What is the reported number of incidents involving lost or stolen controlled substances from 2015 to 2019?

Over 3000 incidents Signup and view all the answers

Why is timing important when measuring peak and trough levels of a medication?

To analyze the drug's pharmacokinetics based on its dosing schedule. Signup and view all the answers

What is an important consideration when administering oxygen at flow rates of 4L or greater?

It requires the addition of humidity to prevent dryness. Signup and view all the answers

What is the significance of monitoring drugs with narrow therapeutic windows?

They require precise dosing to avoid complications and toxicity. Signup and view all the answers

What does the NP rule of 4F102 signify regarding oxygen concentration at various flow rates?

The concentration starts at 21% for room air and increases with each liter. Signup and view all the answers

What is a key responsibility of nurses before administering medication?

Assess the patient's current health status Signup and view all the answers

Which of the following actions is essential for accurate documentation of medication administration?

Recording observations related to the patient's response Signup and view all the answers

What is meant by 'adverse drug reaction' as per the Food and Drug Regulations?

A noxious response at normal doses Signup and view all the answers

Why is patient education important in medication administration?

It empowers patients to make informed decisions about their health Signup and view all the answers

What ethical consideration must nurses uphold in medication management?

Ensuring confidentiality of patient information Signup and view all the answers

What is opioid diversion described as in a healthcare setting?

A significant safety concern for patients and healthcare providers Signup and view all the answers

What does the term 'competence' refer to in the context of nursing medication administration?

Demonstrating the necessary knowledge and skills Signup and view all the answers

Which of the following is NOT included in the required practices for nurses administering medications?

Conducting post-administration marketing research Signup and view all the answers

Study Notes

Required Readings

College of Nurses of Ontario (2022). Practice standard: Medication
- Competence: Nurses must be knowledgeable in pharmacology, medication interactions, and proper medication administration techniques.
- Assessment: Nurses assess a patient's condition, verify medication orders, and ensure the medication is appropriate for the patient's health status.
- Medication Administration: Nurses follow procedures for administering medications, including verifying patient identity, dosage, and route.
- Documentation: Nurses must accurately and timely document medication administration, including the medication, dosage, time, and patient response.
- Patient Education: Nurses educate patients about their medications, including instructions, potential side effects, and precautions.
- Ethical and Legal Considerations: Nurses adhere to legal and ethical guidelines in medication management, including informed consent and patient confidentiality.
- Adverse drug reaction: A harmful, unintended response to a drug at normal dosage.
- Adverse reaction: A harmful, unintended response to a natural health product at any dosage.
Institute for safe medication practices Canada (2020). Opioid Diversion in Hospitals: A Safety Concern
- Opioid Diversion Overview: Opioid diversion poses a safety risk to patients and healthcare providers.
- Current Situation: There has been an increase in controlled substance diversion in Canadian hospitals.
- Causes and Reporting: Diversion can involve theft, break-ins, and employee pilferage, and may be difficult to detect and report accurately.
- Impact on Patients and System: Diversion can lead to untreated symptoms, incorrect documentation, impaired patient care, and potential harm from contaminated medications.
- Cultural and Systemic Challenges: There is a need to address systemic issues rather than solely blame individuals.
- Recent Initiatives and Recommendations: Guidelines and frameworks have been developed to improve diversion detection and prevention.

Peak and Trough

Peak: Highest drug concentration in the bloodstream after administration.
Purpose of Peak: Determines if the drug's concentration reaches therapeutic levels and avoids exceeding toxic levels.
Example of Peak: For antibiotics, peak levels might be measured 1-2 hours after intravenous administration.
Trough: Lowest drug concentration in the bloodstream before the next dose.
Purpose of Trough: Ensures the drug's concentration remains above the level needed for efficacy.
Example of Trough: For medications like vancomycin, trough levels might be measured right before the next dose.

Nursing Skills Online 4.0

Module 5: Safe Medication Administration
Module 6: Non-parenteral Medication Administration
Module 7: Administration of Parenteral Medications: Injections
Module 8: Administration of Parenteral Medications: Intravenous Medications

Canadian Clinical Skills: Essentials Collection

Applying a Nasal Cannula or Face Mask
Ensuring Oxygen Safety
Setting Oxygen Flow Rates

Oxygenation

Rule of 4F102
- RA: 21%
- 1L: 24%
- 2L: 28%
- 3L: 32%
- 4L: 36%
- 5L: 40%
- 6L: 44%
4L of oxygen or Greater Requires Humidity
Week 2 Readings: See resources provided.

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Description

This quiz covers the essential standards of medication administration for nurses as outlined by the College of Nurses of Ontario. It focuses on knowledge of pharmacology, patient assessment, documentation, patient education, and adherence to ethical and legal considerations. Test your understanding of these critical nursing competencies.