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Questions and Answers
Which healthcare provider is NOT typically authorized to independently write prescriptions in the United States?
Which healthcare provider is NOT typically authorized to independently write prescriptions in the United States?
- Registered Nurse (correct)
- Dentist
- Physician
- Physician Assistant
A medication's trade name reflects its chemical composition and molecular structure.
A medication's trade name reflects its chemical composition and molecular structure.
False (B)
What is the official, nonproprietary name given to a medication by the United States Adopted Names Council?
What is the official, nonproprietary name given to a medication by the United States Adopted Names Council?
Generic name
Medications with a potential for misuse and addiction require more stringent supervision and are referred to as ______ substances.
Medications with a potential for misuse and addiction require more stringent supervision and are referred to as ______ substances.
A nurse administering medication should have up-to-date knowledge except for which of the following?
A nurse administering medication should have up-to-date knowledge except for which of the following?
Which of the listed actions is least likely to reduce adverse events related to medications?
Which of the listed actions is least likely to reduce adverse events related to medications?
Antibiotics are classified as controlled substances due to their high risk of addiction.
Antibiotics are classified as controlled substances due to their high risk of addiction.
Match the following medication names with their appropriate type:
Match the following medication names with their appropriate type:
Which schedule of controlled substances includes medications with legitimate medical applications but also a high potential for misuse and dependence?
Which schedule of controlled substances includes medications with legitimate medical applications but also a high potential for misuse and dependence?
Nursing students are permitted to accept verbal or telephone prescriptions in emergency situations under the supervision of a registered nurse.
Nursing students are permitted to accept verbal or telephone prescriptions in emergency situations under the supervision of a registered nurse.
What is the primary purpose of medication reconciliation as required by The Joint Commission?
What is the primary purpose of medication reconciliation as required by The Joint Commission?
A medication order that is to be given immediately and only once is known as a ______ prescription.
A medication order that is to be given immediately and only once is known as a ______ prescription.
Match the following components with their importance in a medication prescription:
Match the following components with their importance in a medication prescription:
A client is prescribed a medication known to cause drowsiness as an adverse effect. What nursing intervention is most important for the client's safety?
A client is prescribed a medication known to cause drowsiness as an adverse effect. What nursing intervention is most important for the client's safety?
The 'Pregnancy and Lactation Labeling Rule' (PLLR) primarily focuses on the safe disposal of unused medications to prevent environmental contamination.
The 'Pregnancy and Lactation Labeling Rule' (PLLR) primarily focuses on the safe disposal of unused medications to prevent environmental contamination.
What information should a nurse provide to MedWatch when reporting an adverse effect of a new drug?
What information should a nurse provide to MedWatch when reporting an adverse effect of a new drug?
The expected physiological response for which a medication is administered is known as its ______ effect.
The expected physiological response for which a medication is administered is known as its ______ effect.
A client with a history of renal impairment is prescribed vancomycin. What is the nurse's priority action?
A client with a history of renal impairment is prescribed vancomycin. What is the nurse's priority action?
Which component of a medication prescription ensures the correct medication is dispensed to the patient?
Which component of a medication prescription ensures the correct medication is dispensed to the patient?
Medications with a Schedule V classification have a higher potential for misuse and dependence compared to medications with a Schedule II classification.
Medications with a Schedule V classification have a higher potential for misuse and dependence compared to medications with a Schedule II classification.
What essential information must a nurse know about a medication before administering it to ensure patient safety.
What essential information must a nurse know about a medication before administering it to ensure patient safety.
Conditions such as diseases, age, pregnancy, or lactation that make administering a medication risky or unsafe are known as ______/contraindications.
Conditions such as diseases, age, pregnancy, or lactation that make administering a medication risky or unsafe are known as ______/contraindications.
Match each medication type to its corresponding schedule based on the potential for misuse and dependence:
Match each medication type to its corresponding schedule based on the potential for misuse and dependence:
Which strategy is LEAST likely to be effective in preventing medication errors?
Which strategy is LEAST likely to be effective in preventing medication errors?
The SDOH accounts for 90% of health outcomes.
The SDOH accounts for 90% of health outcomes.
Besides strategies like limiting access and using auxiliary labels, name one more strategy to avoid medication errors.
Besides strategies like limiting access and using auxiliary labels, name one more strategy to avoid medication errors.
Clients who have a low level of education might be suited for educational materials with ______ for better understanding.
Clients who have a low level of education might be suited for educational materials with ______ for better understanding.
Match the following medication categories with a specific example drug:
Match the following medication categories with a specific example drug:
The Joint Commission requires how many client identifiers before medication administration?
The Joint Commission requires how many client identifiers before medication administration?
Which of the following medications requires extra caution due to its classification as a high-alert medication?
Which of the following medications requires extra caution due to its classification as a high-alert medication?
Incident reports should include personal opinions regarding why the incident occurred to provide a comprehensive understanding.
Incident reports should include personal opinions regarding why the incident occurred to provide a comprehensive understanding.
Medications should be documented before administration to ensure accurate record-keeping.
Medications should be documented before administration to ensure accurate record-keeping.
What should a nurse do if a patient refuses a medication?
What should a nurse do if a patient refuses a medication?
Name one social determinant of health (SDOH) that can affect medication administration.
Name one social determinant of health (SDOH) that can affect medication administration.
Clients without adequate housing may not be able to store medications such as ______ that require refrigeration.
Clients without adequate housing may not be able to store medications such as ______ that require refrigeration.
Administer time-critical medications within ______ minutes before or after the prescribed time.
Administer time-critical medications within ______ minutes before or after the prescribed time.
A client with limited access to transportation may face challenges in obtaining medications. What intervention addresses this SDOH?
A client with limited access to transportation may face challenges in obtaining medications. What intervention addresses this SDOH?
Match the following actions with the corresponding 'Rights' of medication administration:
Match the following actions with the corresponding 'Rights' of medication administration:
A nurse is preparing to administer medication. What is the most important action to take immediately prior to administration?
A nurse is preparing to administer medication. What is the most important action to take immediately prior to administration?
Collecting data regarding SDOH is solely the responsibility of the nurse.
Collecting data regarding SDOH is solely the responsibility of the nurse.
It is acceptable to pre-document medication administration to save time during a busy shift.
It is acceptable to pre-document medication administration to save time during a busy shift.
What is one action a nurse can take during the 'assessment' phase of the nursing process to prevent medication errors?
What is one action a nurse can take during the 'assessment' phase of the nursing process to prevent medication errors?
Clients who are food insecure will need assistance with medications that should be taken ______.
Clients who are food insecure will need assistance with medications that should be taken ______.
What is the function of a unit-dose system in medication administration?
What is the function of a unit-dose system in medication administration?
During incident reporting, which action is most important for a nurse to prioritize?
During incident reporting, which action is most important for a nurse to prioritize?
If a unit-dose system is not available, the nurse should ________ the correct dose.
If a unit-dose system is not available, the nurse should ________ the correct dose.
Which of the following is the most appropriate nursing response when a client questions taking a medication?
Which of the following is the most appropriate nursing response when a client questions taking a medication?
Which SDOH is MOST directly addressed by providing culturally tailored educational materials to a client?
Which SDOH is MOST directly addressed by providing culturally tailored educational materials to a client?
Administering a medication via the correct route is essential for its proper absorption and distribution.
Administering a medication via the correct route is essential for its proper absorption and distribution.
Name three common types of medication errors.
Name three common types of medication errors.
The ISMP is a nonprofit organization working to educate healthcare providers and consumers about ______ medication practices.
The ISMP is a nonprofit organization working to educate healthcare providers and consumers about ______ medication practices.
Why is it crucial to check a patient's allergy history before administering medications?
Why is it crucial to check a patient's allergy history before administering medications?
Match the following resources with their primary purpose in medication administration:
Match the following resources with their primary purpose in medication administration:
Which organization maintains a list of medications that, if administered incorrectly, pose a high risk of significant harm to patients?
Which organization maintains a list of medications that, if administered incorrectly, pose a high risk of significant harm to patients?
According to guidelines, prescriptions for medications should always be considered safe, and nurses should not question them to avoid delaying treatment.
According to guidelines, prescriptions for medications should always be considered safe, and nurses should not question them to avoid delaying treatment.
To prevent medication errors with look-alike and sound-alike drugs, healthcare providers should use ______ labels and automated alerts in pharmacy systems.
To prevent medication errors with look-alike and sound-alike drugs, healthcare providers should use ______ labels and automated alerts in pharmacy systems.
A provider prescribes multiple tablets for a single dose of an oral medication. What action should the nurse take first?
A provider prescribes multiple tablets for a single dose of an oral medication. What action should the nurse take first?
Match the following strategies with their purpose in preventing medication errors:
Match the following strategies with their purpose in preventing medication errors:
A client questions the appearance of a newly prescribed medication compared to what they usually take. What is the nurse's most appropriate action?
A client questions the appearance of a newly prescribed medication compared to what they usually take. What is the nurse's most appropriate action?
What critical information should a nurse include in an incident report following a medication error, besides client identification and medication details?
What critical information should a nurse include in an incident report following a medication error, besides client identification and medication details?
An incident report about a medication error should be referenced and included in the client's medical record for transparency.
An incident report about a medication error should be referenced and included in the client's medical record for transparency.
Which of the following is the primary reason for reporting all medication errors within a healthcare facility?
Which of the following is the primary reason for reporting all medication errors within a healthcare facility?
When discarding controlled substances, a nurse must have another nurse ______ the discarding process.
When discarding controlled substances, a nurse must have another nurse ______ the discarding process.
Which of the following medication pairs are commonly mistaken for each other due to their similar names?
Which of the following medication pairs are commonly mistaken for each other due to their similar names?
Besides checking the medication label, what other crucial step can prevent errors, especially with high-alert medications like insulin or heparin?
Besides checking the medication label, what other crucial step can prevent errors, especially with high-alert medications like insulin or heparin?
It is acceptable practice for a nurse to prepare medications for multiple clients at the same time to improve efficiency.
It is acceptable practice for a nurse to prepare medications for multiple clients at the same time to improve efficiency.
A nurse finds a medication left at a client's bedside. Which action should the nurse take?
A nurse finds a medication left at a client's bedside. Which action should the nurse take?
Nurses should encourage clients to become part of the safety net by teaching them about their medications and the importance of proper ______ before administration.
Nurses should encourage clients to become part of the safety net by teaching them about their medications and the importance of proper ______ before administration.
Flashcards
Prescribers
Prescribers
Providers legally authorized to prescribe medications, including physicians, advanced practice nurses, dentists, and physician assistants.
Nurse's medication responsibilities
Nurse's medication responsibilities
Ensuring accuracy of prescriptions, reporting errors, proper storage, following controlled substance laws, calculating doses accurately, and understanding team roles.
Essential medication knowledge
Essential medication knowledge
A medication's adverse effects, mechanism of action, and contraindications.
Chemical name
Chemical name
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Generic name
Generic name
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Trade name
Trade name
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Uncontrolled substances
Uncontrolled substances
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Example of uncontrolled substance
Example of uncontrolled substance
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Controlled Substance Schedules
Controlled Substance Schedules
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MedWatch
MedWatch
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Pregnancy and Lactation Labeling Rule (PLLR)
Pregnancy and Lactation Labeling Rule (PLLR)
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Medication Reconciliation
Medication Reconciliation
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Medication Category/Class
Medication Category/Class
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Mechanism of Action
Mechanism of Action
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Therapeutic Effect
Therapeutic Effect
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Adverse Effects
Adverse Effects
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Toxic Effects
Toxic Effects
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Medication Interactions
Medication Interactions
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Precautions/Contraindications
Precautions/Contraindications
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Routine or Standing Prescriptions
Routine or Standing Prescriptions
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Single or One-Time Prescriptions
Single or One-Time Prescriptions
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Stat Prescriptions
Stat Prescriptions
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PRN Prescriptions
PRN Prescriptions
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Right Client
Right Client
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Right Medication
Right Medication
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Right Dose
Right Dose
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Right Time
Right Time
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Right Route
Right Route
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Right Documentation
Right Documentation
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Right Client Education
Right Client Education
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Right to Refuse
Right to Refuse
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Right Assessment
Right Assessment
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Right Evaluation
Right Evaluation
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Common Medication Errors
Common Medication Errors
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Look-Alike, Sound-Alike Medications
Look-Alike, Sound-Alike Medications
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Medication Information Resources
Medication Information Resources
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Conditions Affecting Medication
Conditions Affecting Medication
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Complete Medication Prescription
Complete Medication Prescription
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Medication Error Prevention
Medication Error Prevention
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High-Alert Medications
High-Alert Medications
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Incident Report Information
Incident Report Information
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Purpose of Incident Reports
Purpose of Incident Reports
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Medication Error Context
Medication Error Context
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Social Determinants of Health (SDOH)
Social Determinants of Health (SDOH)
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Economic Stability (SDOH)
Economic Stability (SDOH)
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Education (SDOH)
Education (SDOH)
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Health and Health Care (SDOH)
Health and Health Care (SDOH)
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Neighborhood and Built Environment
Neighborhood and Built Environment
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Social and Community Context (SDOH)
Social and Community Context (SDOH)
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Food Security
Food Security
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SDOH Data Application
SDOH Data Application
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Nursing Process Stages
Nursing Process Stages
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Nursing Assessment Actions
Nursing Assessment Actions
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Error-Prone Abbreviation List
Error-Prone Abbreviation List
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Confused Medication Name List
Confused Medication Name List
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High-Alert Medication List
High-Alert Medication List
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Strategies to prevent medication errors
Strategies to prevent medication errors
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Nurse's role in questionable prescriptions
Nurse's role in questionable prescriptions
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Essential pre-medication assessment data
Essential pre-medication assessment data
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Safe Medication Preparation
Safe Medication Preparation
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Medication Administration Best Practices
Medication Administration Best Practices
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Post-Administration Safety
Post-Administration Safety
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Unsafe Medication Practice
Unsafe Medication Practice
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Medication error response
Medication error response
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Incident Report Contents
Incident Report Contents
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Purpose of Reporting Medication Errors
Purpose of Reporting Medication Errors
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Post-Medication Evaluation
Post-Medication Evaluation
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High-Alert Medications Examples
High-Alert Medications Examples
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Study Notes
- Providers who can legally prescribe medications include physicians, advanced practice nurses, dentists, and physician assistants.
- Nurses must know federal, state, and local laws, as well as facility policies, regarding medication prescription, dispensing, administration, and client response evaluation.
- Nurses must maintain current knowledge of medications, including uses, mechanisms of action, routes of administration, safe dosages, adverse effects, precautions, contraindications, and interactions.
- Nurses reduce medication-related adverse events by verifying prescription accuracy, reporting errors, securing medications, adhering to controlled substance regulations, accurately calculating doses, and understanding team responsibilities.
Medication Category and Classification
- The chemical name reflects the chemical composition and molecular structure of a medication.
- The generic name is the nonproprietary name given by the United States Adopted Names Council; each medication has only one.
- Trade names are brand names assigned by manufacturing companies; a medication can have multiple trade names.
- Uncontrolled substances require monitoring but generally do not pose misuse or addiction risks (e.g., antibiotics).
- Controlled substances have misuse and dependence potential, classified into "Schedules" with decreasing risk from Schedule II to V; Schedule I (e.g., heroin) has no medical use.
- The FDA tests new drugs for effectiveness and safety; nurses report new adverse effects to MedWatch.
- The Pregnancy and Lactation Labeling Rule (PLLR) includes sections for pregnancy, lactation, and reproductive potential.
- Verify medication safety during pregnancy before administering it to pregnant clients.
- Facilities have policies on medication prescriptions, including authorized prescribers and transcription procedures.
- Verbal prescriptions are for emergencies only; nursing students cannot accept them.
Types of Medication Prescriptions
- Routine or standing prescriptions
- Single or one-time prescriptions
- Stat prescriptions
- PRN prescriptions
Components of a Medication Prescription
- Client’s full name
- Date and time of the prescription
- Medication name (generic or brand)
- Strength and dosage
- Route of administration
- Time and frequency of administration
- Quantity to dispense and refills
- Prescriber's signature
Medication Reconciliation
- Medication reconciliation involves compiling a list of current medications with dosages and frequency, comparing it with new prescriptions, and resolving discrepancies with the provider.
- Medication reconciliation should occur at admission, during transfers, and at discharge.
Knowledge Required Prior to Medication Administration
- Medication category/class includes pharmacological action, therapeutic use, body system target, chemical makeup, and pregnancy classification.
Mechanism of Action
- The mechanism of action explains how medications produce their therapeutic effects.
Therapeutic Effect
- The therapeutic effect is the expected physiological response after medication administration.
Adverse Effects
- Undesirable and potentially dangerous responses to a medication are adverse effects.
Toxic Effects
- Toxic effects result from prolonged medication use or accumulation due to metabolism or excretion issues.
Medication Interactions
- Medications can interact with each other, with food, or with herbal supplements, causing beneficial or harmful effects.
Precautions/Contraindications
- Precautions and contraindications are conditions where specific medications should be used cautiously or avoided altogether.
Preparation, Dosage, Administration
- It’s crucial to know specific considerations for preparation, safe dosages, dosage calculations, and administration techniques.
Nursing Implications
- Monitor therapeutic and adverse effects, prevent and treat adverse effects, provide comfort, and educate clients on safe medication use.
Rights of Safe Medication Administration
- Right client: Verify identity using two identifiers and check for allergies.
- Right medication: Verify prescription completeness and clarity.
- Read medication labels and compare them with the MAR three times.
- Right dose: Use a unit-dose system or calculate the correct dose, double-checking with another nurse if needed.
- Right time: Administer medications on time to maintain consistent blood levels.
- Right route: Select the correct preparation for the prescribed route.
- Right documentation: Immediately record medication details and client response.
- Right client education: Inform clients about the medication's purpose, expectations, instructions, and reportable issues.
- Right to refuse: Respect the client's right to refuse, explain consequences, inform the provider, and document the refusal.
- Right assessment: Collect necessary data before and after administration.
- Right evaluation: Follow up to verify therapeutic and adverse effects.
Common Medication Errors
- Wrong medication or IV fluid
- Incorrect dose or IV rate
- Wrong client, route, or time
- Administration of an allergy-inducing medication
- Omission of a dose or administration of extra doses
- Incorrect discontinuation of a medication or IV fluid
- Inaccurate prescribing
- Giving a medication with a similar name
Using the Nursing Process to Prevent Medication Errors
- Assessment: Be knowledgeable about medications, medical diagnoses, and necessary pre-administration data.
- Planning: Identify client outcomes and set priorities for medication administration.
- Implementation: Avoid distractions, prepare medications one at a time, check labels, measure doses accurately (double-check high-alert medications), follow rights of administration, educate clients.
- Evaluation: Evaluate client responses, identify adverse effects, notify the provider of errors, and complete an incident report.
- Incident reports should include client identification, medication details, incident time and place, an objective account, who was notified, actions taken, and the reporter's signature.
- Report all errors to help identify and correct system issues.
High-Alert Medication List
- High-alert medications require specific safeguards like limiting access, using auxiliary labels and automated alerts, standardizing processes, and using double checks.
Social Determinants of Health (SDOH)
- SDOH significantly impact health outcomes; nurses should consider them for safe medication administration.
- Economic Stability: Clients at a low socioeconomic level may not be able to afford medications or proper storage.
- Education: Clients with low literacy might benefit from visual aids for understanding.
- Health and Health Care: Clients with low literacy may not be able to comprehend written information and may need alternative education methods.
- Neighborhood and Built Environment: Clients lacking transportation need information on prescription delivery.
- Social and Community Context: Consider social factors affecting medication adherence.
- Food Security: Support clients needing assistance with medications requiring food intake.
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