20 Questions
What type of medication requires monitoring by the provider and does not pose a risk for misuse?
Uncontrolled medication
What is the primary role of the FDA in the medication approval process?
Testing new drugs for effectiveness and safety
What is the purpose of medication reconciliation?
To compare the list of a client's current medications to new prescriptions
What is the main difference between a routine prescription and a single or one-time order?
Frequency of administration
What is the primary purpose of the 'right client' step in the right to safe medication administration?
To check the client's identification
What is the purpose of the 'right dose' step in the right to safe medication administration?
To calculate the correct dosage
Why is it important to document medication administration immediately after administration?
To ensure accurate records and prevent errors
What is the purpose of the 'right route' step in the right to safe medication administration?
To determine the correct route of administration
What is the classification of Heroin according to the controlled substances schedule?
Schedule 1
What is the purpose of the 'right client education' step in the right to safe medication administration?
To educate the client on their medication
What is the first step to take when a client refuses medication?
Explain and inform the client of the sequences
Where can a nurse obtain information about a medication?
From sources including providers, nurses, physicians, pharmacists, poison control center, and sales representatives from drug companies
What is an essential aspect of the planning phase of the nursing process when administering medications?
Identifying the client's outcomes of medication administration
What is a crucial step during the implementation phase of medication administration?
Avoiding interruptions during medication preparation
What should a nurse do if a client questions the color of their medication?
Bring the pack and show the client their prescription, explaining the medication's appearance
What is an essential aspect of evaluating a client's response to medication?
Comparing the expected effects of the medication to the client's actual outcomes
What should a nurse do if a medication error occurs?
Notify the provider, document the error, and report it to the facility to identify ways to prevent similar errors
What is a critical step in the data collection phase of the nursing process when administering medications?
Gathering information from multiple sources, including the client's medical history
What is a crucial aspect of the right to refuse medication?
Respecting the client's autonomy and explaining the risks and benefits of refusal
What is an essential component of documenting a medication error?
Providing an accurate and objective account of the event
Study Notes
Medication Administration
- Uncontrolled medications require monitoring by the provider but do not pose a risk for misuse.
Controlled Substances
- Have a potential for misuse and dependence
- Have a schedule classification (e.g., Heroin is Schedule 1, morphine is Schedule 2, phenobarbital is Schedule 5)
FDA Regulations
- The Food and Drug Administration (FDA) tests new drugs to determine effectiveness and safety before approval
Pregnancy Schedule
- Categories medications based on safety during pregnancy (A, B, C, D, X)
- X is the most dangerous category
Types of Medication Prescriptions
- Routine or standing order
- Single or one-time order
- Stat prescription
- PRN prescription
Components of a Medication Prescription
- Client's full name
- Date and time of prescription
- Name of medication (generic or trade)
- Strength and dose of medication
- Route of administration
- Time and frequency
- Quantity to dispense
- Signature of the prescribing provider
Medication Reconciliation
- Comparing the list of the client's current medications to new prescriptions
- Process takes place during admission, transfer, and discharge
Right to Safe Medication Administration
- Right client (check client's name, assigned ID number, telephone number, ID band, check for allergies, use barcode)
- Right medication (read medication label and compare it with MAR)
- Right dose (check drug reference, have another nurse verify)
- Right time (critical: 30 minutes before, non-critical: 20-30 minutes before or after)
- Right route (oral is the most used)
- Right documentation (after administration, document immediately)
- Right client education (nurse should inform client about medication, right to refuse)
- Right evaluation (follow up with client to verify therapeutic effects and adverse effects)
Nursing Process
- Data collection (know the medication, sources include provider, nurses, physicians, pharmacists, poison control center, etc.)
- Planning (identifies client's outcomes of medication administration, set priorities)
- Implementation (avoid interruptions during medication preparation, prepare one client's medication at a time, double-check with another nurse)
- Evaluation (evaluate client's responses to medications, document and report)
Error Reporting
- Notify provider of all errors (include client's identification, name and dose of medication, time and place of incident, accurate and objective account of event)
- Do not include incident report in client's medical record
- Report all errors to facility to prepare and find ways to avoid errors
Understand the basics of medication administration, including controlled substances, FDA regulations, and pregnancy schedules. Learn about the different categories and classifications of medications.
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