Questions and Answers
Which of the following are included in the six rights of medication administration? (Select all that apply)
What is the first right of medication administration?
Right Patient
What should you do if you don't understand the medication order?
Ask the healthcare provider who wrote it
What is the purpose of using at least 2 identifiers before administering medication?
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What should be done if a medication order does not specify a route?
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Why is it important to document medications accurately at the time of administration?
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The unit dose system is designed to increase medication errors.
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You should compare the label of the medication container with the MAR __ times.
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Pediatric patients are often at risk for medication errors when liquid medications are given orally.
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Study Notes
Six Rights of Medication Administration
- Right Patient: Verify identity using at least two identifiers (name, ID number, birthdate) at the patient's bedside.
- Right Medication: Ensure there is a written order; clarify any unclear prescriptions with the healthcare provider.
- Right Dose: Utilize a unit dose system to minimize errors and have a second nurse verify calculations or conversions.
- Right Route: Always confirm the designated route; consult the prescriber if unspecified or incorrect.
- Right Time: Administer medications within a 30-minute window before or after the scheduled time; prioritize time-critical medications.
- Right Documentation: Document medications immediately after administration, including the medication name, dose, time, and route.
Right Medication
- Confirm the order matches the Medication Administration Record (MAR) before preparation and administration.
- Perform a triple check of the medication label against the MAR at three stages: before removing, during preparation, and at the bedside.
- Address and recheck any patient concerns about medications before administering.
Right Dose
- Employ accurate measurement tools like graduated cups and syringes to ensure correct dosing.
- Certain medications, especially extended-release forms, cannot be crushed; always check compatibility before doing so.
- Encourage verification of medication calculations by another qualified nurse to enhance safety.
Right Patient
- Use patient identification methods, including wristbands and bar-code scanning, to ensure the right individual receives the medication.
- Always double-check patient identity before administration.
Right Route
- If the route is unclear or inappropriate for a patient (e.g., oral for NPO), immediately consult the prescriber for clarification.
- Be particularly mindful of children, as they are often given liquid medications orally, which might not align with their needs.
Right Time
- Understand the importance of timing for specific medications and their implications on patient care.
- Be aware of hospital protocols for time-critical medications that require strict adherence to administration schedules.
Right Documentation
- Always record medication details directly after administration to maintain accurate patient records.
- Check for discrepancies in documentation and correct them before giving medications, ensuring all necessary details are included.
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Description
Test your knowledge on the crucial Six Rights of Medication Administration to ensure patient safety. This quiz covers the right patient, medication, dose, route, time, and documentation. It's essential for healthcare professionals to understand these principles to minimize medication errors.