CHAPTER 5.docx

CHAPTER 5 1 milligram is 1000 micrograms. A near miss is an event or situation that did not produce patient injury, but only because of chance. Near misses must still be reported so that safety issues can be addressed and future incidents prevented. An example of awareness to minimize errors is ask...

CHAPTER 5 1 milligram is 1000 micrograms. A near miss is an event or situation that did not produce patient injury, but only because of chance. Near misses must still be reported so that safety issues can be addressed and future incidents prevented. An example of awareness to minimize errors is asking for two sound alike medications to be put in farther away bins. An example of computerized prescriber order entry to minimize errors is not having to read a physicans handwriting. If you can’t scan a medication, the patient does not get it! The pixus is an automated dispensing machine. T.A.C.I.T. stands for: Therapeutic effect Are there signs of drug allergies? Contraindications Interactions Toxicity/Overdose Make sure that we are performing our 3 checks and 2 identifiers. All the rights must be in place in order to take an order from a provider. Do not administer if you did not draw up or prepare yourself. When getting a telephone order: repeat it, spell it, and speak clearly. Do not use unapproved abbreviations in medication orders. Never put zeros at the end of the decimal in the medication order but you should always put them at the beginning of the decimal. Use generic medication names. Always listen to any concerns expressed by patients. Use only current sources to research information on medication. With high-risk medications you must always ask for a second nurse verification. Dosing is the most common medication error in peds.