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43 Terms
Medication administration
Critical nursing responsibility
Skillful technique and consideration of the patient’s development and safety
Institute for Safe Medication Practices (ISMP)
According to _________, most medication errors occur during administration, making adherence to safety principles essential
Medicine
A substance used to treat something other than disease
Form of liquid or pill, that is a treatment for illness or injury
Right to get considerate and respectful care
Right to information
Right to give informed consent
Right to privacy
Right to confidentiality
Right to obtain reasonable care and treatment
Right to get copies of all medical records
Right to get details of treatment cost/payments
Right to know whether the patient is part of any trial or clinical research
Right to expect continuity of care
Right to obtain a second opinion
Patients rights and responsibilities
Choose health care provider
Leave
Express grievances
Receive visitors and correspondences
Refuse participants in medical research
Information should be ____ at the ramps
Religious beliefs
Appropriate medical care and human tx
Medical records
Privacy and confidentiality
Self-determination
Information should be cler at the ____
7 rights
Serves a safety framework to prevent medication errors
Right drug
Confirm the medication name matches the order
Prevents administration of wrong medication
Right patient
Ensure medication is given to the correct patient
Use 2 identifiers (name and DOB)
Right dose
Verify the prescribed dose is accurate
Incorrect doses can cause toxicity or therapeutic failure
Right route
Wrong route can alter absorption and cause harm
Right time
Timing affects drug levels and therapeutic effect
Right documentation
Record immediately after giving it
Prevents double dosing and provides legal proof of care
Right assessment
Assess for any allergies
Right to education
Explain and share knowledge about the medication you are administering
Right to evaluation
Observe and respond appropriately to any adverse reaction
Written orders
Uses physician order sheet
Know terminology, abbreviations, symbols
Patients full name
Date & time
Drug name
Dosage
Route of administration
Time & frequency of administration
Signature of physician
7 essential parts of physician medication order
Stat order
Medication should be given immediately and only once
Single order
Given once at a specified time
Standing order
May/not have a termination date
May carried out indefinitely
Thou shalt know thy drug
Thou shalt read the label 3 times
Thou shalt clarify thy doubts
Thou shalt measure the drug accurately
Thou shalt only think of what thou art doing
Thou shalt use the medication tickler always
Thou shalt give the drug promptly
Thou shalt give the drug to the right patient
Thou shalt report errors promptly
Thou shalt chart only what thou hath given
10 commandments of medication administration
Oral
Buccal
Sublingual
Rectal
Ocular
Routes for enteral
Injection
Route for parenteral
Epidermic
Instillation
Irrigation
Route for dermal
Vaporization
Gas inhalation
Nebulization
Route for inhalation
Patch
Microneedle
Route for transdermal
Corium
Intracutaneous or intradermal
Intrathecal or intraspinal
Subarachnoid space of spine
Intraperitoneal
Peritoneal cavity
Intracardiac
Heart
Intra-articular
Cavity of a joint
Oral drug administration
Giving medication by mouth for absorption through GI tract
Small intestine
Absorption occurs mainly in the ____ due to its large surface area and rich blood supply
First-pass metabolism
Drugs undergo ____ in the liver
Topical drug administration
Application in the skin or mucous membrane for local or systemic effect
Parenteral drug administration
Delivering medication by injection, bypassing GI tract
Intramuscular injection (IM)
Injection into a large muscle mass
22-25 G
Subcutaneous injection (SC)
Injection into the adipose tissue
25-27 G
Intradermal injection (ID)
Injection into the dermis
For diagnostic purposes
26-27 G
Intravenous injection (IV)
Direct administration into a vein
18-24 G
Gauge
Diameter of the needle
Higher gauge=thinner needle
Length
Measured in inches
Determines depth of penetration