med admin skils checkoff

parts of an order

1. client identifier

2. date and time

3. name of medication

4. dosage of medication

5. route of administration

6. frequency of administration

7. signature of provider

types of orders

1.routine/ scheduled/ standing

2.PRN (as needed)

3.STAT

4. One time

NO TRAILING ZEROS

3 CHECKS FOR MEDICAL ADMINISTRATION

1. when RN reaches for the unit dose package

2. after retrieval , during preparation

3. just before giving the dose to the patient

9 rights of administration

1. patient

2. medication

3. dosage

4. route

5. time

6. reason

7. assessment

8. documentation

9. response

extra rights

right to education and right to refusal

controlled substances

narcotics, depressants, stimulants, hallucinogens, anabolic steroids

medication reconciliation 3 big errors

1. omission → forgot to reorder chronic meds during hospitalization

2. duplications → client takes two of the same during stay

3. interactions → 2 meds cause a negative interaction

SALAD

sound alike look alike drugs

interactions

drug-drug, drug-food, drug-condition

patient

is it the right patient> identify and scan bracelet

medication

is it the right medication? generic name and trade, r u giving the correct med

dosage

right dose? does the dose match the order , is the dose within the safe range

route

is the route correct? does the formulation match the order? is the dose within safe range ?

time

right time? is the time frame valid, miliaytry time

reason

right reason? does the patient health status warrant the drug

assessment

is it safe? check for allergies, look at the labs, vitals, pain, hold parameters,

documentation

document. it correctly after administer, paper chart, MAR

response

right respojse>? adverse effects? was the med therpatuic ?

prescriber→ pharmacist→ nurse