ATI NURSING MATH BASICS (IMPORTANCE)

intravenous

delivers fluids and medications quickly into a vein.

medication error

error that occurs during any step of the medication administration process, from when the provider prescribes a medication until the client receives the medication.

adverse drug event

Harm is experienced by a client after exposure to a medication.

drug interaction

The effect that two or more medications administered to a client have on each other.

computerized provider order entry

A provider enters the medication prescriptions directly into the client’s electronic medical record.

automated medication dispensing system

A locked medication storage machine that controls the dispensing of medication linked to a client’s electronic medical record.

barcode medication administration

A handheld scanner device used to scan a client’s identification wristband and the medication label. If there is a discrepancy between the scanned medication and the client’s bracelet, the system will alert the nurse to the discrepancy.

smart infusion pumps

Intravenous infusion pump system linked to a client’s electronic medical record that calculates dosages based on the prescription and alerts the nurse to out-of-range prescriptions.

workaround

The practice of avoiding a policy or procedure in a system that is there to protect client safety.

Right Client

Nurses should ensure the medication is administered to the correct clients by verifying their identity with at least two identifiers such as the client's name and date of birth.

Right Medication

Nurses should confirm that clients receive the prescribed medication by checking the medication against the medication prescription.

Right Dose

Nurses should confirm that clients recieve the correct dose as prescribed by the provider. Nurses should verify medication calculations to ensure that clients receive the correct dose.

Right Route

Nurses should ensure that the medication is administered to clients by the correct route as prescribed by the provider, such as orally or intravenously.

Right Time

Nurses should administer the medication at the scheduled times the medication is prescribed.

Right Documentation

Nurses should document the administration of the medication accurately and timely in clients’ medical records.

Right Assessment

Nurses should confirm clients’ allergies and that the medication is appropriate for clients based on their assessment, lab work, and other medications.

Right Evaluation

Nurses should monitor clients to assess for any adverse effects or a therapeutic response to the medication after it is administered.

Right to Refuse

Nurses should recognize clients’ autonomy to refuse the administration of the prescribed medication.

Right to Education

Nurses should provide clients with education about the medication which includes its purpose, the dose, administration instructions, and adverse effects.

Just Culture

team members are encouraged to report errors or near misses without fear of consequences.

near miss

An unsafe situation where a client was exposed to a possible medication error but it was caught before the client experienced harm.

fluid loss

A deficit in fluid volume in the body, usually caused by vomiting, diarrhea, or bleeding.

fluid overload

Develops when a client receives too much fluid. Manifestations can include swelling of the lower extremities and crackling sounds in the lungs.

what is an indication of fluid balance?

weight

what unit do you document a patient’s weight?

kg

side effects

Unintended and nontherapeutic effects of medication that can range from tolerable to harmful.

psychomotor domain

includes skills that a client needs to administer their medication

affective domain

includes an understanding of the client’s beliefs and attitudes about their medication. The nurse should explore if any barriers could affect the client’s ability to administer their medication as prescribed.

cognitive domain

includes knowledge that a client needs to obtain about their medication. The client needs to understand the indication, or reason, for the medication, the dosage of the medication, and the side effects of the medication