8 Rights of medication administration and the role of the nurse and midwife in this process

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Last updated 6:38 AM on 5/21/26
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21 Terms

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Who prescribes medications?
Doctor, nurse practitioner, or certified midwife
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Who stores, dispenses, and reviews medications?
Pharmacist
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Who administers medications?
Nurses and midwives
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What guides each clinician’s role and responsibilities?
Legislation and professional standards of practice and conduct
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What are key responsibilities of nurses and midwives in medication administration?
Critically review prescriptions, ensure legality, assess patient condition, monitor before and after, and check for drug interactions
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Why must nurses review dosage and route?
To ensure appropriateness and adjust if needed based on patient circumstances
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What does accountability mean in medication administration?
Being legally answerable for actions and decisions related to drug administration
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What does responsibility mean in medication administration?
Fulfilling professional duties safely and ethically
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What are the 8 Rights of Medication Administration?
Right patient
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Why is the “Right to refuse” important?
It protects both patient autonomy and nurse/midwife professional judgment
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What should a nurse do if there is a problem with a medication order?
Stop and clarify with the prescriber before administering
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What must nurses do if they suspect an error?
Escalate the issue to the prescriber for clarification
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Why should poor prescription practices never be tolerated?
They pose serious safety risks and violate professional standards
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Can a nurse refuse to administer a medication?
Yes, if based on knowledge the medication may be harmful
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How are Schedule 4 medications usually checked?
By one nurse or midwife (some may require double checking)
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How are Schedule 8 and 11 medications checked?
By two nurses or midwives
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How are paediatric medications checked?
Always by two nurses or midwives
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What are key therapeutic medication resources?
Australian Medicines Handbook (AMH), MIMS Online, Therapeutic Guidelines, Paediatric Handbook, and Royal Children’s Hospital resources
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What is MIMS Online used for?
To access drug information, interactions, and clinical resources
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What is the Australian Medicines Handbook (AMH)?
A professional reference providing evidence-based drug information including mode of action, dosage, and interactions
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