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the six rights
right person/ individual
right medication
right dose
right time
right route by mouth
right chart
3 way check
pmof
mar
pharmacy label
pmof
physicians medication order form, never give or chart without pmof, valid for 90 days
mar
medication administration record
pharmacy label requirements
must match pmof and mar
blister pack
always check label, must match pmof and mar, dont pull and punch when giving meds
creams and liquids
creams, lotions and water and mouthwash are also considered medications if prescribed
control medication
count before and after shift, sign on control sheet and mar
when to call nurse
appears restless and drowsy, sweating profusely, shaking or trembling, drooling, confusion, refused to take meds, trashes meds
home supplies
make sure you always have a weeks worth, call coordination before supplies run out
inventory
keep list of important supplies, check needle box at least 2 times a week
medication key
always keep the keys with you, out of sight, give keys to on coming staff upon request
medication cabinet
always keep locked, clean, dont leave unattended, check for expired medication and inform the coordinator
the pharmacy
check the medication before the deliverer leaves, make sure it was sent to the right place
medication errors
charting, failure to give medication, wrong medication
consequences of errors
counseling, reprimand, suspension of privileges until completion of class, report to board of nursing
nurse notification
call bc of medication questions, injury or illness, individual refuses medication or treatment, client goes and returns from ER
before leaving appointment or hospital
ask if there are new changes or new medication, ask for PMOF or prescription
2 years update
dont wait till last minute to renew license
a.c
before meals
AM
in the morning
b.i.d
twice a day
h
hour
h.s
at bedtime
npo
nothing by mouth
Ophth
for the eye
OU
both eyes
p.c
after meals
PM
afternoon
p.o
by mouth
p.r.n
as needed
q
every
q.day
once a day, every day
q 2 h
every 2 hours
q 3 h
every 3 hours
q 4 h
every 4 hours
q.i.d
four times a day
q.o.d
every other day
q.h.s
every hour of sleep
stat
immediately, one time only
sublingual
under the tongue
t.i.d
three times daily
t.i.d
three times daily
topical
applied directly to the skin
5ml
5cc
1 tsp
5cc/ 5ml
3 tsp
1 tablespoon
1 tablespoon
15cc/15 ml
capsule
cap
tablet
tab
elixir
elix, or El.
solution
sol
ointment
oint.
suppository
supp.
suspension
susp.
subcutaneous
sc or sq
intramuscular
IM
gastrostomy tube
gt or peg
per rectum
pr
intravenous
IV
vaginal
vag
drop
gtt
right eye
od
left eye
os
right ear
ad
left ear
as
both ears
au
medication omission
refuses med, med not available, order to omit med, order to stop med, med discontinued, client not in unit, forgot to give med, vomit and med seen, leave of absence, med contaminated, med expired
medication error
wrong patient, wrong route, wrong med, wrong time, wrong dosage, wrong charting, no 3 way check
prn/ start order
dont circle mar, turn to the back
transcription of medication orders
name of med, dose, route, times/frequency, start date
DIASP
dispense
q.a.m
every morning