HEALTH PRESENTATION
Erin Harkness
Created on November 3, 2023
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Transcript
NR 416 Medication Administration Review
Documentation
What things do you always need to know when administering medications?
6 other ‘rights’ of Medication Administration
Patient Education
RN Assessments prior to giving medication
VS and lab results
3 Checks of the medication label
Introduction
Index
You are responsible for your patient’s care. You must know what medication you are giving, what it is being given for, and the appropriateness of the medication you are administering.
Always Check Allergies. Ask the patient, check the patient’s arm band, AND verify with the MAR
At the bedside. After confirming the patient ID (full name and DOB), read the label and check the 5 rights out loud with the MAR.
Hold the medication up to the MAR and read the label out loud, checking the 5 rights out loud with the MAR. 5 Rights -- Right patient, Right med, Right dose, Right route, Right time Check expiration date. Perform any drug calculations. Do not open unit dose packets until at the beside ready to administer medications, so you can do the 3rd check and scan the medication label.
Check 3
Check 2
Check 1
At the Pyxis. Read the label out loud and compare to MAR as you select the med from the Pyxis drawer.
3 Checks of the medication label
VS and lab results: Check parameters prior to administration if the medication affects pulse, heart rate, BP, respirations or if you need to know the patient blood levels before giving a medication.
RN Assessments prior to giving medication:HOB elevated, Ability to swallow if giving PO medication, Patient knowledge about medication
Patient Education: Explain purpose and action and ask if patient has questions. Tell the patient what to expect after taking the medication.Discharge instructions and Education:
- Review techniques of medication administration
- Remind the patient to take the medication as prescribed for as long as prescribed.
- Instruct the patient not to alter dosages without consulting a physician.
- Caution the patient not to share medications.
6 other "rights" of Medication Administration
- Right reason
- Right assessment data
- Right documentation
- Right response
- Right to education
- Right to refuse
What things do you always need to know when administering medications?
- The same nurse must prepare, administer and document the medication. Do not give medications prepared by another nurse.
- Only prepare medication for one patient at a time.
- Remain with patient until all medication is given. Document after the medication has been taken.
- Medication administration may not be delegated to unlicensed personnel in the acute care setting.
- Evaluate patient response to medication within the appropriate time frame.
- Actions of the medication, and purpose of the medication for this particular patient.
- Safe dose ranges and Therapeutic effects.
- Side effects and potential adverse effects.
- Contraindications and Drug to drug interactions.
- Precautions before administering, Nursing implications and special considerations.
- Proper administration technique.
- Clarify any questions prior to giving medication. Once it is given, it is too late to check.
Documentation:• Name of the medication• Dosage• Route and time of administration• Name of person administering medication• Site used for an injection• Intentional or inadvertently omitted drugs• Refused drugs• Medication errors