Medications like blood pressure medications always warrant a quick blood pressure check before giving a blood pressure medication. I would use measuring devices and conversions to calculate the correct dose and be sure to know which drugs can and cannot be crushed such as extended release tablets or specially coated tabs. This means that the hospital formulary, a Physicians Desk Reference and a current nursing drug reference book need to be available to nurses who administer medications. Will this take additional time? Do not break pills in half or take more or less than the doctor wants you to. Nurses who write orders for physicians are placing their license and their patients at risk. Repeated breaks in the system can only be fixed if at first it is identified. It is also okay to take your time and let others know that they need to be patient until you are finished with what you are doing.
If the patient questions the drug, recheck and check again the medication and the doseage. Medications may be given on half hour before or after the time prescribed. Six Rights of Medication Administration Six Rights of Medication Administration 1. Drug approach and Right to Refuse. First developed to dispense narcotics, these automated systems can be programmed to allow nurses access to many other types of medications. These look-alike medication names may also sound alike and can lead to errors associated with verbal prescriptions. Sometimes, the nurse is told there is no one from pharmacy available to deliver the medication.
Right medication, right route, right date, right documentation, right dose, right time B. Can you explain your instructions more clearly? My name is Michelle Colleran Cook. This helps to reduce errors and confusion. It is when the error comes all the way to administration that the most harm occurs. I would also use the right time in making sure that I know when a patient has received their medications and when their next ones are due. This hurried atmosphere places the nurse in a position that she may make a medication error in her haste.
If you don't, you run the risk of you or someone else causing a medication error because they didn't know that the drug had been given or you didn't remember that you gave the drug! Can I be trained to give it to myself? Routes of Administration Oral By mouth By Gastric tube By Nasogastric tube Buccal Sublingual 3. Check your dose against what is ordered on the Medication Administration Record and be sure that the dose is within the limits for the patient's weight. The right patient, the right drug, the right dose, the right route and the right time form the foundation from which nurses practice safely when administrating medications to our patients in all health care settings. Nurses would rather fix it themselves. These medicines do not only put an abrupt end to your condition but also helps you in boosting your libido and increasing your testosterone level. The Massachusetts Hospital Coalition recommends physicians use computers to directly order medications.
Despite all of the above, it may seem that giving patients medicine is not a particularly difficult task—but it is one with life and death implications. Confrontation is not easy for nurses. Educating individual on medication being administered … 6. Your input is of tremendous value to all. If the prescribed route is not the recommended route the nurse should double check with the prescriber. Check your pills and your prescription label carefully to make sure you have the right medication.
Be sure that medications ordered q8 hours are actually timed for q8 hours. Just as nurses know the five rights of medication administration, they should also know what rights they have when administering medications. There are many drugs that are spelled almost the same, but this does not mean that they are the same drug or that they are interchangeable. Medication administration is probably one of the scariest things to learn as a new nurse and it is also probably one of the most dangerous. You have to take every dose on time, and you must take all of it until the prescription is gone. Right Medication When your doctor prescribes a medication, there will be a prescription label on the bottle. I will also research the drug before administering it to know the recommended drug dosage range for the drug.
There may be circumstances which cause a delay or omission of a medication such as laboratory or diagnostic tests, and you must be sure to document this. Let them know what they are and have them tell you if they feel an unwanted reaction to the medication. Give the client enough autonomy to refuse to the medication after thoroughly explaining the effects. Cefoxitan and Cefotetan may look alike when hand written but confusing one drug for the other results in the patient receiving the wrong medication. Some facilities require the following drugs to be checked by a colleague: 1.
If you do have an actual medication error, contact the provider and your manager right away. Now, in an attempt to address missing or incorrectly dispensed medications, and decrease the turnaround time of getting the correct drug to the patient, they are being used widely in acute care hospitals as quasi satellite pharmacies. Another recommendation from the Massachusetts Hospital Coalition states that a unit dose system of medication can decrease the number of medication errors. Then, once I have documented the medication, I put another line through it making an X. Author Lynda is a registered nurse with three years experience on a busy surgical floor in a city hospital.
Doctors, nurses, and other healthcare providers are trained in how to give you medication safely. Also, if your drugs do come up ready to give from pharmacy, ensure that the dose ordered is actually what is in the syringe. Never give a drug via another route other than what is ordered unless you check with the provider or the pharmacy. The administration of … 6. For all medications, you should only give the dosage described in the prescription label or other instructions. Most commonly errors occur in prescribing, transcribing, dispensing, administering and monitoring medications. Administration errors are the only ones that no-one else can fix.
Anitbiotics should be administered at regular intervals. With decreases in licensed staff and organizational support and increasing patient acuity, nurses still manage to do it all. They come in lots of different forms and we take them in many different ways. Ordering the wrong medicine accounts for almost half of all medication errors. All outdated drugs should be thrown away or sent back to the pharmacy, whichever is the policy of the facility.