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Chap - 7


includes purpose, potential side effects, cautions, & contraindications, & possible interactions up-to-date information about medications
wisdom/judgment to accurately assess patient's needs for meds, evaluate patient response to meds, & plan appropriate interventions, as needed, are part of the responsibilities for safe & accurate medication administration
part of the responsibilities for safe & accurate medication administration includes __ __ __ of medication accurately, in best interests of patient, & with accurate documentation skill of delivery
providing necessary info to patient/family about why, how, & when meds are administered & potential side effects/precautions w/administration by the lay person, is part of patient education
knowledge of __ used drugs of the systems is imperative typical
involves taking a complete history, including all medical conditions, allergies, & all other meds in use (OTC, vitamins, etc.) assessment
when assessing medication administration careful observation of the patient's vital signs, posture skin temp./color & facial expressions should be done before & after administration
requires judgment in timing, discontinuation of meds if required, & taking steps to counteract adverse reactions, as well as knowing what/when to report to physician appropriate interventions
plays vital role for all health care providers in planning effective drug therapy evaluation & documentation of results
the goal of delivery of medication is to maximize effectiveness of the drug w/ least ___ to the patient discomfort
__ to the unique needs of each patient is encouraged sensitivity
always required for all meds given, as well as for patient education provided documentation on the patient's record
controlled substances given MUST be recorded in a narcotics record
more medication errors are reported, and the risk is greater, in the acute care setting
patients in acute care care setting are often older adults
older adults are more likely have chronic medical conditions requiring multiple medications
meticulous care in the preparation & administration of meds reduces the chance of errors
if a mistake is made it is not only required, but also CRITICAL, to __ __ immediately to person in charge report it
when reporting medication errors reporting it allows for the person in charge to take corrective action
should reflect the corrective action taken for justification should there be any case of legal proceedings patient's record
legal requirement which must be completed, in addition to documenting patient's record incident report
risk of: increased possibility civil suits against provider, &/or loss of professional license/certificate, as well as jeopardizing patient's welfare failure to report errors
honesty is not only the best policy, it is the __ __ for moral, ethical, & legal reasons only policy
it is practitioner's responsibility to provide for patient's safety & quality care at all times
US Pharmacopoeia (USP) has established this as part of the goal, to provide for patient's safety & quality care & reporting of medication errors Medication Errors Reporting (MER) Program
accounts for approximately 1/4 of all reports to MER similarity of drug names (written or spoken)
USP Quality Review Report, published by MER, listing many similar drug names that have led to medication errors Use Caution--Avoid Confusion
essential to safe administration of medicines cleanliness
necessary for safe administration of medications organization
should be well lighted & away from distracting influences preparation areas
medication, amount, time, route, patient, & documentation Rights of Medication Administration
carefully compare name of drug prescribed w/label on package Right medication
it is essential to __ every letter in the drug name when comparing medication ordered with medication on hand scrutinize
when comparing drug ordered to drug on hand accuracy can be facilitated by placing them next to each other
NEVER give medications that someone else has prepared
NEVER leave medication __ unless specifically ordered by the doctor bedside
never ___ a unit dose packet until the patient is prepared to take the dose open
an unusual dose should alert you to an error
is an important part of the drug dosage, which includes amount, frequency, & # of dose to be administered time for administration
drugs must be given on a prescribed schedule in order to maximize effectiveness
is important because of its effect on degree of absorption, speed of drug action, & side effects route of administration
if no route of administration is specified, on physician's order, the __ route is used, unless conditions warrant otherwise oral
route of administration may not be changed without physician's order
determines patient to receive medication be identified by use of certain techniques to reduce chance of error Right patient
when determining Right patient this should be checked first and before medication administration patient's wrist ID band
when determining Right patient in an ambulatory setting a health care worker would check the chart against the patient providing their name and date of birth
in addition to documenting the patient's record, the person administering medication must __ or __ after administration sign or initial
if narcotics are destroyed because of partial dose, cancellation, or error 2 health care workers must sign as witnesses of disposal of drug
form issues by FDA in 1993 to assist health care professionals in reporting serious, adverse events or product quality problems associated w/meds, medical devices, or nutritional products regulated by FDA MED WATCH
clinical trial, which precede FDA approval cannot uncover every problem that can surface once product is widely used
MED WATCH encourages health care workers to regard __ __ part of the professional responsibility voluntary reporting
increasing the # of meds patient receives increases risk of interactions, side effects, & __ __ __ in medication administration risk of error
when preparing to administer medications, the __ __ to keep in mind are cleanliness, organization, & preparation area basic principles
primary responsibility of health care worker in providing safe & accurate administration of medications adequate & up-to-date info about all medications to be administered
factors the health care worker should consider when deciding upon time to give a medication, if order does not indicate a specific time for medication administration purpose, action, & side effects of medication
the action that the health care worker should take next, once a medication is administered evaluate effectiveness of medication
the best way for a health care worker to ensure that the correct amount of a medication is administered compare prescribed dosage with dose on medication container label
safe administration of medications requires training to develop skills in __ of medications delivery
if when a health care worker is preparing a liquid medication for administration, they find that the label is no longer legible they should obtain a new medication bottle with legible label
a patient has been prescribed an oral medication, but develops severe nausea and vomiting. Med is available in parenteral form, so the worker should ask physician to change prescribed route for administration
if a colleague who has prepared a medication for administration, is called to answer phone call and asks you to deliver medication, you should not administer the medication
administration of medications by the health worker carries __, __, & __ responsibilities moral, ethical, & legal