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Medication Orders
Chap. 35
| Question | Answer |
|---|---|
| HOW ARE MEDICATION ORDERS USUALLY GIVEN AND BY WHOM? | WRITTEN BY A PHYSICIAN OR NURSE PRACTITIONER OR A PHYSICIAN'S ASSISTANT |
| ORDERS CAN SOMETIMES BE GIVEN THIS WAY... | BY VERBAL AND TELEPHONE ORDERS |
| STUDENT NURSES MUST NEVER DO WHAT IN REFERENCE TO TAKING A ORDER | TAKE A VERBAL OR TELEPHONE ORDER |
| FOUR COMMMON MEDICATION ORDERS ARE: | STAT ORDER, SINGLE ORDER, STANDING ORDER, PRN ORDER |
| THIS ORDER PERMITS THE NURSE TO GIVE A MEDICATION WHEN, IN THE NURSE'S JUDGMENT, THE CLIENT REQUIRES IT | PRN ORDER (AS-NEEDED ORDER) |
| THIS ORDER INDICATES THAT THE MEDICATION IS TO BE GIVEN IMMEDIATELY AND ONLY ONCE | STAT ORDER |
| THIS ORDER IS FOR MEDICATION TO BE GIVEN ONCE AT A SPECIFIED TIME | SINGLE ORDER |
| THIS ORDER MAY OR MAY NOT HAVE A TERMINATION DATE. IT MAY BE CARRIED OUT INDEFINITELY UNTIL AN ORDER IS WRITTEN TO CANCEL IT, OR IT MAY BE CARRIED OUT FOR A SPECIFIED NUMBER OF DAYS | STANDING ORDER |
| THE DRUG ORDER HAS SEVEN ESSENTIAL PARTS. THEY ARE: | FULL NAME OF THE CLIENT; DATE AND TIME THE ORDER IS WRITTEN; NAME OF THE DRUG TO BE ADMINISTERED; DOSAGE OF THE DRUG; FREQUENCY OF ADMINISTRATION; ROUTE OF ADMINISTRATION; SIGNATURE OF THE PERSON WRITING THE ORDER |
| TRUE OR FALSE. A ORDER THAT IS UNSIGNED IS VALID AND MAY BE CARRIED OUT. | FALSE. AN UNSIGNED ORDER HAS NO VALIDITY, AND THE ORDERING PHYSICIAN MUST BE NOTIFIED. |
| THE ORDER IS WRITTEN ON THE CHART BY WHOM? | PCP OR NURSE RECEIVING A TELEPHONE ORDER OR VERBAL ORDER FROM A PCP |
| THE SPECIFIED TIME FRAME IN WHICH THE PCP ISSUING THE TELEPHONE OR VERBAL ORDER MUST COSIGN THE ORDER WRITTEN BY THE NURSE IS... | 24 TO 48 HOURS |
| THE ORDER IS COPIED BY A NURSE OR CLERK TO ... | A KARDEX OR MEDICATION ADMINISTRATION RECORD (MAR) |
| TRUE OR FALSE. MEDICATION ORDERS MAY BE ON A COMPUTER PRINTOUT INSTEAD OF COPIED BY HAND? | TRUE |
| WHEN SHOULD A NURSE QUESTION THE PCP? | WHEN ANY ORDER IS AMBIQUOUS, UNUSUAL, OR CONTRAINDICATED BY THE CLIENT'S CONDITION |
| TRUE OR FALSE. OCCASIONALLY CHECK NEW ORDERS WITH THE PCP'S WRITTEN ORDER? | FALSE. ALWAYS CHECK AND DOUBLE CHECK NEW ORDERS WITH THE PCP'S WRITTEN ORDER |
| WHEN THE NURSE JUDGES A PCP'S ORDERED MEDICATION INAPPROPRIATE, THEY SHOULD DO WHAT? | CONTACT THE PCP AND DISUSS THEIR RATIONALE FOR THE BELIEF; DOCUMENT WHEN PCP WAS NOTIFIED, INFO CONVEYED, AND HOW THE PCP RESPONDED; DOCUMENT ATTEMPTS TO REACH PCP IF COULDN'T CONTACT AND REASON WITHHOLDING MEDS; FOLLOW HOSPITAL PROTOCOL |
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