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Pharm Ch. 6
| Question | Answer |
|---|---|
| What is adverse drug event? | any undesirable occurrence related to administration of or failure to administer a prescribed medication |
| What is Adverse drug reaction? | unexpected, unattended, undesired, or excessice responses to medications given at therapeutic dosages |
| What is allergic reaction? | an immunologic hypersensitivity reaction resulting from an unusual sensitivity of a patient to a particular med |
| What is idiosyncratic reaction? | any abnormal and unexpected response to a medication, other than an allergic reaction, peculiar to an individual pt |
| What is a medical error? | any preventable adverse drug events involving inappropriate medication use by a pt or health care professional, they may or may not cause pt harm |
| with is medication reconciliation? | A procedure implemented by health care providers to maintain an accurate and up to date list of meds for all pts between all phases or health care |
| What are other types of errors? | misdiagnosis, pt misidentification, lack of pt monitering, wrong site surgery, and med errors |
| Med errors occur more in the? | Home |
| In order to prevent med errors you must? | attention must be focused on all persons and all steps involved in the med admin. process |
| the 3 drugs that cause the most severe drug errors? | CNS, anticoagulant and chemotherapeutic |
| What are "high alert" meds? | meds with potential for pt harm, are toxic, and require special care when giving |
| Many medication errors result from? | increasing numbers of drugs with similar spelling |
| what is SALAD? | sound alike look alike drugs |
| Majority of med errors result from? | weaknesses in the systems within health care organizations |
| Nurses must? | take time to report errors |
| What are the steps in the medication process? | procuring, prescribing, transcribing, dispensing, administering, monitoring |
| Half of all preventable drug errors occur when? | prescribing |
| What do computer do for med errors? | reduce them |
| A lot of hospitals have what for meds? | bar code scanning |
| Med errors in patients is reduced if pts have? | congnitive ablility and mental alterness |
| What should nurses know about answering questions? | "no question is a stupid question" |
| What improves pt care? | Communication |
| What is disruptive behavior? | personal verbal or physical conduct that affects or my affect pt care in a negative fashion |
| What are disruptive behaviors? | violence, inappropriate language or comments, sexual harassment, and inappropriate responses to pt needs tr staff requests |
| What are the catagories of med errors? | no error, med error that causes no harm, med error that causes harm, med error that results in death |
| How can med errors be prevented? | checks, correct writing, pharmacists should be consulted if concern, nurses should always check 3 times, use the "six rights" |
| What is the nurses biggest concern after meds are given? | pt's physiologic status and safety |
| What word should be avoided on a med error report? | error |
| What should documentation always be? | accurate, thorough, and objective |
| You should always document what about the pt? | changes in pt physical or mental status |
| Where should med errors not be documented? | on the pt chart |
| The healthcare improvement campaigns goal was to? | prevent the approxiamately 100,000 reported avoidable deaths |
| What are the 3 steps of medication reconciliation? | verification (collet pt med info.) clarification (review of this info to ensure meds and dosages are right) reconciliation (rerther investigation of any discrepancies and documentation of relevant communications and changes in med orders) |
| The 3 steps should be repeated when? | admission, status change, transfer, discharge |
| What does the assessment for medication reconciliation include? | open ended questions, no medical jargon, try to tell the pt to remember all meds, clarify unclear info., pt should keep a med list |
| What are the common causes of med errors? | misunderstanding abbreviations, illegibility of prescriber writing, miscommunication, cofusing drug nomenclature |
| What is the nurses first priority when an error occurs? | to protect the pt from further harm when possible |
Created by:
alicia.rennaker
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