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Dosage Cal 1
Introduction terms
| Term | Definition |
|---|---|
| Legibility | The order cannot be read due to handwriting |
| Prescriptive | The drug selection is incorrect based on the clients\'s allergies or other indications such as the wrong dose, form, quanity, route, and other things |
| Communication | a lack of understanding the correct order; confusion over look alike and sound alike medications |
| Transcription | The order was transferred onto another source incorrectly |
| Preparation | the wrong dilution or solution was used |
| Administration | given at the wrong time via incorrect route |
| Wrong patient | the medication was not given to the client in which it was intended |
| Distraction | something else required the prescriber, transcriber, or nurse's attention |
| Fatigue | lack of sleep on behalf of the prescriber or nurse |
| Lack of knowledge/understanding | the prescriber and/or the nurse was not aware of how the drug works, its various names, the side effects or contraindications or unsure of how to adminster the medication; that also includes using the wrong equipment |
| Incomplete Client-Information | due to incomplete reconciliation of medications, health problem or separation of clients with the same names, could also include the wrong client weight |
| Memory Lapses | forgetting some information such as allergies or failure to administer |
| Systematic Issues | Improper storage, preparation, and availability |
| a. Inform the provider with all known/suspected allergies and reactions b. Provide an up to date list of all prescriptive and OTC medications as well as any herbal agents and supplements C. make sure all healthcare providers know your health problems, | Client-Centered Prevention |
| A. Use client specific identifiers usually name and date of birth B. Verify client allergies and reactions C. Verify client health condition D. Reconcile all medication lists E. Use drug references F. Read back orders for any verbal or telephone or | Nurse Centered Prevention |
| Rights of Medication | The right patient must receive the drug in the right amount by the right route at the right time followed by the right document (CDDRTD) |
| 1. Checking for 2nd dose 2. Instruct the pt about drugs use 3. observe for side effects | Nurse's Responsiblility |
| 1. Compare current meds they take 2. Compare OTC and prescriptive meds with pt 3. verify all allergies known and suspected with pt to avoid rx | Medication Reconcilation |
| 1. Keep problematic medications separated 2. Make sure medications are available when needed 3. Tall man lettering | System Centered prevention |
| 1. Check the client 2. Notify the healthcare provider 3. Complete the occurence/event incident 4. Continue to monitor the client | What to do when Mistakes happens |
| Environment | this includes think like temp, noise level, and pace of the workplace setting |
Created by:
Denaria_
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