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Med Admin

Medication Administration

What does the FDA regulate or monitor? * Regulate production and distribution of meds. * Monitors drug efficacy and safety * Controls testing of meds * Does not regulate herbal remedies and some naturopathic supplements
Review steps for administering meds. (end of chp 36).
What are some common causes of med errors? Ordering or prescribing the wrong drug, dosage or route. (Physician) * Transcription errors (Physician, clerk) * Dispensing errors (pharmacy and tech * Administration errors (Nurses) Highest percent of errors.
What are the components of the med order? * Clients full name * Date and time order was written * Name of medication * Dosage size, frequency, number of doses * Route of administration * Indication (mostly PRNs) * Signature of prescriber
What is the Nurse Practice Acts include? RN scope of practice includes administering prescribed aspects of care (e.g. treatments, therapies, and medications.) * Clarifies health care provider orders when needed.
What are some guidelines for safe use of ET Tubes for admin. meds?? * Do not add meds directly to feeding * Each med separately * Dilute solid or liquid medications as appropriate * Avoid mixing medications being administered through an ET Tube. * Stop feeding-Flush w/15mL before and after each med. * Flush again. C
Continued............ * Restart enteral feedings when appropriate. * Collaborate with your pharmacist.
What are some important points to remember about ET Tubes? * Follow hospital policy and procedure. * Verify placement using two methods. * Crush meds thoroughly - no enteric coated * Prepare Singly * Check residual for any type of feeding or decompression tube * Notify Pharm what meds are used with tube feed
Continued............ * some meds such as Dilantin are a problem due to slow absorption.
What are some of the Parenteral medications? * Intradermal * Subcutaneous * Intramuscular * Intravenous
List the different Parenteral sites. * Deltoid IM (.5 to 1mL of fluid) 3 finger widths below process. * Ventrogluteal IM *Vastus Lateralis IM (mid thigh, lateral from midline)
Define a medication error A preventable event that leads to inappropriate medication use or patient harm.
What is the estimation of people harmed every year? 1.5 mil
What are the Three Checks used to assure safety when giving meds? * BEFORE YOU POUR (check med label w/ Med Admin Record * AFTER YOU POUR (verify the label with the MAR * AT THE BEDSIDE (check the medication again)
What are the Six Rights? * Drug * Client * Dose * Time * Route * Documentation
What are some other Rights? * Reason * Right to know * Right to refuse
List five High alert medications. * Heparin * Insulin * Lidocaine * Magnesium Sulfate * Potassium Chloride and Potassium Phosphates * Sodium Chloride * Warfarin
What are three safety steps taken with Narcotics? * Double Locked * Narcotic Counts * Wasting Narcotics
What are some patient teaching points? * Explain Purpose, side effects, drug interactions * Explain how drug is prescribed and when to take * Take as prescribed * Ways to minimize side effects * Cultural issues related to taking meds. * Self administration if appropriate.
List some adverse drug effects. * Side effects * Adverse Reactions (harmful to body) * Toxic reactions * Allergic reactions * Idiosyncratic reactions * Cumulative effect (increases w/added doses)
What are the three types of drug interactions? * Antagonistic * Synergistic * Incompatibilites
What do you do when you commit a med error? * immediately assess the patient's VS and physical status. * Report findings to PCP. * Notify nurse manager * Check with institution for policy and procedure.
What are the Nursing Actions to prevent Med Errors? * Check Physicians order against MAR * Follow 6 rights * Check for compatibility * Check for bioavailability * Verify any allergies * Explain rationale to Pt. * Perform assessments needed prior (VS) * Document medication administration immediately
Created by: zj mepn