Drug Safety and Nursing Process
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What are the main areas of client medication teaching?
- General Information
- Side effects
- Cultural considerations
What are the steps of the Nursing process?
What are the FIVE rights PLUS of drug administration?
- RIGHT Client
- RIGHT Drug
- RIGHT Dose
- RIGHT Time
- RIGHT Route
- right assessment
- right documentation
- right evaluation
- right to refuse
What are some abbreviations that should NOT be used?
- every day or daily
- international unit
- morphine sulfate
- magnesium sulfate
What is ave cost of each reported med error?
Where is a discription of the legal scope of nursing practice in each state?
Nurse Practice Act
What is max award for serious med error?
over $3 million
Howmany hospital deaths were attributed to hospital errors in 1999?
44k to 98K
Med errors involve which meds most often?
Chemo-drugs, antibiotics, vaccines and CNS drugs
What is the most common type of med error?
What are the 5 RIGHTS of drug administration?
- right CLIENT
- right MEDICATION
- right DOSE
- right ROUTE
- right TIME
What are the responsibilities of the nurse in medication administration?
- know med NAME
- know med INTENDED USE
- know med EFFECT ON BODY
- know med CONTRAINDICATIONS
- know med SPECIAL COSIDERATIONS
- know WHY MED IS PRESCRIBED
- know HOW MED IS TO BE ADMINISTERED
- know ADVERSE AFFECTS
- know 5 RIGHTS
What are the signs of anaphylaxis?
What are ways that you can be sure you have the right client?
- Date of birth
How soon must a phone or verbal order be signed by HCP?
What information must be included on a med order?
- patient's name
- drug name
- date and time of order
- frequencey and drration of admin
- signature of HCP
What are the four main categories of drug orders?
What factors contribute to med errors?
- Omitting 5 rights
- Failure to perform agency check
- Failure to account for client varibles (weight, age, rena/hepatic function)
- Giving meds based on phone or verbal orders
- Giving meds based on illegible or incomplete orders
- Practicing under stressful work situation
What should be included in Assessment to avoid drug errors?
- Use of OTC meds
- Client education
- Indication for use
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