Pharm lab quix

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Author:
Anonymous
ID:
262490
Filename:
Pharm lab quix
Updated:
2014-02-17 21:06:50
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Nurs Pharm lab
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Shea Nursing
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  1. Nurse’s Role in Medication Administration (5)
    • Prepare the correct medications
    • Assure correct administration of the medication
    • Document that the med was given
    • Monitor the effects/side effects of the medication
    • Educate the patient and family
  2. The nurse ____ have an order froma physician before administering any drug
    MUST
  3. Always check the____against the ____ ____ before administeringthe medication
    MAR;doctor’s order
  4. Types of Orders (5)
    • STAT
    • Routine
    • Standing
    • Once
    • prn
  5. ____ ____ ____ may take a verbalorder
    • Only registered nurses
    • Nursing students cannot take VO
  6. 7 Parts of the Order
    • Patient’s full name
    • Date and time the order is written
    • Name of the drug
    • Dosage of the drug
    • Route used to administer
    • Frequency and any special instructions
    • Signature of the person writing theorder
  7. The 7 Rights of MedicationAdministration
    • Right patient
    • Right drug
    • Right dose
    • Right route
    • Right time
    • Right indication
    • Right documentation
  8. Administering Oral Meds (8)
    • Determine if the patient can swallow
    • Patient education
    • Check 2 patient identifiers (2nd identifier will be determined by hospital policy)
    • Have client sitting upright
    • Sips of water before and after med
    • Watch patient swallow meds
    • Chart that it was given AFTER the meds are administered
    • Evaluate pt. response in 30-60 min.
  9. Sublingual Route (4)
    • Placed under the tongue
    • Should dissolve
    • DO NOT SWALLOW(effect will not be achieved)
    • Do not take a drink until med is dissolved
  10. Buccal Route (4)
    • Placed in mucous membranes of cheek until dissolved
    • DO NOT SWALLOW
    • Do not take a drink until med is dissolved
    • Alternate cheeks toavoid irritation
  11. Instilling Eye Drops (5)
    • Dominant hand holds dropper
    • Non-dominant hand gently pulls down conjunctiva
    • Place gtt in lower conjunctival sac
    • Ointment is placed along the lower eye lid on the conjunctiva
    • Never touch applicatorto eye/lid
  12. Instilling Ear Drops (5)
    • Place client in side lying position to expose ear
    • Pull pinna appropriately for age
    •    Adult – up & out Child – down and back
    • Instill drops into canal – not directly on eardrum
    • Do not touch applicator to ear
  13. Guidelines for RectalSuppository Administration (8)
    • Contraindicated in the presence of active bleeding
    • Sims position, drape for privacy
    • Remove wrapper, lubricate suppository and gloved finger
    • Slow deep breaths will relax sphincter
    • Insert suppository 4 inches in adults, 2 inches in children
    • No ambulation for at least 5 minutes after administration
    • Call light in reach if a laxative was given
    • Suppository placed in feces will be poorly absorbed, and possibly expelled prematurely
  14. Guidelines for Inhalant Medications (6)
    • Shake vigorously
    • Deep breath inhale/exhale
    • Close mouth around inhaler
    • Tilt head back slightly while inhaling for 3-5 seconds, while depressing canister
    • Hold breath for 10 seconds
    • Remove inhaler from mouth and exhale through pursed lips
  15. Pouring Oral Medications (4)
    • Remove the cap and place “up” on table
    • Face the label toward your palm when pouring
    • The bottom of the meniscus is the measuring guide
    • Read at eye level
  16. Topical Medications
    • Absorbed through the skin
    • Various forms
    • Alternate sites
    • Date/time/initial patch
    • Need to be disposedof properly
  17. The Rights of DrugAdministration 7 + 3 extra
    • Right patient
    • Right drug
    • Right dose
    • Right route
    • Right time
    • Right indication
    • Right documentation
    • Right to refuse medication
    • Right to drug education
    • Right preparation
  18. Guidelines for Medication Administration

    ____are responsible; ___ for ____ if needed
    YOU are responsible; call for clarification if needed
  19. Guidelines for Medication Administration

    Be knowledgeable;
    look up unfamiliar drugs
  20. Guidelines for Medication Administration

    Check ____ with ____
    Dr. order; MAR
  21. Guidelines for Medication Administration

    Only use meds in a ____ ____container
    • clearly labeled 
    • (send unclear containers to pharmacy for relabeling)
  22. Guidelines for Medication Administration

    Do not use liquid meds that appear ____ or ___ ____ ____
    cloudy; have changed color
  23. Guidelines for Medication Administration

    Check for ____
    allergies
  24. Guidelines for Medication Administration 

    Check the medication ___ before administering
    3x
  25. Guidelines for Medication Administration

    Check the ____ or  ____
    (NOT ____ or ____ it comes in)
    • vial; pill package
    • the box; plastic bag
  26. Guidelines for Medication Administration

    Document that the patient took the medication ____ you give the med
    AFTER
  27. Guidelines for Medication Administration

    ____ ____ your calculations
    Double check
  28. Guidelines for Medication Administration

    Only administer drugs ____  have prepared
    YOU
  29. Guidelines for Medication Administration

    ____ leave medications at the ____
    Never; bedside
  30. Guidelines for Medication Administration

    Record whenever a medication is ____ & ____
    omitted and why
  31. Guidelines for Medication Administration

    Report med errors _____ to _______ and _______
    immediately to the charge nurse and physician
  32. Guidelines for MedicationAdministration – Preventing Errors (9)
    • Consistently use the rights of Medication Administration
    • 2 patient identifiers
    • Avoid interruptions
    • Avoid interpreting illegible handwriting
    • ??? Lg/Sm doses
    • Reflective thinking after error
    • Evaluate context/situation of error
    • ID factors causing errors
    • Attend inservices about commonly used medications
  33. The Medication Reconciliation Process (MRP)
    Steps in MRP
    • Verify
    • Clarify
    • Reconcile
    • Transmit
  34. The Medication Reconciliation Process (MRP)
    When to implement
    • On admission
    • At discharge or transfer

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