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What does the abbreviation AC mean?
What is the official name of a drug?
Name listed in official publication PDR
Which two drug names are used interchangeably?
How medication errors can a hospitalized patient expect?
One per day
How many medication errors are preventable?
53% - 58%
How many mediation errors do nurses catch at the bedside?
Number one reason nurses miss/make medication errors?
Distraction while administering meds
Number one med that is mistaken?
What is a sentinel event?
An event that occurred that resulted in death, paralysis or coma
Three things you have to tell the patient when administering meds?
- Tell patient what you are giving them
- Why you are giving it to them
- And side effects
Who can prescribe medication?
- Dentists ??
- Nurse practitioners
What drugs have potential for abuse or addiction?
What are often the automatic stop orders for controlled substances?
72 or 96 hours (within 4 days)
What percentage of nurses use controlled substances?
How many RN’s must witness waste of controlled substances?
Five ethical principles used as guides to make decisions?
What is the difference between adverse effect and toxicity?
Toxicity is a result of excessive levels
What eight factors determine the action of medication?
- Physiological effects
What is intracardiac administration?
What is intrathecal/intraspinal administration?
What is intra-arterial administration?
What is intraosseous administration?
What is epidural administration?
What are the 7 components to an order?
- Ful name of patient
- Date/time order was written
- Name of drug to be administered
- Dose of drug
- Frequency of administration
- Route of administration
- Full signature and credentials of person writing order
What is medication reconciliation?
The process of creating the most accurate list possible of all medications a person is taking
At what point does a patient need to have a medication record when hospitalized?
Within the first 6 hours
Where are medication cabinets found?
- In patients room
- In medication room
What are the seven types of orders?
- Verbal (dangerous)
- Telephone (taboo)
- Single dose
In what situations can verbal orders be given?
What are the 10 rights of medication administration?
- 1.Right patient (allergy & ID band)
- 2.Right drug
- 3.Right dose
- 4.Right route
- 5.Right time
- 6.Right to Refuse
- 7.Right Assessment
- 8.Right Education
- 9.Right Evaluation
- 10.Right Documentation
What are the three checks?
- Check in med room
- Check MAR
- Check at bedside
What position should a patient be in to receive oral meds?
Can two routes of administration be included in one order?
No. It must be written in two orders
What size needle is usually used in deltoid?
23 gage 1 inch
What size needle is usually used in leg?
21 gage, 1.5 inch
Mnemonic to remember needle gage
- Blue 22
- Green 18
- Pink is 20 (in the middle and it doesn’t rhyme)
Standard Administration for Heparin
- 3 ml syringe
- 25 5/8inc needle