Pharmacology
RIGHT ROUTE
ONE DOSAGE FORM OF MEDICATION SHOULD NEVER BE SUBSTITUTED FOR ANOTHER UNLESS PRESCRIBER IS CONSULTED
RIGHT PATIENT
CHECK IDENTIFICATION BRACELETS
CHILDREN SHOULD NEVER BE ASKED THEIR NAME AS A MEANS OF POSITIVE INDENTIFICATION
RIGHT DOSE
ABNORMAL HEPATIC OR RENAL FUNCTION
PEDIATRIC AND OLDER PATIENTS
ANY NAUSEA AND VOMITING
ACCURATE DOSE FORMS
RIGHT TIME
STANDARD ABBREVIATION FOR SPECIFIC TIME
STANDARDIZED ADMIN TIME TO MAXIMIZE DRUG ABSORPTION
MAINTENANCE OF BLOOD LEVELS LABORATORY TEST ARE USED
RIGHT INDICATION
DETERMINE WHETHER THE PATIENT HAS THE ACTUAL CONDITION THE DRUG IS INTENDED FOR
right drug
compare exACT SPELLING AND CONCENTRATION OF DRUG WITH MEDICATION CARD AND DRUG CONTAINER , DRUG LABEL SHOULD BE READ THREE TIMES
RIGHT DOCUMENTATION
SAFETY /ETHICAL CONSIDERATIONS
LEGAL CONSIDERATIONS
ALWAYS INCLUDE DATE AND TIME
DRUG NAME DRUG DOSE ROUTE AND SITE OF ADMINISTRATION
what are the high alert meds
insulin, heparin, opioid, potassium injectable, Neuromuscular blocking agents, chemotherapeutic agents
What are the five step process to medical reconciliation
develop list of medications-being administered develop a list of medications that are prescribed compare medications on two list make clinical list base off comparison communicate new list to appropriate care givers
The main advantage of using barcode scanning device
being the final safety check after the nurse verified essential information
what must the physician do
cosign and date the order within 24 hours
verbal orders
avoid whenever possible
prn
as needed
standing order
given for a specific number of doses
single order
one time
stat order
emergency
what does the documentation process needs to adhere?
The joint commission standards
whats a kardex
Large index type card usually kept in a flip file or separate holder that contains pertinent information
Pscychomotor domain
involves learning new
Affective domain
involves feeling, nerves, needs, values, and opinions
Cognitive domain
involves learning and storing knowledge