Three checks of medication administration. Medication Administration NCLEX Flashcards 2022-10-17
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Medication administration is a crucial aspect of healthcare, as it involves the distribution of prescribed medications to patients to manage their health conditions. Ensuring the proper administration of medications is essential to ensure the safety and effectiveness of treatment. To ensure the proper administration of medications, it is important to follow a series of checks to ensure the safety and accuracy of the process.
One of the first checks in medication administration is to verify the patient's identity. This is important because it ensures that the medication is being given to the correct patient, who has been properly diagnosed and prescribed the medication. To verify the patient's identity, healthcare professionals may use a variety of methods, such as asking for the patient's name and date of birth, checking the patient's identification bracelet, or using electronic systems that store patient information.
The second check in medication administration is to verify the medication. This involves checking the medication's name, strength, and dosage to ensure that the correct medication is being administered to the patient. It is also important to check the expiration date of the medication to ensure that it is still safe to use. In addition, it is important to check the route of administration, as some medications may be administered orally, intravenously, or through other routes.
The third check in medication administration is to verify the dose and timing of the medication. This involves checking the prescribed dosage and frequency of the medication to ensure that the patient is receiving the correct amount at the appropriate intervals. It is also important to consider any potential interactions with other medications that the patient may be taking, as well as any allergies or sensitivities the patient may have.
In conclusion, the three checks of medication administration are essential to ensure the safety and effectiveness of treatment. By verifying the patient's identity, the medication, and the dose and timing of the medication, healthcare professionals can help to prevent errors and ensure that patients receive the proper care and treatment.
What Are The 3 Checks For Medication Administration
If an error occurs during bar code scanning, obtain assistance before administering the medication. Ask the patient to state his or her name and date of birth, and double check it with your order. Needles in common medical use range from 7 gauge the largest to 33 the smallest. The nurse would evaluate for level of discomfort after implementing an intervention to relieve discomfort or pain, which is not the purpose of a nasal spray Insert the tip of the nose piece into one nostril. Assessment comes before medication administration.
The correct route is the one recommended by the physician. Rationale: The nurse should pour the tablet into the bottle cap and then into a medication cup for each client. What are the 5 basic principles for administering medication? Since the medication was in a unit dose-package, the nurse would easily be able to tell which medication had fallen. Rationale: The nurse will teach the client to sit up and tilt the head slightly back, not forward. Keep opioids and medications that require special nursing assessments separate from other medication packages. Additionally, the use of large print or Braille reading materials and magnifying glasses may be helpful for the visually impaired; and speaking loudly while facing the patient with an auditory impairment may offer some protection against medication errors. Telling the client that he or she must take the medication is inappropriate because it is threatening and coercive.
Avoid reliance on memory; use checklists and memory aids. What actions by the nurse would ensure sound decision making and maintain patient safety? The Joint Commission TJC defines medication errors as any preventable event that may cause inappropriate medication use or jeopardize patient safety TJC, 2012. Cut scored tablets, if necessary, to obtain the proper dosage. Note: Although this is taken from an American reference, institu- tions in Canada follow similar rules. If blood appears withdraw the needle and start again. Which of these needles is smallest? These rights are critical for nurses.
What are the three checks of medication administration?
NEVER document that you have given a medication until you have actually administered it. Different dosages may be indicated for different conditions. Charting should be done at the time of an event or as close to it as is prudently possible. Clean the eyelids of any loose eyelashes. The pinna should only be pulled up and backward to straighten the ear canal of an adult or child older than age 3. Note: Most sublingual medications act in 15 minutes, and most oral medications act in 30 minutes.
Check whether the patient has any allergies or previous adverse drug reactions RPS and RCN, 2019. Rationale: When performing the third medication check for a medication from a multi-dose bottle, the nurse should check the multi-dose bottle label after identifying the client and before administering the medication. The client should not be left alone without access to the call bell and should be instructed not to get out of bed without help. Night staff usually complete and verify this check as well. The nurse does not place the medication with the scheduled medications.
Rationale: When pouring liquid medications, it is essential to place the cup on a flat surface at eye level and pour the liquid into the cup, reading the amount at the bottom of the meniscus. Instead, the prescription is taken as needed. Ophthalmic Route Medication Administration Ophthalmic eye medications are applied using sterile technique which is one of the few routes that require more than medical asepsis or clean technique. Other times are longer than are needed between ears. Mistakes are often referred to as attentional behaviours where lack of training or knowledge is the cause of the error. Medication administration requires good decision-making skills and clinical judgment, and the nurse is responsible for ensuring full understanding of medication administration and its implications for patient safety. All four side rails should not be up; this is a form of restraint.
THE THREE CHECKS OF MEDICATION ADMINISTRATION_ The Inner Ramblings of a Nursing childhealthpolicy.vumc.org
The cup should be labeled with client's name, date of birth, identification number, medication name, and dose. The drops are instilled into the lower conjunctival sac. Look at the health care provider orders with MAR with Medication label and verbalize the following points: 1 Right patient, say the patient's name not "right patient" 2 Right medication, verbalize the medication 3 Right dose, verbalize the dose 4 Right route, verbalize how the medication will be taken ex. With children, the parents or legal guardians are often the ones who identify the patient for the pur- poses of giving prescribed medications. Additionally, medications that need refrigeration must be refrigerated.
Three Checks and Rights of Medication Administration and routes
Reviewing Pertinent Data Prior to Medication Administration Prior to the administration of medications, the nurse must check and validate the medication order, and also apply their critical thinking skills to the ordered medication and the status and condition of the client in respect to the contraindications, pertinent lab results, pertinent data like vital signs, client allergies, and potential interactions of the medication that is to be given. What can medication administration include? Language barriers: People with language barriers may not understand what you are saying or asking and, you may not know what they are saying or asking you in another language, therefore, the use of interpreters, family or friends, pictures and drawings should be used to overcome a language barrier. Enteric-coated and delayed-response tablets cannot be ground; if a medication has enteric coating or a delayed response, it was intended not to have an immediate response, so crushing the medication would not produce the delayed effect. Drop extra tablets into bottle from bottle cap. When these resources are not available in the community, the home care client should be instructed to contract their local solid waste department to find out how these medications should be discarded. Enteric-coated tablets cannot be ground.
Check the multi-dose bottle label after identifying the client and before administering the medication. When preparing and administering medication, and assessing patients after receiving medication, always follow agency policy to ensure safe practice. Circle medication once it has been poured 5. Rationale: Tablets must be ground into a fine powder and mixed with tap water. Give the patient an opportunity to ask questions.
Check Three Times for Safe Medication Administration
Review pertinent data prior to medication administration e. Some examples of unique identifiers include the client's first, middle and last name, a unique password or code number assigned to that person upon admission, the client's complete birthday in terms of the month, the day and the year, a photograph, and an encoded bar code containing two 2 or more unique identifiers. Rationale: the best action by the nurse is to request scored tablets or the correct dose from the pharmacy. The nurse does not need vital signs or the client's pain score to administer the sleep medication. The nurse needs to ensure the client still wants the sleep medication prior to opening it. Use technology when administering medications but be aware of technology-induced errors. If there are any discrepancies, these are immediately addressed, explored and corrected if it was a simple oversight or mathematical error.
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