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Med Order Components - 🧠 ANSWER ✔✔Med Name
Dosage
Route
Purpose
Provider's Signature
Stat orders - 🧠 ANSWER ✔✔given immediately in an emergency
Nurses are legally responsible for: (7 pts) - 🧠 ANSWER ✔✔- Knowledge
laws about med prescribing, dispensing, and administering
,-Preparing meds
- Administering meds
- Evaluating client responses to medications
- up to date understandings of all meds they are administering
- keeping meds stored safely
- reporting all med errors
Preventing Med Errors (9 pts) - 🧠 ANSWER ✔✔- Follow 6 rights + 3 checks
- Avoid distractions when prepping
- Only prepare one pt's meds at a time
- read labels carefully
- re-check calculations
- question multi tablets for single dose
- know the policies
- only give medication YOU prepared
- administer based on your assessment
,What to do if you make a med error? - 🧠 ANSWER ✔✔1. Assess patient
first and implement emergency response if needed
2. notify nurse leader/manager/provider
3. file an incident report
5 stages of med process - 🧠 ANSWER ✔✔1. Order/Prescription (Provider)
2. Transcribe/Verify (Pharmacist)
3. Dispense/Deliver (Pharmacist)
4. Administer (Nurses)
5. Monitor/Report (Nurses)
Assessment Med Admin - 🧠 ANSWER ✔✔Subjective/objective info, should
include all labs, vital signs, weight
Planning Med Admin - 🧠 ANSWER ✔✔prioritizing, knowledge of patient,
medication, special considerations of each med
Implementing Med Admin - 🧠 ANSWER ✔✔Safety checks, med timing
Evaluation Med Admin - 🧠 ANSWER ✔✔Assess for effect, ADR's, care
plan, pt teaching
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, Only RNs Med Administration - 🧠 ANSWER ✔✔- teach plans/care of plan
- Blood products on an IV
- 1st dose of any medication
- Central lines/PICC lines
- Verbal orders
- Sign off/Acknowledge orders
- pt education
Red Allergy Bands - 🧠 ANSWER ✔✔Placed adjacent to ID band for KA
High Alert Medications (7 ex) - 🧠 ANSWER ✔✔Potential to cause
injury/death
Ex: Insulin, TPN, [electrolytes], IV Heparin, Chemo, Controlled substances,
lidocaine
Drugs that require 2 nurses to check - 🧠 ANSWER ✔✔Insulin, Chemo
BSA dosage required for under 19 yo and less than 40 kg pts
Factors influencing route - 🧠 ANSWER ✔✔- Drug's chemicals
- Site where effect takes