for Medication Safety: Chapter 2: Safely
Preparing and Giving Drugs
Buccal Route - ANSWER-Application of a drug within the cheek or the cavity of the mouth
Clinical Pitfall og 35
To avoid needlesticks, do not: - ANSWER-Recap needles
Clinical Pitfall pg 31
_______ crush tablets or open capsules without first checking with the drug guide or pharmacist -
ANSWER-Never
Clinical Pitfall pg 32
______ leave drugs at the bedside for the patient to take at a later time or ask someone else to
administer drugs that you have prepared - ANSWER-Never
Clinical Pitfall pg 34
Do ______ give a drug by NG tube if CO2 is present when the tube is tested with an end-tidal CO2
detector - ANSWER-Not
Clinical Pitfall pg 36
Be sure ______ to aspirate when giving subcutaneous heparin.
Aspirating causes a vacuum and can lead to tissue damage and bruising when the heparin is injected. -
ANSWER-Not
Drug Alert!
Action/Intervention Alert pg 31
Always listen to patients when giving drugs because: - ANSWER-Their actions and comments can be
clues to adverse or side effects of drugs
Drug Alert!
Action/Intervention Alert pg 31
,Understanding Pharmacology: Essential
for Medication Safety: Chapter 2: Safely
Preparing and Giving Drugs
Always report drug errors ______ so appropriately actions can be taken to counteract possible adverse
reactions to the drug. - ANSWER-Immediately
Drug Alert!
Administration Alert pg 34
Always check for correct placement of a feeding tube before giving drugs by this route to ensure that
the drugs do not go into the: - ANSWER-Lungs
Drug Alert!
Administration Alert pg 35
Always wear ______ when giving parenteral drugs to avoid exposure to blood and other body fluids -
ANSWER-Gloves
Drug Alert!
Administration Alert pg 35
Use a small needle and a ______ to _______ degree angle for intradermal drugs. Do not aspirate before
injecting the drug or massage afterward - ANSWER-10
15
Drug Alert!
Administration Alert pg 36
Im injections of more than ______mL ar rare.
To ensure that the drug dose is correct, carefully calculate and check it with another healthcare
professional - ANSWER-3
Drug Alert!
Safety Alert pg 31
,Understanding Pharmacology: Essential
for Medication Safety: Chapter 2: Safely
Preparing and Giving Drugs
A should know the patient's (5 items) before administering any drug - ANSWER-1.) Drug History
2.) Allergies
3.) Previous Adverse Reactions
4.) Pertinent Laboratory Values
5.) Any important changes in his or her condition
Drug Alert!
Administration Alert pg 30
Most drug errors are made while giving drugs. COmmon errors include giving the wrong drug or giving
the wrong dose. Follow the ______ "______" to prevent drug errors - ANSWER-Eight "rights"
Drug Error - ANSWER-Any preventable event that may cause inappropriate drug use or patient harm
while the drug is in the control of the health care professional or the patient. A drug error may cause a
patient to receive the wrong drug, the right drug in the wrong dose, the wrong route, or at the wrong
time.
Drug Errors
Preventing Drug Errors pg 30
______ _______ is the process of identifying the most accurate list of all medications that a patient is
taking, including name, dosage, frequency, and route, by comparing the medical record to an external
list of medications obtained from a patient, hospital or other provider - ANSWER-Medication
Reconciliation
Drug Errors
Preventing Drug Errors pg 30
Always check drug dosage calculations with a - ANSWER-Coworker
Drug Errors
Preventing Drug Errors pg 30
, Understanding Pharmacology: Essential
for Medication Safety: Chapter 2: Safely
Preparing and Giving Drugs
The medication reconciliation process consists of five steps: - ANSWER-1.) Develop a list of current
medications
2.) Develop a list of medications being prescribed
3.) Compare the medications on the two lists
4.) Make clinical decisions based on the comparison
5.) Communicate the new list to appropriate caregivers and the patient
Drug Errors
Preventing Drug Errors pg 30
To prevent medication errors, the five-step process of ______ ______ has been developed - ANSWER-
Medication Reconciliation
Drug Errors
Preventing Drug Errors: Bar Code Systems pg 30
______-________ _______ (drugs dispensed to full a patient's drug orders for a 24-hour period) and IV
fluids are all bar coded - ANSWER-Unit-Dose Drugs
Drug Errors
Preventing Drug Errors: Bar Code Systems pg 30
Research shows that bar-code systems dramatically ______ the number of drug errors - ANSWER-
Decrease
Drug Errors
Preventing Drug Errors: Confusing Drug Name List pg 30
ISMP - ANSWER-Institute for Safe Medication Practices
Drug Errors
Reporting Drug Errors pg 30