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6 rights of medication administration
1. Right medication
2. Right patient
3. Right dose
4. Right time
5. Right documentation
6. Right route
Tips for preventing med errors
-Use two forms of patient ID
-Check med label at least 3x prior to administration
-Explain to pt. which med you are administering and show it to them (sometimes they
know their own meds well and may stop you from handing them the wrong drug!) -Waste
high-alert drugs with someone else watching! conversation/distraction while preparing
meds
Safety : terminology, when not to crush PO meds, high alert meds, etc.
Look alike/sound alike drugs : part of why it is so important to scan meds and check
labels multiple times! Atenolol vs. albuterol; carvedilol vs. captopril ; epinephrine vs.
norepinephrine, etc.
Crushing: medications that should never be crushed include buccal, sublingual,
sustained-release and enteric-coated. Too much of the medication will be released into
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, the blood stream too quickly. This increases the risks of overdose/SEs and means there
could be a period of time where you won't be benefitting at all
High-alert: insulin, opiates and narcotics, injectable potassium chloride (phosphate),
intravenous anti-coagulants (heparin, warfarin) and sodium chloride solutions above
0.9%
Mnemonic: Islands On Neptune, Pretty Cool Spot
Forms and routes: which routes work more quickly, less quickly?
Forms:
• Tablets/Capsules
• Liquids
• Transdermal
• Topicals
• Instillations (drops)
• Inhalations
• Nasogastric/Gastrostomy Tubes
• Suppositories
• Parenteral