Pharmacology and the Nursing Process
Exam 1
compliance - ANSImplementation or fulfillment of a prescribers treatment plan or therapeutic plan by
patient.
medication error - ANSAny preventable adverse drug event involving inappropriate medication use by a
patient or health care professional; it may or may not cause the patient harm.
Noncompliance - ANSAn informed decision on the part of the patient not to adhere to or follow a
therapeutic plan or suggestion.
Nursing Process - ANSAssessment
Diagnosis
Planning
Implementation
Evaluation
Outcomes - ANSDescriptions of specific patient behaviors or responses that demonstrate meeting of or
achievement of behaviors related to each nursing diagnosis. These statements are specific while framed
in behavioral terms and are measurable.
Prescriber - ANSAny health care professional licensed by the appropriate regulatory board to prescribe
medications.
QSEN - ANSQuality and Safety Education for Nurses
KSA - ANSknowledge, skills, attitudes needed to to continually improve the quality and safety of a patient
within a healthcare system
,6 major initiatives of QSEN - ANSPatient-centered care
Teamwork and collaboration
Evidence-based practice (EBP)
Quality improvement (QI)
Safety
Informatics
Nine Rights of Medication Administration - ANS1) Right drug
2) Right dose
3) Right time
4) Right route/form
5) Right patient
6) Right documentation
7) Right reason
8) Right response
9) Right of patient to refuse
Right drug - ANSMust be checked against the medication label or profile 3x b4 giving
Right Dose - ANSalways check the dose and confirm that is appropriate for patient's age and size
check prescribed dose against available drug stock and against normal drug range
recheck all math calculations
REMEMBER NO LEADING ZERO's - ANS0.2 is allowed, but NEVER 2.0
Right Time - ANSInclude in your 3 check the frequency of the ordered medication, the time administered
and the last time the med was given.
, ***For routine med orders the standard of care is within the half hour it was prescribed.
PNR - ANSas needed
analgesic - ANSpain reliever
Never use abbreviations - ANSIt is crucial to patient safety to never use any abbreviations for any
component of the drug order
Right Route and Form - ANSNever assume the route of admission
Right Patient - ANSrequires confirmation of a patient's identity with two forms of identification before
drug administration
Right Documentation - ANSrequires the nurse to record immediately the appropriate information about
the drug administered
** DOCUMENT ONLY AFTER med was given
Right Reason - ANSIs it appropriate to give the med
Right response - ANSrefers to the drug and it's desired response
continually assess and evaluate the achievement of the desired response as well as any undesired
response
right to refuse - ANSclients have right but need to clarify reason and notify prescriber
Exam 1
compliance - ANSImplementation or fulfillment of a prescribers treatment plan or therapeutic plan by
patient.
medication error - ANSAny preventable adverse drug event involving inappropriate medication use by a
patient or health care professional; it may or may not cause the patient harm.
Noncompliance - ANSAn informed decision on the part of the patient not to adhere to or follow a
therapeutic plan or suggestion.
Nursing Process - ANSAssessment
Diagnosis
Planning
Implementation
Evaluation
Outcomes - ANSDescriptions of specific patient behaviors or responses that demonstrate meeting of or
achievement of behaviors related to each nursing diagnosis. These statements are specific while framed
in behavioral terms and are measurable.
Prescriber - ANSAny health care professional licensed by the appropriate regulatory board to prescribe
medications.
QSEN - ANSQuality and Safety Education for Nurses
KSA - ANSknowledge, skills, attitudes needed to to continually improve the quality and safety of a patient
within a healthcare system
,6 major initiatives of QSEN - ANSPatient-centered care
Teamwork and collaboration
Evidence-based practice (EBP)
Quality improvement (QI)
Safety
Informatics
Nine Rights of Medication Administration - ANS1) Right drug
2) Right dose
3) Right time
4) Right route/form
5) Right patient
6) Right documentation
7) Right reason
8) Right response
9) Right of patient to refuse
Right drug - ANSMust be checked against the medication label or profile 3x b4 giving
Right Dose - ANSalways check the dose and confirm that is appropriate for patient's age and size
check prescribed dose against available drug stock and against normal drug range
recheck all math calculations
REMEMBER NO LEADING ZERO's - ANS0.2 is allowed, but NEVER 2.0
Right Time - ANSInclude in your 3 check the frequency of the ordered medication, the time administered
and the last time the med was given.
, ***For routine med orders the standard of care is within the half hour it was prescribed.
PNR - ANSas needed
analgesic - ANSpain reliever
Never use abbreviations - ANSIt is crucial to patient safety to never use any abbreviations for any
component of the drug order
Right Route and Form - ANSNever assume the route of admission
Right Patient - ANSrequires confirmation of a patient's identity with two forms of identification before
drug administration
Right Documentation - ANSrequires the nurse to record immediately the appropriate information about
the drug administered
** DOCUMENT ONLY AFTER med was given
Right Reason - ANSIs it appropriate to give the med
Right response - ANSrefers to the drug and it's desired response
continually assess and evaluate the achievement of the desired response as well as any undesired
response
right to refuse - ANSclients have right but need to clarify reason and notify prescriber
