Safe medication administration is not an accident but a well-planned system. When we find our minds so overloaded we are unable to think. Right route by mouth, injection, etc. Be aware of the difference of an adult and a pediatric dose. Right Evaluation Make sure you check for drug allergies and interactions between different medications.
There have been many safeguard established to ensure the rights are followed. You could become addicted to the drug or you could overdose and die. Right Documentation Athome you should keep a journal of the meds you take, what time you took them and how much you took. You have to take every dose on time, and you must take all of it until the prescription is gone. If the label reads that 20 mg should be 0.
Be aware of the difference of a pediatric dose and an adult dose. Just as nurses know the five rights of medication administration, they should also know what rights they have when administering medications. At first, they may be seen by the nurse as a welcome relief from the frustration of not having medications readily available to administer. It might matter a lot. Check the drug label three times: a at the first contact the the medication bottle. Each hospital should have a policy around what constitutes a high alert medication. Routes of Administration Oral By mouth By Gastric tube By Nasogastric tube Buccal Sublingual 3.
Make sure to right the time and any remarks on the chart correctly. It is when the error comes all the way to administration that the most harm occurs. You thought there were only 5 Rights of Medication Administration, didn't you? This is especially important for children that cannot swallow pills yet. Check that the drug order is complete and legible. Right Patient Make sure you are giving the right medication to the right person. If you are at home and giving medication to a family member, make sure you check the bottle and giving the right prescription to the right person. Another recommendation from the Massachusetts Hospital Coalition states that a unit dose system of medication can decrease the number of medication errors.
We have a responsibility to find ways of minimising them though, to keep our patients safe. This can be mistaken for the number four, number zero, or cc instead write out unit. An alert client will know if a medication is different from those received before. Be able to calculate the medication doses using the ration and proportion, basic formula fractional equation. One is the process of scanning the patient and the medication at the bedside. There may be circumstances which cause a delay or omission of a medication such as laboratory or diagnostic tests, and you must be sure to document this. Often nurses are caught up in the hustle and hassle of a busy work place.
Importance of timelines and adherence to medication schedules e. Do not call the patient by name. For instance, opioid pain medications, such as oxycodone or codeine, are dangerous if you take more than prescribed. At home, it is important to keep a drug guide so you can check prescriptions against each other. In this case the system works well. For instance, on my own nursing brain, I put circles around and highlight all of my medication time.
Potter, 2013 Distractions can be avoided when giving medications by not documenting until after a medication is given and after it is given it should be documented immediately after. Check also the expiry date of the medication being given. Six Rights of Medication Administration Medication Route Time Client Dosage Documentation 2. Taking them correctly and understanding the right way to administer them can reduce the risks. If you have been interrupted, come back to your medication round with the mind frame that you need to be much more careful. The information provided is designed to provide: easy access to current information; access to other websites that support safe medication administration best practices; and to augment formal training. If any of this information is missing the nurse must contact the prescriber to verify the order.
Recalculate drug dose and have a colleague recheck the dose. It will also assist you with double checking your dosage, time and route of administration. Nurses should also document injection sites. Is the patient now able to sleep, has pain diminished, is the blood pressure lower? Any medication documentation needs to be initialed yourself, never let anyone document for you. First developed to dispense narcotics, these automated systems can be programmed to allow nurses access to many other types of medications. Nurses should only administer medications they prepare and verify.
There have been many safeguard established to ensure the rights are followed. Nurses would rather fix it themselves. Some facilities require the following drugs to be checked by a colleague: 1. Drug approach and Right to Refuse. But they must be used with caution.
Check the drug label three times: a at the first contact the the medication bottle. If a medication must be prepared from a larger volume or strength than needed or when the prescriber orders an amount different than what the pharmacy supplies, the chance for a mistake multiplies. Right medication, right route, right date, right documentation, right dose, right time B. Can a family member or healthcare provider give it to me instead? This helps to reduce errors and confusion. This is not our job.