Apply the nursing process: assess, plan, and evaluate both before and after giving a patient a medication and you both should come out safely. For instance, if you have a medication ordered q12 hours and dose you are giving is at 0800, be sure that the last dose was given at 2000 the previous night and that it wasn't given late say 0100 for some reason. Check to see if the medication is given by suppositories rectal or vaginal and only use topical creams and lotions on the skin. Nurses need to take the time to identify and address sloppiness in their work place and in other professionals. Right Dosage This is one of the most important in the 10 rights of medication administration.
What can this right influence if not followed? Policies often protect the nurse from litigation should an error occur. Will some people become irritated with us? Dosage is carefully determined by your doctor and can be affected by your age, weight, kidney and liver health, and other health conditions. However, scenarios such as the one above coupled with the available technology of automated medication administration systems such as the Pixis has placed nurses in a potentially unsafe situation. If an error occurs, the nurse who give the medication is the one responsible for the error. Each hospital should have a policy around what constitutes a high alert medication. Verify the right medication Ask questions if the medication looks different than usual.
In fact, medication errors are the cause of injuries each year. If we need to ask other nurses or professionals about this drug or check the policy for giving this drug, we need to stop and do so. Make sure that you understand everything about taking your medication. Routes of Administration Topical - to treat skin or mucous membrane oral, nasal, ear, eye, vaginal, rectal Transdermal - for systemic dosage 4. This is especially important for children that cannot swallow pills yet. No meds should go into a patient's room without a label.
Right Patient - Make sure you are preparing medications for only one patient at a time. Right Documentation Athome you should keep a journal of the meds you take, what time you took them and how much you took. Review any medications previously given or the diet of the patient that can yield a bad interaction to the drug to be given. Nurses who write orders for physicians are placing their license and their patients at risk. Knowing this info is essential for nursing practice as it influences the quality of life of the patients.
In her work, she took care of patients post operatively from open heart surgery, immediately post-operatively from gastric bypass, gastric banding surgery and post abdominal surgery. Our allegiance is to our patients. Medication errors can drive nurses to feelings of guilt, and sometimes worse. Nurses have the right to ask questions about the drugs that they are to administer to their patients. This can lead to unexpected consequences in both cases. There are two categories of drugs such as that are taking at a specific time of day or night and the ones that are taken on a call.
Medication administration is probably one of the scariest things to learn as a new nurse and it is also probably one of the most dangerous. These errors are due to the wrong drug, dose, timing, or route of administration. Whether you are a nurse giving medication or a patient receiving medication, it is important to understand the 10 rights of medication administration. If this happens, harm to the person can occur and some reactions can be deadly. New medications enter the market daily.
Now, in an attempt to address missing or incorrectly dispensed medications, and decrease the turnaround time of getting the correct drug to the patient, they are being used widely in acute care hospitals as quasi satellite pharmacies. Some bedtime medications can make you sleepy. It is one of the most routine, daily duties for nurses working in a direct care setting. Your input is of tremendous value to all. Can you explain your instructions more clearly? Right Patient Make sure you are giving the right medication to the right person. These six rights are the right drug, dose, route, time, patient, and documentation. The same thing goes for nurses in the hospital, let your patients know what to expect from the medication: side-effects, benefits, and reactions that might happen.
However, such costly systems may take years to implement. The medication should be checked against the medication order and the medication label. If this happens on a regular basis, the management of the hospital should conduct the investigation to find out the initial reason for this. They may fall into three categories, namely: Drug-drug, drug-food or drug-condition interactions. Rights of Medication Administration 1. Just as you would advocate for a patient, you should advocate for your ability to practice in a safe setting. Good nursing practice dictates that nurses are never to administer a drug they are unfamiliar with.