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3 checks and 6 rights of medication administration,houston car dealer 1,sprawd? vin za darmo renault - Plans On 2016

Learning to prepare and administer medications safely and accurately is an essential component of your nursing practice. Determining that you have the right drug involves checking the medication label against the medication administration record (MAR) at least three times before you administer the drug.
When administering oral medications, it is sometimes necessary to give only a portion of a tablet. If a patient is unable to swallow pills, you might have to crush a medication and mix it with food or a beverage before administering it. Whenever you cut or crush a medication, clean the pill cutter or mortar and pestle before and after use.
Medications are usually ordered to be given at certain frequencies, intervals, or times of day (such as i??hour of sleepi??). In certain situations, medications must be administered at times other than those indicated by the facilityi??s time schedule. Accurate documentation must be available before and after a drug is administered to ensure that it is prepared and administered safely. Following the six rights of medication administration and checking the medication label against the MAR three times each time you prepare and administer a medication might seem redundant and unnecessary. Medications are usually ordered to be given at certain frequencies, intervals, or times of day (such as “hour of sleep”). In certain situations, medications must be administered at times other than those indicated by the facility’s time schedule. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Clipping is a handy way to collect and organize the most important slides from a presentation. Remember: if infusion is not exactly 1 hour (15 min, 30 min, 120 min, etc…) you must calculate hourly rate.
Establishing Drip Rate Count drops in drip chamber for 1 minute (with second hand), adjust roller clamp as needed (2-5 cm below drip chamber) If very fast or very slow, count for 30 sec (x 2) and adjust roller clamp. Preparation Remove cap covering medication and dilutant (6 rights, 3 checks), swab both rubber seals with alcohol swab and allow to dry Attach needle (or needleless device) to syringe, pull back on plunger drawing the equivalent amount of air (i.e.
It requires that you follow your facilityi??s policies and procedures carefully and always implement the six rights of medication administration: the right drug, the right dose, the right route, the right time, the right patient, and the right documentation. The exact times you perform these three checks depend on how the drug is stored and your facilityi??s policy, but in most situations you would check as you remove each drug from the storage area, as you prepare each drug, and at the patienti??s bedside before you administer each drug. However, if your facility does not have a unit-dose system or you must prepare a medication from a larger volume or a different strength, you must perform conversions and dosage calculations.
It is a good practice to check with a pharmacist or a drug guide before cutting or crushing a medication. If this information is missing or the specified route is not the recommended route, notify the prescriber and ask for clarification. Become familiar with the medications you are giving, why they are ordered for certain times, and whether or not the time schedule is flexible.



For example, a preoperative medication might be ordered to be given i??stati?? (immediately) or i??on calli?? (right before a procedure). Medication orders should clearly state the patienti??s first and last name, the name of the drug ordered, the dose, the route, the time the drug is to be administered, and the signature of the prescriber. However, taking shortcuts and not following procedures greatly increases your chances of making a medication error. The exact times you perform these three checks depend on how the drug is stored and your facility’s policy, but in most situations you would check as you remove each drug from the storage area, as you prepare each drug, and at the patient’s bedside before you administer each drug. For example, a preoperative medication might be ordered to be given “stat” (immediately) or “on call” (right before a procedure). Medication orders should clearly state the patient’s first and last name, the name of the drug ordered, the dose, the route, the time the drug is to be administered, and the signature of the prescriber. Based on guidelines from NIAID and the Canadian Society of Allergy and Clinical Immunology.
737) A small IV bag connected to short tubing that is connected to the upper Y port of a primary infusion line. In addition to checking the label against the MAR to make sure you have the right drug, check also that you have the right dose, are planning to give it by the right route, and that it is the right time. When you are new to practice or if you rarely perform calculations or are at all unsure about the dose, have another nurse double-check your work before you give the drug. If the tablet does not break evenly, discard it, if your facilityi??s policy allows it, and cut another tablet. Some medications, such as sublingual, enteric-coated, and timed-release preparations, must not be cut or crushed.
When giving an injection, verify that the preparation of the drug is intended for parenteral use. When medications are ordered on a PRN (as needed) basis, use your clinical judgment to determine the right time.
If the tablet does not break evenly, discard it, if your facility’s policy allows it, and cut another tablet. Although policies differ from facility to facility, many require double-checking of doses of some medications, such as insulin and anticoagulants. If it is a controlled substance, follow your facilityi??s policy for discarding these drugs. Because medications can alter the taste of food, avoid mixing it with the patienti??s favorite foods and beverages as this might diminish the patienti??s desire to eat or drink them.
Other drugs should be given during the patienti??s waking hours to allow uninterrupted sleep.
For example, when a pain medication is ordered q4-6h, assess your patienti??s pain level to determine whether your patient needs another dose after 4 hours or can comfortably wait longer. If the patient is confused or unresponsive, your two identifiers can consist of comparing the medical record number and the birth date on the MAR with the information on the patienti??s identification band. After you give a medication, place your initials in the designated space by the medication as soon as possible to indicate that you gave the dose.


Because medications can alter the taste of food, avoid mixing it with the patient’s favorite foods and beverages as this might diminish the patient’s desire to eat or drink them. Other drugs should be given during the patient’s waking hours to allow uninterrupted sleep. For example, when a pain medication is ordered q4-6h, assess your patient’s pain level to determine whether your patient needs another dose after 4 hours or can comfortably wait longer. In some facilities, an electronic scanner will be used to match the patient’s medication administration record with the identification band. Upon completion of the secondary solution when the solution in the tubing falls below the primary drip chamber the primary solution begins again. Keep in mind that it is difficult to confirm that you are giving the correct dose after you divide a tablet, so this is a practice best avoided if at all possible. Most drug manufacturers label parenteral medications i??for injectable use onlyi?? to help prevent errors, so check the label carefully. Most facilities recommend a time schedule for administering medications ordered at specific intervals (q4h, q6h, q8h). If your patient is a child, ask the parents or legal guardian to identify the patient, in addition to comparing the information on the MAR with the information on the patienti??s identification band. Failure to document or incorrect documentation can be considered a medication error in itself and can cause an error as well. Most drug manufacturers label parenteral medications “for injectable use only” to help prevent errors, so check the label carefully.
If the patient is confused or unresponsive, your two identifiers can consist of comparing the medical record number and the birth date on the MAR with the information on the patient’s identification band. Policies about this practice vary widely, so be sure you understand what your facility requires should this situation arise. Most facilities also have a policy indicating how soon before or how long after the scheduled time a drug can be administered. No matter how long you have been caring for the patient or how well you know the patient, each time you enter the room to administer a medication, you must use a minimum of two identifiers to confirm that you have the right patient.
If your patient is a child, ask the parents or legal guardian to identify the patient, in addition to comparing the information on the MAR with the information on the patient’s identification band. Some might allow this practice only in the pharmacy, for example, or might prohibit nurses from dividing unscored tablets. For routinely ordered medications, such as antibiotics, 30 minutes before or after the scheduled time is commonly acceptable. For example, if a medication is to be given at 0700, you can give it between 0630 and 0730 and still be administering it at the right time.



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