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Drug Safety and Nursing Process
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What are the main areas of client medication teaching?
General Information
Self-Administration
Diet
Side effects
Cultural considerations
What are the steps of the Nursing process?
Assess
Diagnose
Plan
Implement
Evaluate
What are the FIVE rights PLUS of drug administration?
RIGHT Client
RIGHT Drug
RIGHT Dose
RIGHT Time
RIGHT Route
right assessment
right documentation
right evaluation
right to refuse
What are some abbreviations that should NOT be used?
every day or daily
unit
international unit
morphine sulfate
magnesium sulfate
What is ave cost of each reported med error?
$5,000.00
Where is a discription of the legal scope of nursing practice in each state?
Nurse Practice Act
What is max award for serious med error?
over $3 million
Howmany hospital deaths were attributed to hospital errors in 1999?
44k to 98K
Med errors involve which meds most often?
Chemo-drugs, antibiotics, vaccines and CNS drugs
What is the most common type of med error?
Wrong time
What are the 5 RIGHTS of drug administration?
right CLIENT
right MEDICATION
right DOSE
right ROUTE
right TIME
What are the responsibilities of the nurse in medication administration?
know med NAME
know med INTENDED USE
know med EFFECT ON BODY
know med CONTRAINDICATIONS
know med SPECIAL COSIDERATIONS
know WHY MED IS PRESCRIBED
know HOW MED IS TO BE ADMINISTERED
know ADVERSE AFFECTS
know 5 RIGHTS
What are the signs of anaphylaxis?
dyspnea
tachycardia
hypotension
What are ways that you can be sure you have the right client?
Name
Date of birth
Photo
Bracelet
How soon must a phone or verbal order be signed by HCP?
24hr
What information must be included on a med order?
patient's name
drug name
date and time of order
dosage
route
frequencey and drration of admin
signature of HCP
What are the four main categories of drug orders?
Standing
One-time
PRN
STAT
What factors contribute to med errors?
Omitting 5 rights
Failure to perform agency check
Failure to account for client varibles (weight, age, rena/hepatic function)
Giving meds based on phone or verbal orders
Giving meds based on illegible or incomplete orders
Practicing under stressful work situation
What should be included in Assessment to avoid drug errors?
Allergies
Use of OTC meds
LABS
Client education
Indication for use
Author
mpope
ID
110344
Card Set
Drug Safety and Nursing Process
Description
Drug safety
Updated
2011-10-20T03:51:54Z
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