5 Written questions
5 Matching questions
- floor or ward stock system
- single order
- The right dose
- nurse's notes and nurse history
- THe right time
- a all but the most dangerous or rarely used meds are stocked at the nursing station in stock containers. This system has been used most often in very small hospitals and hospitals where there are no charges directly to the patient for meds such as in some government hospitals. Advantage to this is readily available meds and fewer inpatient prescription orders and minimal return of meds. Disadvantages are: increased potential for med erros because of large array of stock meds from which to choose and lack of review by pharmacist; increased danger of unnoticed passing of expiration dates and drug deterioration; jeopardizing of patient safety; economic loss caused by misplaced or forgotten charges and misappropriation of med by hospital personnel; increased amounts of expired drugs to be discarded; need for larger stocks and frequent total drug inventories; storage problems on the nursing units in many hospitals
- b nurses record ongoing assessments of the patient's condition; responses to nursing interventions ordered by the physician or those initiated by the nurse; evaluations of the effectiveness of nursing interventions; procedures completed by other health professionals and other pertinent info such as physician or family visits and the patient's responses after these visits.
- c althought the physician may order the correct dosage of the med, changes in the pt's status may require that the dosage be altered; the nurse must use the proper equipment, the proper drug form and the proper concentration; calculations must be right; check usual drug dosage
- d administration at a certain time but only one time.
- e the order will specify time; hospitals have policies that determine which hours meds will be given when they are ordered; such as daily (be familiar with the policy), to be effective many meds be given on a rigid schedule; often has to be planned around pt's schedule; meals; drug interactions; one time only for emergency meds (check to see if med has already been given, document immediately, prn meds should be charted immediately)
5 Multiple choice questions
- provides a means of documenting the health teaching provided to the patient, family, or significant others and includes statements regarding the learner's mastery of the content presented
- physician records frequent observations of the patient's health status on this
- a large index-type card usually kept in a flip-file or separate holder that contains pertinent info such as the patients name, diagnosis, allegies, schedules of current medications with stop dates, treatments and the nursing care plan.
- ask the pt's name as you are checking the bracelet, errors may occur on a busy unit; at risk for errors: pediatric pt, geriatric pt, non english speaking pt, confused or critically ill pt; nursing home patients ay not be wearing a bracelet
- summary sheet; consent forms; physician's order form; H&P form; progress notes; critical pathways; nurses notes; lab tests record; graphic record; flow sheets; consultation reports; other diagnostic reports; MAR: PRN or unscheduled med record; case management; patient education record
5 True/False questions
Procedure for signing out a controlled drug → evaluate pt's safety; if error poses a risk to the pt notify the dr ASAP and follow their orders; monitor patient, notify supervisor; document in pt's chart; fill out reports as required by institution
PRN → as needed
wasting → as needed
computer-controlled dispensing system → Paper system; narcotic/controlled substances is delivered to the unit and signed for by RN and she verifies that meds are all there and in good condition before signing; kept locked in specified cabinet; narcotic keys are carried by nurses and turned over to the next shift when narcotics are counted; at end of each shift, narcotics are counted, inventoried by 2 nurses one from oncoming shift and one from ending shift; narcotics are signed out as they are used.
unit dose drug distribution system → floor or ward stock system, ind presc. order system, unit dose system, automated dispensing system