5 Written questions
5 Matching questions
- renewal order
- medication administration record (MAR) medication profile
- consent form
- computer-controlled dispensing system
- a must be written and signed by the phsycian before the nurse can continue to administer the med.
- b newer system for med ordering an administration is this that is supplied by the pharmacy daily, stocked with single-unit packages of medicines. Nurse uses a security code and password, thumb print
- c this is printed from the computerized patient database to ensure that the pharmacist and the nurse have identical medication profiles for the patient. This lists all meds to be administered
- d 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.
- e grants permission to the health care facility and physician to provide treatment.
5 Multiple choice questions
- a drug is given to wrong pt; wrong drug is given; wrong route; wrong dose; wrong time; wrong rate of administration; drug that is contraindicated given; drug given to pt that has known allergy; unordered or unsage med is given; given with an incompatible substance; protocals for reporting errors differ between institutions
- This is a condensed form for recording info for quick comparison of the data. Ex would be diabetic, pain and neurological.
- all procedures and treatments are ordered by the health care provider on this form which include general care, lab tests to be completed, other diagnostic procedures, and all medications and treatments such as physical therapy or occupational therapy.
- also referred to as integrated care plans, care or clinical maps and clinical trajectories, this document is a comprehensive standardized plan of care that is individualized at admission by the physician and nurse case manager. It describes a multidisciplinary plan used by all caregivers to track the ind's progress toward expected outcomes within a specified period.
- the order will specify the route; never substitute one route for another; the nurse must be knowledgeable about the preferred route of a med (affects absorption, some meds are painful IM so IV is preferred); document injection site on chart
5 True/False questions
Procedure for signing out a controlled drug → drugs books and cards; drug inserts; agency policy and procedure; pharmacist physician
verbal orders → institutions have policy regarding who can take these orders and transcribe to the order form; must be signed by the MD within 24 hours; v/o or t/o Dr. Smith/A. Sondreal RN time and date
Evaluation → look at results (response to drug, therapeutic effects, adverse effects)
Six Rights of Medictaion administration → 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
The right documentation → the order will specify the route; never substitute one route for another; the nurse must be knowledgeable about the preferred route of a med (affects absorption, some meds are painful IM so IV is preferred); document injection site on chart