5 Written questions
5 Matching questions
- Six Rights of Medictaion administration
- computer-controlled dispensing system
- computerized prescriber order entry (CPOE)
- renewal order
- a after verification of an order, a nurse or another designated person does this to the order from the physician's order sheet onto the Kardex or onto a MAR.
- b must be written and signed by the phsycian before the nurse can continue to administer the med.
- c computer system that integrates the ordering system with the pharmacy, stocked by pharmacy, central system keeps track of inventory, only those meds ordered for the pt can be removed, there is a method to bypass system to obtain drugs in an emergency. ADVANTAGES: Reduces time for nurses, med is automatically recorded at time of delivery, tight control over med, narcotics are counted and verified each time one is removed. DISADVANTAGES: Costly, requires a pharmacist, requires password, only one nurse at a time,
- d Right patient, drug, time, dose, route and documentation
- e 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
5 Multiple choice questions
- prescriptions for patient's leaving hospital; presc given at clinics, outpatient surgeyr; additional info may be written "take with meals"; duration; pharmacies require patient's age and address on the presc
- 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.
- 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
- 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
- nurse makes a professional judgment on its acceptability and safety of drug order, including type of drug dose and dose preparation, therapeutic intent, route potential allergic reactions or contraindications
5 True/False questions
medication administration record (MAR) medication profile → 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
unit dose drug distribution system → floor or ward stock system, ind presc. order system, unit dose system, automated dispensing system
standards of care → guidelines developed for the practice of nursing. These guidelines are defined by the nurse practice act of each state, by state and federal laws regulating health care facilities by JCAHO and by professional organizations such as the ANA and other agencies.
physicians order form → 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.
long-term care unit dose 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.