5 Written Questions
5 Matching Questions
- What is included in the safe preparation and administration of the drug?
- history ad physical exam form
- standards of care
- laboratory tests record
- a all lab test results are kept in one section of the chart called this
- b if a portion of med must be discarded due to smaller prescribed dose, two nurses must check the dose, preparation, and portion; both must cosign the inventory control record to verify transaction
- c 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.
- d physician on admission to the hospital interviews the patient and given this which lists the problems to be corrected, often referred to as the H&P
- e Drug Distribution Systems, interpreting Dr's orders, documentation; three checks, six rights, handling controlled substances; helpful resources
5 Multiple Choice Questions
- 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
- administration at a certain time but only one time.
- Right patient, drug, time, dose, route and 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
- floor or ward stock system, ind presc. order system, unit dose system, automated dispensing system
5 True/False Questions
long-term care unit dose system → is an adaptation of the system used in the acute care setting. This is designed with ind drawers to hold one resident's med containers for 1 week. Drawer is labeled with the resident's name, room #, pharmacy name and telephone number and name of the health care facility.
adverse drug events (ADEs) → medication errors can result in serious complications known as this, 7000 death in hospitals annually from this
Procedure for signing out a controlled drug → check the order, check med record to see when med was last given; obtain keys/open cabinet; fill out inventory before removing med (compare # in record to # in cabinet pt name, date, drug, dosage, sig of nurse), document that med was given immediately after administration; document effectiveness
The right drug → 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
summary sheet → generally used for emergency basis