5 Written Questions
5 Matching Questions
- nurse consequence for med error
- consultation reports
- medication orders
- standards of care
- THe right time
- a 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.
- b client's full name; date and time of order, drug name; drug dosage; route of administration and specific directives; time and frequency of adminstration; duration of order for outpatient; sig of physician or health care provider ordering drug
- c depends on severity of effects on the pt; if due to carelessness or negligence of the nurse, the nurse may be held legally liable; repeated errors cannot be ignored
- d When other physicians or health professionals are asked to consult on a patient, the specialist's summary of findings, diagnoses, and recommendations for treatment are recorded in this section
- 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
- 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.
- is an example of manual recording of temp, pulse, resp and bp. Pain assessment nka the 5th vital sign can also be recorded on this.
- Durg Distribution System, interpreting dr's orders, documentation, three checks, six rights, handling controlled substances, helpful resources
- CPOE is supported by this
- after initial data collection, this is done and this incorporates nursing diagnoses, critical pathway info, and physician-ordered and nursing-ordered care.
5 True/False Questions
flow sheets → gives the patient's name, address, date of birth, attending physician, gender, marital status, allergies, nearest relative, occupation and empooyer, insurance carrier and other payment arrangments, religious preference, date and time of admission to the hospital, previous hospital admissions and admitting problem or diagnosis.
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
computer-controlled dispensing system → 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
renewal order → 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
incident report form → grants permission to the health care facility and physician to provide treatment.