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5 Written questions

5 Matching questions

  1. Six Rights of Medictaion administration
  2. Special documentation circumstances
  3. progress notes
  4. Evaluation
  5. clinical decision-making support systems (CDSS)
  1. a Right patient, drug, time, dose, route and documentation
  2. b CPOE is supported by this
  3. c look at results (response to drug, therapeutic effects, adverse effects)
  4. d pt refuses med (thoroughly record incident and reason for refusal in nurses notes; notify dr; med error occurs
  5. e physician records frequent observations of the patient's health status on this

5 Multiple choice questions

  1. Durg Distribution System, interpreting dr's orders, documentation, three checks, six rights, handling controlled substances, helpful resources
  2. administer if needed
  3. 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.
  4. 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
  5. 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

5 True/False questions

  1. Drug administration resourcesdrugs books and cards; drug inserts; agency policy and procedure; pharmacist physician

          

  2. computerized prescriber order entry (CPOE)meds are dispensed from the pharmacy upon receipt of a prescription or drug order for an ind patient. Pharmacy sends supply of med ina bottle or box for patient, may hold 3-5 day supply. Meds are stored in med cabinet at nurse's station, med is removed as needed. ADVANTAGES: Review of prescription by nurse and pharmacist so greater patient safety; less chance for deterioration or expiration; easier inventory control; less chance for misuse by others; easier to charge patient; med is available for stat or prn usage. DISADVANTAGES: Frequent need to return or discard unused meds; complex ordering, preparing, administering, controlling, and recording systems required-time consuming

          

  3. nursing care planafter initial data collection, this is done and this incorporates nursing diagnoses, critical pathway info, and physician-ordered and nursing-ordered care.

          

  4. Procedure for signing out a controlled drugevaluate 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

          

  5. individual prescription order systemmeds are dispensed from the pharmacy upon receipt of a prescription or drug order for an ind patient. Pharmacy sends supply of med ina bottle or box for patient, may hold 3-5 day supply. Meds are stored in med cabinet at nurse's station, med is removed as needed. ADVANTAGES: Review of prescription by nurse and pharmacist so greater patient safety; less chance for deterioration or expiration; easier inventory control; less chance for misuse by others; easier to charge patient; med is available for stat or prn usage. DISADVANTAGES: Frequent need to return or discard unused meds; complex ordering, preparing, administering, controlling, and recording systems required-time consuming