5 Written questions
5 Matching questions
- Before administering medication, nurse must have this:
- Six Rights of Medictaion administration
- when error is detected you:
- standing order
- Contents of patients charts
- a indicates that a med is to be given for a specified number of doses. Ex. cefazolin 1 g q6h x 4 doses. or until said time
- b currently license to practice; clear policy statement authorizing the act; signed med order; understanding of rationale for drug use; UNDERSTANDING of drug action, dosing, dilutino, route and rate of administration, side effects adverse effects to report, contraindications
- c summary sheet; consent forms; physician's order form; H&P form; progress notes; critical pathways; nurses notes; lab tests record; graphic record; flow sheets; consultation reports; other diagnostic reports; MAR: PRN or unscheduled med record; case management; patient education record
- d 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
- e Right patient, drug, time, dose, route and documentation
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.
- 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.
- 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
- 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
5 True/False questions
THe right time → althought the physician may order the correct dosage of the med, changes in the pt's status may require that the dosage be altered; the nurse must use the proper equipment, the proper drug form and the proper concentration; calculations must be right; check usual drug dosage
medication administration record (MAR) medication profile → drugs books and cards; drug inserts; agency policy and procedure; pharmacist physician
Evaluation → 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
The right drug → althought the physician may order the correct dosage of the med, changes in the pt's status may require that the dosage be altered; the nurse must use the proper equipment, the proper drug form and the proper concentration; calculations must be right; check usual drug dosage
Kardex → 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.