5 Written questions
5 Matching questions
- critical pathways
- prescription pad
- renewal order
- unit dose drug distribution system
- medication administration record (MAR) medication profile
- a single-unit packages of drugs, clearly labeled package is dispensed byt the pharmacy into drawers assigned to the patient, dispensed to fill each dose requirement as it is ordered. Each package is labeled with generic and brand name, manufacturer, lot number and expiration date.Every 24 hrs the pharmacy refills the drawers (3-7 days in LTC); this is the safest and most economical method of drug distribution in use today. ADVANTAGES: Little nursing time required; pharmacist is more involved, able to evaluate each order; less drug calculations by the nruse needed so less chance of error; less wastage and misappropriation; pt can be credited for unopened drugs. DISADVANTAGES: Nurses must administer a med prepared by someone else; may lead to delays in starting meds if no stock is on unit; requires presence of pharmacist which may be unavailable or expensive
- b 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
- c must be written and signed by the phsycian before the nurse can continue to administer the med.
- d 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.
- e 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
5 Multiple choice questions
- 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
- provides a means of documenting the health teaching provided to the patient, family, or significant others and includes statements regarding the learner's mastery of the content presented
- ask the pt's name as you are checking the bracelet, errors may occur on a busy unit; at risk for errors: pediatric pt, geriatric pt, non english speaking pt, confused or critically ill pt; nursing home patients ay not be wearing a bracelet
- a drug is given to wrong pt; wrong drug is given; wrong route; wrong dose; wrong time; wrong rate of administration; drug that is contraindicated given; drug given to pt that has known allergy; unordered or unsage med is given; given with an incompatible substance; protocals for reporting errors differ between institutions
- grants permission to the health care facility and physician to provide treatment.
5 True/False questions
PRN order → generally used for emergency basis
What is included in the safe preparation and administration of the drug? → Drug Distribution Systems, interpreting Dr's orders, documentation; three checks, six rights, handling controlled substances; helpful resources
when error is detected you: → 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
progress notes → administration at a certain time but only one time.
verification → 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