5 Written questions
5 Matching questions
- renewal order
- standards of care
- prescription pad
- PRN order
- Contents of patients charts
- a 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
- b administer if needed
- 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 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
- e must be written and signed by the phsycian before the nurse can continue to administer the med.
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
- 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.
- Right patient, drug, time, dose, route and documentation
- each institution has their own form and procedure for completing the form; purpose of the form is for follow-up by the RIsk Management department (Is this an incident that can lead to litation?); this form never goes in the pt's chart.
- check the drug name; similar names; check expiration date; know the drug action, read label 3 times (before removing the drug from the shelf, before preparing or measuring the actual prescribed dose before replacing drug on shelf or before administration)
5 True/False questions
THe right time → 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
unit dose drug distribution system → floor or ward stock system, ind presc. order system, unit dose system, automated dispensing system
medication administration record (MAR) medication profile → 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
computerized prescriber order entry (CPOE) → computer system that integrates the ordering system with the pharmacy, stocked by pharmacy, central system keeps track of inventory, only those meds ordered for the pt can be removed, there is a method to bypass system to obtain drugs in an emergency. ADVANTAGES: Reduces time for nurses, med is automatically recorded at time of delivery, tight control over med, narcotics are counted and verified each time one is removed. DISADVANTAGES: Costly, requires a pharmacist, requires password, only one nurse at a time,
unscheduled medication orders → 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