5 Written questions
5 Matching questions
- Procedure for signing out a controlled drug
- critical pathways
- flow sheets
- adverse drug events (ADEs)
- physicians order form
- a all procedures and treatments are ordered by the health care provider on this form which include general care, lab tests to be completed, other diagnostic procedures, and all medications and treatments such as physical therapy or occupational therapy.
- b 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.
- c This is a condensed form for recording info for quick comparison of the data. Ex would be diabetic, pain and neurological.
- d medication errors can result in serious complications known as this, 7000 death in hospitals annually from this
- e check the order, check med record to see when med was last given; obtain keys/open cabinet; fill out inventory before removing med (compare # in record to # in cabinet pt name, date, drug, dosage, sig of nurse), document that med was given immediately after administration; document effectiveness
5 Multiple choice questions
- Right patient, drug, time, dose, route and documentation
- Drug Distribution Systems, interpreting Dr's orders, documentation; three checks, six rights, handling controlled substances; helpful resources
- 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.
- as needed
- 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
5 True/False questions
The right patient → 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)
unit dose drug distribution system → floor or ward stock system, ind presc. order system, unit dose system, automated dispensing system
PRN order → administer if needed
standing order → generally used for emergency basis
Drug Distribution Systems → floor or ward stock system, ind presc. order system, unit dose system, automated dispensing system