5 Written questions
5 Matching questions
- Six Rights of Medictaion administration
- computerized prescriber order entry (CPOE)
- graphic record
- individual prescription order system
- a 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
- b Right patient, drug, time, dose, route and documentation
- c is an example of manual recording of temp, pulse, resp and bp. Pain assessment nka the 5th vital sign can also be recorded on this.
- d 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,
- e look at results (response to drug, therapeutic effects, adverse effects)
5 Multiple choice questions
- pt refuses med (thoroughly record incident and reason for refusal in nurses notes; notify dr; med error occurs
- 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
- 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
- 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
- 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.
5 True/False questions
nurse consequence for med error → 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
summary sheet → generally used for emergency basis
consent form → grants permission to the health care facility and physician to provide treatment.
narcotic control systems → Paper system; narcotic/controlled substances is delivered to the unit and signed for by RN and she verifies that meds are all there and in good condition before signing; kept locked in specified cabinet; narcotic keys are carried by nurses and turned over to the next shift when narcotics are counted; at end of each shift, narcotics are counted, inventoried by 2 nurses one from oncoming shift and one from ending shift; narcotics are signed out as they are used.
standards of care → 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.