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Right of medication administration
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Safe and competent medication practice requires using the seven rights of medication administration. The rights are: Right Medication - This means that the medication that is given is the right medication. Right Patient -Giving the medication to the patient for whom it was intended. Right Dosage-This means that the patient is given the dose that was ordered and the dose is appropriate for the patient. Right Route – meaning the medication is given only the route that was ordered and that the routes safe and appropriate for the patient. Right Time -This means that the drug was given at the correct time as ordered or according to agency policy. Right Reason- This is important to make sure the right medication was ordered. Right Documentation-Nurses
The two of the six rights of medication administration that were violated where the right medication, the right dosage, and the right client. The nurse failed to read the medication order three times before administering the medication, failed to scan for the right count of the medication, and as well failed to match the patient ID with the scanned
...estions if not 100% sure of something or use a double checking system. When a nurse is administrating medication, they should use the ten rights of medication administration (right patient, right drug, right route, right time, right dose, right documentation, right action, right form, right response, and right to refuse). Nurses should always keep good hand hygiene and always wear appropriate clothing to prevent from the spread of disease. Good communication with patients and healthcare team members is also key to success. Keeping on the eye on the patient within an appropriate time is important. If the patient ever seems to be looking different than their usual self vitals should be taken immediately. Encouraging patients to ask questions if they are unaware of something can prevent errors as well. Nurses should make sure the patient is on the same page as they are.
4). Examples of how nurses can integrate this competency include; using current practice guidelines and researching into hospital’s policies (Jurado, 2015). According to Sherwood & Zomorodi (2014) nurses should use current evidence based standards when providing care to patients. Nurse B violated one of the rights of medication administration. South Florida State Hospital does not use ID wristbands; instead they use a picture of the patient in the medication cup. Nurse B did not ask the patient to confirm his name in order to verify this information with the picture in the computer. By omitting this step in the process of medication administration, nurse B put the patient at risk of a medication error, which could have caused a negative patient
According to Accuracy at Every Step: The Challenge of Medication Reconciliation (n.d.), the most challenge is called medication reconciliation, which is a formal steps of gathering information related to the patient’s medication with accurate current medication list and compared to the doctor’s admission, transfer and discharge orders. Its aim is to prevent medication errors. There are three steps process- Verification (gather medication history), Clarification (confirm the medication with doses, properly) and Reconciliation (documenting with medication information). This challenge is important to obtain accurate information on all patients entering the hospital. Information technology may play an important role in improving
Currently, through observations and clinical experience on Med/Surg at Cary Medical Center, medication is administered by the nurse. Nurses are responsible and accountable for administrating medications to patients. Patient me...
I pleased to apply to the PharmD program as the program is one area that corresponds to my career dreams. Being part of this program gives one the opportunity to gain an excellent experience in working and collaborating with various health care providers in the ward. But more importantly, it facilitates a practical environment in dealing more closely with patients. Hence, it helps to provide the ultimate health care services to patients. Also, it permits me to carry on gaining different knowledge, skills, and values in addition to those I have already developed during my undergraduate studies. My interest in being a clinical pharmacist was first aroused during my SPEP rotation in the hospital setting where I was really impressed with the role of clinical pharmacists who provide a consistent process of patient care with healthcare teams to maintain the appropriateness, effectiveness and safety of the medication use. Unlike a pharmacist, a clinical pharmacist has a more diversified responsibilities and closeness to direct patient care. Moreover, provides
The main quality initiative affected by this workaround is patient safety. The hospital switched to computer medication administration as opposed to paper medication administration documentation because it is supposed to be safer. So, when the nurse gets the “wrong medication” message the computer thinks something is wrong, this is a safety net that is built into the computer system. If the nurse were just to administer the medication without any further checks, he or she would be putting patient safety on the line. The policy involved that pertains to this workaround is the “8 rights of medication administration”, which are: right patient, right medication, right dose, right route, right time, right documentation, right reason, and right response (LippincottNursingCenter®, 2011). Each nurse it taught these eight rights of medication administration in nursing school, therefore it is a nursing policy. When this workaround occurs the nurse should use his/her judgment before “scan overriding” and ensure these eight checks before administering the
The Public Health Service Commissioned Corps had its beginnings with the creation of the Marine Hospital Fund in 1798, which later was reorganized in 1871 as the Marine Hospital Service. The Marine Hospital Service was charged with the care and maintenance of merchant sailors, but as the country grew, so did the ever-expanding mission of the service. The Marine Hospital Service soon began taking on new expanding health roles that included such health initiatives that protected the commerce and health of America. One such role was quarantine . describe how pharmacy officers in the Commissioned Corps are making a difference in protecting, promoting, and advancing health and safety of the Nation. Pharmacists who serve in the Commissioned Corps of the United States Public Health Service fill roles that are considerably different than their counterparts in the private sector. Their work takes them out from behind the counter and into the world. Pharmacy officers advance the health and safety of the Nation by their involvement in the delivery of direct patient care to medically underserved people, national security, drug vigilance, research and policy-making endeavors. pharmacists fill essential public health leadership and service roles throughout the U.S. Department of Health and Human Services HHS and certain non-HHS federal agencies and programs. Also Officers execute the mission of the Corps in the following ways:
Drug administration forms a major part of the clinical nurse’s role. Medicines are prescribed by the doctor and dispensed by the pharmacist but responsibility for correct administration rests with the registered nurse (O'Shea 1999). So as a student nurse this has become my duty and something that I need to practice and become competent in carrying it out. Each registered nurse is accountable for his/her practice. This practice includes preparing, checking and administering medications, updating knowledge of medications, monitoring the effectiveness of treatment, reporting adverse drug reactions and teaching patients about the drugs that they receive (NMC 2008). Accountability also goes for students, if at any point I felt I was not competent enough to dispensing a certain drug it would be my responsibility in speaking up and let the registered nurses know, so that I could shadow them and have the opportunity to learn help me in future practice and administration.
When the patient is admitted to acute rehabilitation and physical therapy, the patient will arrives with a packet with transport service that contains a typed med reconciliation from their discharging location. The nurse may manually enter (typing each drug name, each dose, route, times and special instructions) all these drugs as “home meds” into MEDITECH system. This may cause confusion as the drugs may not necessarily be the home meds the patient was taking at home before their hospital admittance, just their newly prescribed hospital drugs. The nurse will ask the patient (if they are alert and oriented, or else a family member if available at bedside) if they recognize the drugs and know their indications. If the patient is from a HCA hospital (which is common,) the drugs will already be in their electronic record and the admitting nurse will review last time administered for each drug before calling the doctor to review, edit or continue the current drugs for the patient. The doctor here has the opportunity to change route, dose, timing, or give additional drugs here. Pharmacy then is to check for interactions and appropriate med times (like cholesterol meds in evening). Some drugs (usually the very expensive or rare) are not stocked by pharmacy and so it is a drug that is continued under an order labeled “okay for patient to take own drug”, which means the patient’s family can bring in the unavailable drug and nursing brings it to be reviewed and barcoded by pharmacy, or else the drug is discontinued. After all is said and done, pharmacy reviews the drug list and then uploads all drug entries linked electronically to computer EMAR and the OMNICELL machine. After 5 pm, the nursing supervisor may have to track down the drug due to pharmacy not being in house. If they are unsuccessful to find it within the building, the patient may miss a dose that night, unless it is considered to be an emergent need, in which the drug can be transported over from main campus hospital by transport service. All admits after 5 pm are managed by the pharmacy at main campus hospital, who are easily accessed by phone.
In January of 1996, six months after the United States Supreme Court decided that it was suitable for Oregon's school locale, 47J in Vernonia, to require understudy competitors in center school and secondary school to take an interest in arbitrary, medication tests. One percent out of the 16,000 schools in the nation had brought the irregular medication testing into their offices. (Taylor, Robert) Even however the Supreme Court managed along these lines, they didn't feel this testing was a smart thought. There needed to of been some purpose behind this. (Bailey, William) If stand out 16,000 schools get on medication testing as a smart thought, then there is more than likely something that the schools don't believe is right with it or they
The process of prescribing medication is complex and involves many individuals seamlessly collaborating together in order for the process to flow smoothly. The prescribing process has numerous areas which can cause errors to providing the patient with the correct prescription. There are four main parties responsible for prescription errors: the physician, the pharmacist, the nurse, or the patient. A breakdown between any of these individuals could lead to a medication error. The Division of Medication Error Prevention and Analysis (DMEPA) defines a medication error as, “any preventable event that may cause or lead to inappropriate medication use or patient harm while the medication is in control of the health care professional, patient,
Thank you, Amy, for your post! The five rights of medication administration are helpful tools for helping us to medicate our patients safely. If we, nurses, follow these simple rules it will help tremendously in reducing errors. Unfortunately, some nurses use shortcuts and rush thru the process. The hospital that I work at not only teach us to compare the ID band with the name and date of Birth but we should also ask the patients to state their full name and date of birth to make sure the patient has the right ID band. Some patients will get upset with the nurse and explained that they are tired of repeating the same thing all day. When this happened, I usually explained to them that we go thru all these steps to prevent giving them the wrong
Care planning is one of these tasks, as expressed by, RNCentral (2017) in “What Is a Nursing Care Plan and Why is it Needed?” it says, “Care plans provide direction for individualized care of the client.” A care plan is for an individual patient and unique for the patient’s diagnosis. It is a nurse’s responsibility to safely administer a patient’s medication prescribed by the doctor. Colleran Michelle Cook (2017) in “Nurses’ Six Rights for Safe Medication Administration,” she says, “The right patient, the right drug, the right dose, the right route and the right time form the foundation from which nurses practice safely when administrating medications to our patients in all health care settings.” Nurses must be safe when dealing with medications, and making sure they have the right patient. Nurses document the care that is given to their patient, as said by, Medcom Trainex (2017) in “Medical Errors in Nursing: Preventing Documentation Errors,” it states, “Nurses are on the front lines of patient care. Their written accounts are critical for planning and evaluation of medical interventions and ongoing patient care.” Nurses must provide an exact, complete, and honest accounts of everything that happens with a patient. Doing this allows for the proper evaluation, and medical interventions for the patient. The typical tasks a nurse involves care planning, administration of treatments and medication, and documenting the care given to a
Sufficiency and compassion: Principle of sufficiency elicits compassion and forces us to not only take into account others who are affected by our decisions, it also coaxes us into displaying empathy for the situations of others. Without sufficiency and compassion, justice remains precariously elusive.