Pharmacology doh safe dose

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Pharmacology doh safe dose

  1. 1. Pharmacology Dose Over Have
  2. 2. Safe Dose• Legal responsibilities• Six rights• Nursing process• Components of medication prescription• Minimize medication errors• Atraumatic care to pedicatrics• Risk for adverse medication reactions
  3. 3. DOH: Safe Dose• Responsibilities:• Preparing• Administering• Evaluating client response• Developing and maintaining an up-to-date knowledge base• Skill competency• Knowledge of acceptable practice• Accuracy of med orders• Reporting all medication errors• Safeguarding and storing medications
  4. 4. DOH: Safe Dose• 6 rights• Client• Med• Route• Time• Dose• Documentation
  5. 5. DOH: Safe Dose• Types of Medication Prescriptions:• Routine• Standard• Single• One time• PRN• Stat
  6. 6. DOH: Safe Dose• Types of Medication Prescriptions:• May or may not have termination date• Without a specified termination date, the order will be in effect until it’s discontinued or client discharged• opioids, and antibiotics must be reordered within a specified amount of time or will automatically be discontinued
  7. 7. DOH: Safe Dose• Components of Medication Prescription:• Client name• Date of order• Time of order• Name of medication• Dosage• Route• Time and frequency• Signature of prescribing provider
  8. 8. DOH: Safe Dose• Medication errors:• Wrong medication or IV fluid• Incorrect dose or IV rate• Wrong client, route, or time• Administration of known allergic medication• Omission of dose• Incorrect discontinuation of medication or IV fluid
  9. 9. DOH: Safe Dose• Nursing Process: Assessment• Client’s condition relevant to med administration• Preadmission HR, BP etc.• Omit or delay doses as indicated by condition• Identify allergies• Determine if the medication prescription is complete• Interpret medication prescription accurately• Question provider if the prescription is unclear or seems inappropriate for the client’s condition
  10. 10. DOH: Safe Dose• Nursing Process: Planning• Calculate & measure doses accurately• Be sure the medication is the correct strength• Verify high alert medication with a colleague• Avoid distractions during medication preparation
  11. 11. DOH: Safe Dose• Nursing Process: Implementation• 6 right• Only administer what YOU have prepared• Follow correct procedure for all routs• Use verbal orders for only emergencies• Follow agency policy for telephone orders• Follow laws & regulations when administering controlled substances• Omit or delay a dose if client question size of dose or appearance of medication
  12. 12. DOH: Safe Dose• Errors:• Assess client for any signs of an adverse reaction• Notify the client’s provider and the supervisor• Document the event, along with the action taken in response to the event to treat or prevent adverse reactions• Document the event on an incident report according to agency policy• Evaluate the cause of the error in order to prevent a reoccurrence
  13. 13. DOH: Safe Dose• Nursing Process: Evaluation• Client response• Document and report appropriately• Side & adverse effects; document and report appropriately• Report all errors & take corrective measures immediately
  14. 14. DOH: Safe Dose• Tools for Safe Practices• Abbreviation (error prone)• Tall Man Letters• High Alert Medication List• Universal guideline: always use leading zeros before a decimal, but never trailing
  15. 15. DOH: Safe Dose• Atraumatic Care:• Therapeutic care in setting and thru the use of interventions that eliminates or minimizes the psychological and physical distress experienced by children and their families
  16. 16. DOH: Safe Dose• Atraumatic Care: Preventing Physical Stressors• Educate on environment, diagnosis, treatments• Use non-threatening models (dolls)• Make environment less threatening “safe areas”• Keep a neutral thermal environment• Explain all noises, including alarms• Close doors to room when possible to allow privacy• Allow rest periods between invasive procedures• Allow transitional items at bedside (blankets, dolls, etc.)

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