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Rights of medication administration


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Rights of medication administration

  1. 1. Good Shepherd Health Care SystemLesli Scharbrough, RN, MSN
  2. 2.  2013 CAH National Patient Safety Goal #3 isMedication Safety More of a focus now than ever before 7,000 deaths each year related to medication errors Focus on system not individuals Used to be “5 Rights” now up to 8 and some reportsshow 10 Rights that should be observed
  3. 3.  1. Right Patient 2. Right Medication 3. Right Dose 4. Right Route 5. Right time 6. Right Documentation 7. Right Reason 8. Right Response
  4. 4.  Check name on order & the patient Use 2 identifiers Ask patient to ID him/herself When available, use technology
  5. 5.  Check the medication label Check the order
  6. 6.  Check the order Confirm appropriateness If necessary, calculate the dose Have another nurse calculate as well
  7. 7.  Again, check appropriateness of route ordered Confirm that pt. can have a medication by this route
  8. 8.  Check the frequency of the medication Double check that you are giving the ordered med atthe correct time Confirm time of last dose
  9. 9.  Document AFTER giving the medication Chart time, route, and any other specific information EG: site of an injection or Lab value or vital sign needed before administration
  10. 10.  Confirm the rationale for the medication History Why is patient taking this medication Revisit the reasons for long-term medication use
  11. 11.  Make sure that the desired effect is achieved If antihypertensive given did BP improve? Document the monitoring and any other interventions