SlideShare a Scribd company logo
1 of 51
Download to read offline

 Generic
 Universal name based on chemical ingredients
 Name starts with a small letter-is longer in length & is
more difficult to pronounce
 Trade Name
 Name is given by Co. that develops it
 Name starts with a capitol letter-is shorter in length &
is easier to pronounce
Drug Names

 Body system
 Therapeutic use or clinical indication
 Physiological or chemical action
 Prescription or non-prescription
 Illegal drugs
Drug Classification

 Drugs act in the human body in the following ways:
 Change physiological activity within the body
 Drugs form a chemical bond within specific sites
 Drugs that interact with a receptor to cause a response
are agonists
 Drugs that attach to a receptor but do not cause a
response are antagonists
 Drugs that interact with a receptor to cause a response
but prevent other responses are partial agonists
 Once given, all drugs go through stages
 Absorption, distribution, metabolism, and excretion
Basic Principles

Factors that affect drug
absorption
 Absorption
 Age and weight of consumer
 Dry or wrinkled skin
 Decreased number of hair follicles
 Condition of consumer i.e. decreased cardiac output,
pain, fever
 Inability to chew tablets for chewable drugs
 Less saliva production
 GI absorption affected by disease processes, presence
of other drugs

Cont….
 Distribution
 Amount of body water
 Decreased levels of plasma proteins
 Metabolism
 Decreased liver function
 Genetics, smoking, diet, gender, liver disease, other
drugs
 Excretion
 Decreased kidney function

 Is the process by which a drug is transferred from its
site of body entry to circulating body fluids for
distribution. The rate depends on:
 The route
 Blood flow through the tissue where the drugs was
given
 How well the drug can dissolve
Absorption

 Give oral drugs with enough fluid
 Reconstitute and dilute drugs as recommended by
the manufacturer
 Give drugs into the correct tissue
To promote absorption

 Enteral (oral, rectal, or naso-gastric)
 Parenteral (bypass GI tract)
 Subcutaneous
 Intramuscular
 Intravenous
 percutaneous
Drugs are given

 Refers to the ways drugs are transported by
circulating body fluids to the sites of action.
 Once absorbed into the blood, a drug’s distribution
is determined by:
 Chemical properties
 How it is affected by the blood and tissues it contacts
Distribution

 Is the process by which the body in-activates drugs.
 The liver is the primary site for drug metabolism.
Metabolism

 Is the elimination of a drug from the body.
 Urine and feces are the primary routes of excretion.
Excretion

 No drug has a single action.
 When a drug is absorbed and distributed, the
desired action (expected response) usually occurs.
 All drugs can affect more than one body system,
therefore side effects and adverse drug reactions can
occur.
Drug Action

 An unintended reaction to a drug given in a normal
dosage.
 Nausea
 Dry mouth
 Dizziness
 Blurred vision
 Ringing in ears
Side effects

 Unintended effect on the body from using a legal
drug, illegal drug, or two or more drugs.
 Rash, itching, high blood sugar (hyperglycemia) and
a reduced number of platelets (thrombocytopenia)
are common ADRs.
Drug reactions/adverse
drug reaction

 Is an unfavorable response to a substance that causes a
hyper-sensitivity reaction.
 Most common reaction is
 Uticaria (hives)
 Most severe reaction is
 Anaphylaxis
 Severe, life threatening.
 Sweating, SOB, hypotension, irregular pulse, respiratory
distress, and swelling of larynx
 First exposure- mild reaction
 Second exposure- severe reaction
Allergic reaction

 Is something unusual or abnormal that happens
when a drug is first given.
 Can be considered an over –reaction to a drug
 Related to the body’s inability to metabolize the drug
Idiosyncratic Reaction

 Age
 Body weight
 Metabolic rate
 Illness
 Willingness to take drugs
 Placebo effect
 Tolerance
 Dependence
 Cumulative effect
Factors Influencing
Drug Action

 Occurs when the action of one drug is altered by the
action of another drug
 Increase the action of the other (potentiation)
 Decrease the action of the other (antagonist)
Drug Interactions

 American Hospital Formulary Service Drug
Information
 Drug Interaction Facts
 Drug Facts and Comparison
 Handbook of Nonprescription Drugs
 Natural Medicines Comprehensive Database
 Physician’s Desk Reference
 Package Inserts
 Drugs.com
Drug Information

 Classification
 Brand Name
 Generic Name
 Therapeutic Use
 Dose
 Side Effects
 Anything unusual
 Any Nsg. Precautions
Drug Activity

 Physician
 Physician’s assistant/ nurse practitioner
 Pharmacist
 Director of nurses
 Supervisory nurse
 Medication aide
Health Professionals

 Person’s full name
 Date
 Drug name
 Route of administration
 Dose
 Frequency of use
 Duration of order
 Doctor’s (prescriber’s) signature
Drug order

 STAT order
 Single order
 Standing order
 PRN order
 Ordering methods
 Written order
 Verbal order
 Telephone order
 Faxed order
 Electronic order
Drug orders

 All have to be approved by
 Joint Commission
 Institute for safe Medication Practice
 Facility
Commonly used
Abbreviations

 Weights
 Metric system (microgram, milligram, centigram,
gram, kilogram)
 Apothecary system (grain, seldom used)
 Household system (pound)
 Volume
 Metric (milliliter, centiliter, deciliter, liter)
 Apothecary (minim)
 Household system (tablespoon, teaspoon, cup, ounce)
Measurements in drug
orders

 Addiction
 Adverse reaction
 Allergic reaction
 Anaphylactic shock
 Antagonist
 Contraindication
 Cumulative effect
 Drug abuse
 Habituation
 Idiosyncrasy
 Initial dose
 Maintenance dose
 Nursing precautions, interventions
Terms for describing drug
interactions

 Placebo
 Potentiate
 Side effect
 Therapeutic effect, desired effect
 Tolerance
 Toxic effect
Cont…
 Person’s name, address, phone number
 Pharmacy’s name, address, phone number
 Prescription number
 Date prescription filled
 Original date of prescription
 Doctor’s name
 Brand name of drug
 Generic name of drug
 Manufacture’s name
 Drug dosage
 Amount in container
 How often to take
 Warnings
 Number of refills allowed
 Expiration date or when to discard
Information on the label
 Person’s name, room number, identifying information
 Admission form
 Health history
 Physical examination results
 Doctor’s order form
 Doctor’s progress notes
 Nursing team progress notes (describes care given,
person’s response & progress)
 Graphic sheet (records, measurements/observations
made daily, every shift, or 3 or 4 times a day
 Flow sheet
 Laboratory & x-ray reports
 IV therapy record
Medical record

 Respiratory therapy record
 Consultation reports
 Surgery & anesthesia reports
 Assessments/reports from social services, dietary
service, and physical, occupational, speech and
recreational therapy
 Consent forms
 PRN/unscheduled medication record
Continue

 Medication administration record (MAR)
 Scheduled medications
 Parental medications
 STAT medications
 Pre-operative medications
 PRN medications (date, time, drug given, dose given,
route, reason for giving, person’s response)
 Time drug given and by whom
Cont….

 Summarizes information in medical record
 Quick, easy source of information
 Updated regularly (usually in pencil)
 Not formal, legal part of medical record
 Destroyed when person leaves facility
Purpose of a Kardex

 Nurse verifies and transcribes order
 Nurse decides is drug safe to give
 Nurse contacts physician if order deemed unsafe, physician
may cancel or rewrite order
 Transcribe (copied)
 Copied to Kardex and MAR (secretary may copy)
 Nurse signs, dates, times transcription on original order
 Nurse sends order to pharmacy to fill
 Order may
 New drug
 Discontinued drug
 Change an order
 STAT or one-time-only order
Transcribing drugs
orders

 Report
 Person’s name, room number
 Time of observation
 Only what observed or did
 Changes from normal
 Record
 What observed
 What you did
 Person’s response
 Record administration of medication as soon as given
 Sign per facility policy, date & time medication given
 Report medications refused, not given; not of medication record; discard drug
 Record PRN medication immediately with reason given and results
 Report unusual reaction
How to accurately report
and record

Four drug distribution
systems
 Floor or ward stock system
 Frequently used
 Avoids waiting or lag time
 Pros and cons
 Individual prescription order system
 3-5 day ordered drug
 Stored in patient bin
 Safe system
 Pharmacist/nurse review order before drug given
 Pharmacy monitors drug expiration date
 Fewer drugs for drug diversion (taking person’s drug for your
own use)
 STAT, PRN drugs available

Cont…
 Computer-controlled dispensing system
 Pharmacy stocks drug cart for patients/residents on unit
 Accessed by security code/password
 Drug bar coded, patient ID bracelet also bar coded
 Patient’s ID scanned and drug scanned (provides check of
correct drug and automatically documents drug
administration)
 Unit dose system
 Single-unit dose package dispensed for each dose ordered
 24 hour supply (refilled every day) in nursing centers may
be for week or month at a time
 Safe, cost, and time efficient
 Reduces risk of drug diversion
 May be color coded for different times of day

Cont…
 Computer-controlled dispensing system
 Pharmacy stocks drug cart for patients/residents on unit
 Accessed by security code/password
 Drug bar coded, patient ID bracelet also coded
 Patient’s ID scanned and drug scanned (provides check of
correct drug and automatically documents drug
administration)
 Narcotic control systems
 Regulation of controlled substances
 Single-unit packages kept in locked cabinet in medication
room; or in a special container in the med cart- charge nurse
has the key which cannot be given to anyone except the
person giving the narcotic

 Inventoried at the end of each shift
 Must be counted by 2 qualified individuals
 If the count is not correct- MUST investigate
 Each narcotic has its own inventory sheet which
must match the count of that narcotic
Narcotic count

Drug storage
 Drug cart (locked) as is the room that they’re stored in
 Drugs stored in original container or unit dose package in
person’s individual bin
 Some drugs may need to be stored in refrigerator; tight
containers- moisture & heat can destroy drug
 Assisted living residents may store own drugs if able to self
medicate-otherwise are stored in a locked room
 Controlled substances (narcotics) double locked –may be on
drug cart or separate cabinet
 Emergency medications may be stored in floor or stock system
 Medications for external use stored separate from those for
internal use

Disposal of drugs
 Disposed of because
 Person refuses to take drug
 Drug dropped on the floor or bed
 You are to give only part of drug dispensed
 Drug becomes contaminated
 Person discharged
 Person died
 Doctor discontinued drug
 Follow facility disposal policy
 Do not return to stock supply
 Document according to facility policy

Six rights
 Right drug
 Read the label before removing from unit dose cart or shelf
 Read label before preparing or measuring prescribed dose
 Read label before returning drug to shelf or opening unit
dose packet
 Right time
 By drug order
 Standard administration times
 Blood level
 Best drug absorption time
 Diagnostic tests
 One-time-only, PRN, STAT

Six rights cont…
 Right dose
 Compare dose on label to MAR
 Use appropriate measuring devise
 Report nausea & vomiting
 Correct drug calculation (may need to be nurse)
 Right person
 Compare person’s ID to MAR
 Two identifiers
 Name
 Birthdate
 ID number
 Check for allergies

Six rights cont…
 Right route
 Drug order gives route
 Never change route
 Only give as allowed to give by prescribed route
 Routes
 IV (most rapid onset action)
 IM (next fastest onset action)
 Sub-Q (probably next fastest)
 Intradermal (absorption slow)
 What you can give
 Inhalation(fastest)
 Sublingual(next fastest)
 Suppository(next)
 Oral (slowest onset)
 Right documentation
 Record as quickly as possible
 Follow documentation standards
 Right documentation

Drug errors
 Prescribing errors
 Wrong drug for person’s diagnosis
 Drug person allergic to
 Wrong dose for person’s diagnosis
 Transcription errors
 Misinterpreting/misunderstanding drug ordered or
directions
 Interpreting hand-writing, not legible
 Using unapproved abbreviations
 Omitting a drug order
 Using wrong spelling
 Writing wrong dates or times

Drug errors cont….
 Dispensing
 Sending wrong drug or dose to facility
 Using wrong formulation
 Using wrong dosage form
 Giving drugs
 Giving wrong drug
 Giving wrong dose
 Giving an extra dose
 Giving drug not ordered for person
 Missing or skipping a dose
 Giving a drug at wrong time
 Giving drug in wrong way

Safety rules for drug
administration
 Follow the six rights of drug administration
 Store drugs properly
 Have good lighting to read Kardex, MAR
 Stay focused, don’t get distracted
 Keep working area clean, neat, orderly
 Check container label for drug name, dose, route
 Check person’s chart, Kardex, MAR, ID for allergies
 Check person’s chart, Kardex, MAR for rotation schedules for drugs
applied to skin
 Know why drug ordered, side effects, adverse reactions
 Calculate drug dosages accurately
 Identify person before giving drug
 Position person for route of administration
 Have correct fluids ready for person to swallow oral drugs
 Stay with person to make sure drugs have been swallowed
 Follow facility policy for self-administered drugs

Cont…
 Never leave a drug in person’s room to take later
 Never leave a drug unattended
 Refer questions about person’s drug or treatment plan to nurse
 Do not prepare or give drug if container not properly labeled or unreadable
 Give only drugs you are allowed to administer
 Give drugs only prepared by pharmacist
 Check drug name, dose, frequency, route, against order
 Do not return unused drug to stock supply
 Do not mix liquid drug with water or other fluid unless directed to
 Ask nurse if you have any questions, concerns
 Practice good hand hygiene
 Never touch actual drug
 Check drug carefully (may look alike)
 Listen to patient – knows drugs best
 Observe for side effects
 Make sure drug cabinet/cart is locked

 Infection is a disease state resulting from the
invasion and growth of microbes (pathogens)
 Bacteria & viruses
 Medical asepsis (clean technique)
 Hand washing!
Preventing Infection

 Guidelines set by the CDC
 Prevent the transmission of infectious agents
 Blood borne Pathogen Standard
Isolation Precautions

 Hand hygiene
 Gloves
 Gowns
 Masks
Standard Precautions

More Related Content

What's hot

Medication Reconciliation Education
Medication Reconciliation EducationMedication Reconciliation Education
Medication Reconciliation Educationcshowers5608
 
MMU Chapter - JCIA 2013
MMU Chapter - JCIA  2013MMU Chapter - JCIA  2013
MMU Chapter - JCIA 2013Mouad Hourani
 
Transitions of Care Medication Safety
Transitions of Care Medication SafetyTransitions of Care Medication Safety
Transitions of Care Medication Safetyhedavidson
 
Medication administration - NABH ( Dhananjay Pratap )
Medication administration - NABH  ( Dhananjay Pratap )Medication administration - NABH  ( Dhananjay Pratap )
Medication administration - NABH ( Dhananjay Pratap )Dhananjay Pratap
 
Patient compliance simi joju k.
Patient compliance simi joju k.Patient compliance simi joju k.
Patient compliance simi joju k.simisheeja
 
Medication error- Etiology and strategic methods to reduce the incidence of M...
Medication error- Etiology and strategic methods to reduce the incidence of M...Medication error- Etiology and strategic methods to reduce the incidence of M...
Medication error- Etiology and strategic methods to reduce the incidence of M...Dr. Jibin Mathew
 
Medication Errors M Pharm
Medication Errors M PharmMedication Errors M Pharm
Medication Errors M PharmSohelNadaf3
 
Medication Reconciliation A Basic Overview
Medication Reconciliation A Basic OverviewMedication Reconciliation A Basic Overview
Medication Reconciliation A Basic OverviewAnupam Das
 
medication error reporting system
 medication error reporting system medication error reporting system
medication error reporting systemMEEQAT HOSPITAL
 
Medication error- In Multidisciplinary Hospital
Medication error- In Multidisciplinary HospitalMedication error- In Multidisciplinary Hospital
Medication error- In Multidisciplinary Hospitalanamsohail29
 
Purchasing medicines
Purchasing medicinesPurchasing medicines
Purchasing medicinesUsman Sarwar
 
High alert & lasa medications
High alert & lasa medicationsHigh alert & lasa medications
High alert & lasa medicationsHatch Compliance
 
How can I get Ayurvedic drug manufacturing license?
How can I  get Ayurvedic drug manufacturing license?How can I  get Ayurvedic drug manufacturing license?
How can I get Ayurvedic drug manufacturing license?Dr.Surendra Chaudhary
 

What's hot (20)

Medication Reconciliation Education
Medication Reconciliation EducationMedication Reconciliation Education
Medication Reconciliation Education
 
MMU Chapter - JCIA 2013
MMU Chapter - JCIA  2013MMU Chapter - JCIA  2013
MMU Chapter - JCIA 2013
 
ME and HAM.ppt
ME and HAM.pptME and HAM.ppt
ME and HAM.ppt
 
Transitions of Care Medication Safety
Transitions of Care Medication SafetyTransitions of Care Medication Safety
Transitions of Care Medication Safety
 
Medication administration - NABH ( Dhananjay Pratap )
Medication administration - NABH  ( Dhananjay Pratap )Medication administration - NABH  ( Dhananjay Pratap )
Medication administration - NABH ( Dhananjay Pratap )
 
Medication error
Medication errorMedication error
Medication error
 
Patient compliance simi joju k.
Patient compliance simi joju k.Patient compliance simi joju k.
Patient compliance simi joju k.
 
Medication error- Etiology and strategic methods to reduce the incidence of M...
Medication error- Etiology and strategic methods to reduce the incidence of M...Medication error- Etiology and strategic methods to reduce the incidence of M...
Medication error- Etiology and strategic methods to reduce the incidence of M...
 
Medication Errors M Pharm
Medication Errors M PharmMedication Errors M Pharm
Medication Errors M Pharm
 
LASA drugs
LASA  drugs LASA  drugs
LASA drugs
 
Prescription Patterns
Prescription PatternsPrescription Patterns
Prescription Patterns
 
A. SANDHYA RANI
A. SANDHYA RANIA. SANDHYA RANI
A. SANDHYA RANI
 
Saudi Moh formulary
Saudi Moh formularySaudi Moh formulary
Saudi Moh formulary
 
Medication Reconciliation A Basic Overview
Medication Reconciliation A Basic OverviewMedication Reconciliation A Basic Overview
Medication Reconciliation A Basic Overview
 
Medication error
Medication errorMedication error
Medication error
 
medication error reporting system
 medication error reporting system medication error reporting system
medication error reporting system
 
Medication error- In Multidisciplinary Hospital
Medication error- In Multidisciplinary HospitalMedication error- In Multidisciplinary Hospital
Medication error- In Multidisciplinary Hospital
 
Purchasing medicines
Purchasing medicinesPurchasing medicines
Purchasing medicines
 
High alert & lasa medications
High alert & lasa medicationsHigh alert & lasa medications
High alert & lasa medications
 
How can I get Ayurvedic drug manufacturing license?
How can I  get Ayurvedic drug manufacturing license?How can I  get Ayurvedic drug manufacturing license?
How can I get Ayurvedic drug manufacturing license?
 

Viewers also liked

Viewers also liked (10)

10 rights of medication administration
10 rights of medication administration10 rights of medication administration
10 rights of medication administration
 
Clinical pharmacology
Clinical pharmacologyClinical pharmacology
Clinical pharmacology
 
anatomy
anatomyanatomy
anatomy
 
Emergency Nursing
Emergency NursingEmergency Nursing
Emergency Nursing
 
Respiratory System Notes
Respiratory System NotesRespiratory System Notes
Respiratory System Notes
 
Medication administration
Medication administration Medication administration
Medication administration
 
Respiratory system
Respiratory systemRespiratory system
Respiratory system
 
Ppt respiratory system- physiology
Ppt respiratory system- physiologyPpt respiratory system- physiology
Ppt respiratory system- physiology
 
Respiratory system study guide
Respiratory system study guideRespiratory system study guide
Respiratory system study guide
 
Medication Part1
Medication Part1Medication Part1
Medication Part1
 

Similar to Day 2 Medication Aide

02 Pharmacologic Principles Upd
02 Pharmacologic Principles Upd02 Pharmacologic Principles Upd
02 Pharmacologic Principles UpdNurse Uragon
 
Hanson 10e Pp Ts Ch05
Hanson 10e Pp Ts Ch05Hanson 10e Pp Ts Ch05
Hanson 10e Pp Ts Ch05Bryan
 
Medical history interview
Medical history interview Medical history interview
Medical history interview Harshita Jain
 
Pharmacology For Nurses Week 1
Pharmacology For Nurses Week 1Pharmacology For Nurses Week 1
Pharmacology For Nurses Week 1nefiteri
 
Medication Administration prof.pptx
Medication Administration prof.pptxMedication Administration prof.pptx
Medication Administration prof.pptxmohammed149893
 
Pharmacology part 1
Pharmacology part 1Pharmacology part 1
Pharmacology part 1Ben Lesold
 
NurseReview.Org - Pharmacologic Principles
NurseReview.Org - Pharmacologic PrinciplesNurseReview.Org - Pharmacologic Principles
NurseReview.Org - Pharmacologic Principlesjben501
 
Pharmacological principles
Pharmacological principlesPharmacological principles
Pharmacological principlesraj kumar
 
Pharmacological principles
Pharmacological principlesPharmacological principles
Pharmacological principlesraj kumar
 
8. pharmacotherapy
8. pharmacotherapy8. pharmacotherapy
8. pharmacotherapyGerika Aura
 
Handling and administration of medicines
Handling and administration of medicinesHandling and administration of medicines
Handling and administration of medicinespurva_chosencaregroup
 
msn 07-04-2014----------------------.pptx
msn 07-04-2014----------------------.pptxmsn 07-04-2014----------------------.pptx
msn 07-04-2014----------------------.pptxtaibaclinicalpharmac
 
Administer and monitor s8 meds
Administer and monitor s8 medsAdminister and monitor s8 meds
Administer and monitor s8 medselsavdh2
 

Similar to Day 2 Medication Aide (20)

Presentation1 A Pharmacology
Presentation1 A PharmacologyPresentation1 A Pharmacology
Presentation1 A Pharmacology
 
Presentation1 A
Presentation1 APresentation1 A
Presentation1 A
 
02 Pharmacologic Principles Upd
02 Pharmacologic Principles Upd02 Pharmacologic Principles Upd
02 Pharmacologic Principles Upd
 
Ch23
Ch23Ch23
Ch23
 
Hanson 10e Pp Ts Ch05
Hanson 10e Pp Ts Ch05Hanson 10e Pp Ts Ch05
Hanson 10e Pp Ts Ch05
 
Medical history interview
Medical history interview Medical history interview
Medical history interview
 
Pharmacology For Nurses Week 1
Pharmacology For Nurses Week 1Pharmacology For Nurses Week 1
Pharmacology For Nurses Week 1
 
Medication Administration prof.pptx
Medication Administration prof.pptxMedication Administration prof.pptx
Medication Administration prof.pptx
 
Pharmacology part 1
Pharmacology part 1Pharmacology part 1
Pharmacology part 1
 
CLINICAL PHARMACY.pptx
CLINICAL PHARMACY.pptxCLINICAL PHARMACY.pptx
CLINICAL PHARMACY.pptx
 
NurseReview.Org - Pharmacologic Principles
NurseReview.Org - Pharmacologic PrinciplesNurseReview.Org - Pharmacologic Principles
NurseReview.Org - Pharmacologic Principles
 
Pharmacological principles
Pharmacological principlesPharmacological principles
Pharmacological principles
 
Pharmacological principles
Pharmacological principlesPharmacological principles
Pharmacological principles
 
8. pharmacotherapy
8. pharmacotherapy8. pharmacotherapy
8. pharmacotherapy
 
Handling and administration of medicines
Handling and administration of medicinesHandling and administration of medicines
Handling and administration of medicines
 
Administration of drugs/Medication
Administration of drugs/MedicationAdministration of drugs/Medication
Administration of drugs/Medication
 
CLINICAL PHARMACY.pptx
CLINICAL PHARMACY.pptxCLINICAL PHARMACY.pptx
CLINICAL PHARMACY.pptx
 
msn 07-04-2014----------------------.pptx
msn 07-04-2014----------------------.pptxmsn 07-04-2014----------------------.pptx
msn 07-04-2014----------------------.pptx
 
Patient Medication History
Patient Medication HistoryPatient Medication History
Patient Medication History
 
Administer and monitor s8 meds
Administer and monitor s8 medsAdminister and monitor s8 meds
Administer and monitor s8 meds
 

More from Kim Recker

2012 MECP FINAL Brochure
2012 MECP FINAL Brochure2012 MECP FINAL Brochure
2012 MECP FINAL BrochureKim Recker
 
Day 8 Medication Aide
Day 8 Medication AideDay 8 Medication Aide
Day 8 Medication AideKim Recker
 
Day 6 Medication Aide
Day 6 Medication AideDay 6 Medication Aide
Day 6 Medication AideKim Recker
 
Day 5 Medication Aide
Day 5 Medication AideDay 5 Medication Aide
Day 5 Medication AideKim Recker
 
Day 4 Medication Aide
Day 4 Medication AideDay 4 Medication Aide
Day 4 Medication AideKim Recker
 
Day 3 Medication Aide
Day 3 Medication AideDay 3 Medication Aide
Day 3 Medication AideKim Recker
 
Day 7 Medication Aide
Day 7 Medication AideDay 7 Medication Aide
Day 7 Medication AideKim Recker
 

More from Kim Recker (7)

2012 MECP FINAL Brochure
2012 MECP FINAL Brochure2012 MECP FINAL Brochure
2012 MECP FINAL Brochure
 
Day 8 Medication Aide
Day 8 Medication AideDay 8 Medication Aide
Day 8 Medication Aide
 
Day 6 Medication Aide
Day 6 Medication AideDay 6 Medication Aide
Day 6 Medication Aide
 
Day 5 Medication Aide
Day 5 Medication AideDay 5 Medication Aide
Day 5 Medication Aide
 
Day 4 Medication Aide
Day 4 Medication AideDay 4 Medication Aide
Day 4 Medication Aide
 
Day 3 Medication Aide
Day 3 Medication AideDay 3 Medication Aide
Day 3 Medication Aide
 
Day 7 Medication Aide
Day 7 Medication AideDay 7 Medication Aide
Day 7 Medication Aide
 

Recently uploaded

Sarah Lahm In Media Res Media Component
Sarah Lahm  In Media Res Media ComponentSarah Lahm  In Media Res Media Component
Sarah Lahm In Media Res Media ComponentInMediaRes1
 
An Overview of the Calendar App in Odoo 17 ERP
An Overview of the Calendar App in Odoo 17 ERPAn Overview of the Calendar App in Odoo 17 ERP
An Overview of the Calendar App in Odoo 17 ERPCeline George
 
Grade Three -ELLNA-REVIEWER-ENGLISH.pptx
Grade Three -ELLNA-REVIEWER-ENGLISH.pptxGrade Three -ELLNA-REVIEWER-ENGLISH.pptx
Grade Three -ELLNA-REVIEWER-ENGLISH.pptxkarenfajardo43
 
DiskStorage_BasicFileStructuresandHashing.pdf
DiskStorage_BasicFileStructuresandHashing.pdfDiskStorage_BasicFileStructuresandHashing.pdf
DiskStorage_BasicFileStructuresandHashing.pdfChristalin Nelson
 
31 ĐỀ THI THỬ VÀO LỚP 10 - TIẾNG ANH - FORM MỚI 2025 - 40 CÂU HỎI - BÙI VĂN V...
31 ĐỀ THI THỬ VÀO LỚP 10 - TIẾNG ANH - FORM MỚI 2025 - 40 CÂU HỎI - BÙI VĂN V...31 ĐỀ THI THỬ VÀO LỚP 10 - TIẾNG ANH - FORM MỚI 2025 - 40 CÂU HỎI - BÙI VĂN V...
31 ĐỀ THI THỬ VÀO LỚP 10 - TIẾNG ANH - FORM MỚI 2025 - 40 CÂU HỎI - BÙI VĂN V...Nguyen Thanh Tu Collection
 
How to Uninstall a Module in Odoo 17 Using Command Line
How to Uninstall a Module in Odoo 17 Using Command LineHow to Uninstall a Module in Odoo 17 Using Command Line
How to Uninstall a Module in Odoo 17 Using Command LineCeline George
 
BÀI TẬP BỔ TRỢ 4 KĨ NĂNG TIẾNG ANH LỚP 11 (CẢ NĂM) - FRIENDS GLOBAL - NĂM HỌC...
BÀI TẬP BỔ TRỢ 4 KĨ NĂNG TIẾNG ANH LỚP 11 (CẢ NĂM) - FRIENDS GLOBAL - NĂM HỌC...BÀI TẬP BỔ TRỢ 4 KĨ NĂNG TIẾNG ANH LỚP 11 (CẢ NĂM) - FRIENDS GLOBAL - NĂM HỌC...
BÀI TẬP BỔ TRỢ 4 KĨ NĂNG TIẾNG ANH LỚP 11 (CẢ NĂM) - FRIENDS GLOBAL - NĂM HỌC...Nguyen Thanh Tu Collection
 
4.11.24 Poverty and Inequality in America.pptx
4.11.24 Poverty and Inequality in America.pptx4.11.24 Poverty and Inequality in America.pptx
4.11.24 Poverty and Inequality in America.pptxmary850239
 
CHUYÊN ĐỀ ÔN THEO CÂU CHO HỌC SINH LỚP 12 ĐỂ ĐẠT ĐIỂM 5+ THI TỐT NGHIỆP THPT ...
CHUYÊN ĐỀ ÔN THEO CÂU CHO HỌC SINH LỚP 12 ĐỂ ĐẠT ĐIỂM 5+ THI TỐT NGHIỆP THPT ...CHUYÊN ĐỀ ÔN THEO CÂU CHO HỌC SINH LỚP 12 ĐỂ ĐẠT ĐIỂM 5+ THI TỐT NGHIỆP THPT ...
CHUYÊN ĐỀ ÔN THEO CÂU CHO HỌC SINH LỚP 12 ĐỂ ĐẠT ĐIỂM 5+ THI TỐT NGHIỆP THPT ...Nguyen Thanh Tu Collection
 
How to create _name_search function in odoo 17
How to create _name_search function in odoo 17How to create _name_search function in odoo 17
How to create _name_search function in odoo 17Celine George
 
Geoffrey Chaucer Works II UGC NET JRF TGT PGT MA PHD Entrance Exam II History...
Geoffrey Chaucer Works II UGC NET JRF TGT PGT MA PHD Entrance Exam II History...Geoffrey Chaucer Works II UGC NET JRF TGT PGT MA PHD Entrance Exam II History...
Geoffrey Chaucer Works II UGC NET JRF TGT PGT MA PHD Entrance Exam II History...DrVipulVKapoor
 
Healthy Minds, Flourishing Lives: A Philosophical Approach to Mental Health a...
Healthy Minds, Flourishing Lives: A Philosophical Approach to Mental Health a...Healthy Minds, Flourishing Lives: A Philosophical Approach to Mental Health a...
Healthy Minds, Flourishing Lives: A Philosophical Approach to Mental Health a...Osopher
 
BÀI TẬP BỔ TRỢ TIẾNG ANH 11 THEO ĐƠN VỊ BÀI HỌC - CẢ NĂM - CÓ FILE NGHE (GLOB...
BÀI TẬP BỔ TRỢ TIẾNG ANH 11 THEO ĐƠN VỊ BÀI HỌC - CẢ NĂM - CÓ FILE NGHE (GLOB...BÀI TẬP BỔ TRỢ TIẾNG ANH 11 THEO ĐƠN VỊ BÀI HỌC - CẢ NĂM - CÓ FILE NGHE (GLOB...
BÀI TẬP BỔ TRỢ TIẾNG ANH 11 THEO ĐƠN VỊ BÀI HỌC - CẢ NĂM - CÓ FILE NGHE (GLOB...Nguyen Thanh Tu Collection
 
Jason Potel In Media Res Media Component
Jason Potel In Media Res Media ComponentJason Potel In Media Res Media Component
Jason Potel In Media Res Media ComponentInMediaRes1
 
The role of Geography in climate education: science and active citizenship
The role of Geography in climate education: science and active citizenshipThe role of Geography in climate education: science and active citizenship
The role of Geography in climate education: science and active citizenshipKarl Donert
 
DBMSArchitecture_QueryProcessingandOptimization.pdf
DBMSArchitecture_QueryProcessingandOptimization.pdfDBMSArchitecture_QueryProcessingandOptimization.pdf
DBMSArchitecture_QueryProcessingandOptimization.pdfChristalin Nelson
 
CLASSIFICATION OF ANTI - CANCER DRUGS.pptx
CLASSIFICATION OF ANTI - CANCER DRUGS.pptxCLASSIFICATION OF ANTI - CANCER DRUGS.pptx
CLASSIFICATION OF ANTI - CANCER DRUGS.pptxAnupam32727
 

Recently uploaded (20)

Sarah Lahm In Media Res Media Component
Sarah Lahm  In Media Res Media ComponentSarah Lahm  In Media Res Media Component
Sarah Lahm In Media Res Media Component
 
An Overview of the Calendar App in Odoo 17 ERP
An Overview of the Calendar App in Odoo 17 ERPAn Overview of the Calendar App in Odoo 17 ERP
An Overview of the Calendar App in Odoo 17 ERP
 
Grade Three -ELLNA-REVIEWER-ENGLISH.pptx
Grade Three -ELLNA-REVIEWER-ENGLISH.pptxGrade Three -ELLNA-REVIEWER-ENGLISH.pptx
Grade Three -ELLNA-REVIEWER-ENGLISH.pptx
 
DiskStorage_BasicFileStructuresandHashing.pdf
DiskStorage_BasicFileStructuresandHashing.pdfDiskStorage_BasicFileStructuresandHashing.pdf
DiskStorage_BasicFileStructuresandHashing.pdf
 
31 ĐỀ THI THỬ VÀO LỚP 10 - TIẾNG ANH - FORM MỚI 2025 - 40 CÂU HỎI - BÙI VĂN V...
31 ĐỀ THI THỬ VÀO LỚP 10 - TIẾNG ANH - FORM MỚI 2025 - 40 CÂU HỎI - BÙI VĂN V...31 ĐỀ THI THỬ VÀO LỚP 10 - TIẾNG ANH - FORM MỚI 2025 - 40 CÂU HỎI - BÙI VĂN V...
31 ĐỀ THI THỬ VÀO LỚP 10 - TIẾNG ANH - FORM MỚI 2025 - 40 CÂU HỎI - BÙI VĂN V...
 
How to Uninstall a Module in Odoo 17 Using Command Line
How to Uninstall a Module in Odoo 17 Using Command LineHow to Uninstall a Module in Odoo 17 Using Command Line
How to Uninstall a Module in Odoo 17 Using Command Line
 
Plagiarism,forms,understand about plagiarism,avoid plagiarism,key significanc...
Plagiarism,forms,understand about plagiarism,avoid plagiarism,key significanc...Plagiarism,forms,understand about plagiarism,avoid plagiarism,key significanc...
Plagiarism,forms,understand about plagiarism,avoid plagiarism,key significanc...
 
BÀI TẬP BỔ TRỢ 4 KĨ NĂNG TIẾNG ANH LỚP 11 (CẢ NĂM) - FRIENDS GLOBAL - NĂM HỌC...
BÀI TẬP BỔ TRỢ 4 KĨ NĂNG TIẾNG ANH LỚP 11 (CẢ NĂM) - FRIENDS GLOBAL - NĂM HỌC...BÀI TẬP BỔ TRỢ 4 KĨ NĂNG TIẾNG ANH LỚP 11 (CẢ NĂM) - FRIENDS GLOBAL - NĂM HỌC...
BÀI TẬP BỔ TRỢ 4 KĨ NĂNG TIẾNG ANH LỚP 11 (CẢ NĂM) - FRIENDS GLOBAL - NĂM HỌC...
 
Chi-Square Test Non Parametric Test Categorical Variable
Chi-Square Test Non Parametric Test Categorical VariableChi-Square Test Non Parametric Test Categorical Variable
Chi-Square Test Non Parametric Test Categorical Variable
 
4.11.24 Poverty and Inequality in America.pptx
4.11.24 Poverty and Inequality in America.pptx4.11.24 Poverty and Inequality in America.pptx
4.11.24 Poverty and Inequality in America.pptx
 
Israel Genealogy Research Assoc. April 2024 Database Release
Israel Genealogy Research Assoc. April 2024 Database ReleaseIsrael Genealogy Research Assoc. April 2024 Database Release
Israel Genealogy Research Assoc. April 2024 Database Release
 
CHUYÊN ĐỀ ÔN THEO CÂU CHO HỌC SINH LỚP 12 ĐỂ ĐẠT ĐIỂM 5+ THI TỐT NGHIỆP THPT ...
CHUYÊN ĐỀ ÔN THEO CÂU CHO HỌC SINH LỚP 12 ĐỂ ĐẠT ĐIỂM 5+ THI TỐT NGHIỆP THPT ...CHUYÊN ĐỀ ÔN THEO CÂU CHO HỌC SINH LỚP 12 ĐỂ ĐẠT ĐIỂM 5+ THI TỐT NGHIỆP THPT ...
CHUYÊN ĐỀ ÔN THEO CÂU CHO HỌC SINH LỚP 12 ĐỂ ĐẠT ĐIỂM 5+ THI TỐT NGHIỆP THPT ...
 
How to create _name_search function in odoo 17
How to create _name_search function in odoo 17How to create _name_search function in odoo 17
How to create _name_search function in odoo 17
 
Geoffrey Chaucer Works II UGC NET JRF TGT PGT MA PHD Entrance Exam II History...
Geoffrey Chaucer Works II UGC NET JRF TGT PGT MA PHD Entrance Exam II History...Geoffrey Chaucer Works II UGC NET JRF TGT PGT MA PHD Entrance Exam II History...
Geoffrey Chaucer Works II UGC NET JRF TGT PGT MA PHD Entrance Exam II History...
 
Healthy Minds, Flourishing Lives: A Philosophical Approach to Mental Health a...
Healthy Minds, Flourishing Lives: A Philosophical Approach to Mental Health a...Healthy Minds, Flourishing Lives: A Philosophical Approach to Mental Health a...
Healthy Minds, Flourishing Lives: A Philosophical Approach to Mental Health a...
 
BÀI TẬP BỔ TRỢ TIẾNG ANH 11 THEO ĐƠN VỊ BÀI HỌC - CẢ NĂM - CÓ FILE NGHE (GLOB...
BÀI TẬP BỔ TRỢ TIẾNG ANH 11 THEO ĐƠN VỊ BÀI HỌC - CẢ NĂM - CÓ FILE NGHE (GLOB...BÀI TẬP BỔ TRỢ TIẾNG ANH 11 THEO ĐƠN VỊ BÀI HỌC - CẢ NĂM - CÓ FILE NGHE (GLOB...
BÀI TẬP BỔ TRỢ TIẾNG ANH 11 THEO ĐƠN VỊ BÀI HỌC - CẢ NĂM - CÓ FILE NGHE (GLOB...
 
Jason Potel In Media Res Media Component
Jason Potel In Media Res Media ComponentJason Potel In Media Res Media Component
Jason Potel In Media Res Media Component
 
The role of Geography in climate education: science and active citizenship
The role of Geography in climate education: science and active citizenshipThe role of Geography in climate education: science and active citizenship
The role of Geography in climate education: science and active citizenship
 
DBMSArchitecture_QueryProcessingandOptimization.pdf
DBMSArchitecture_QueryProcessingandOptimization.pdfDBMSArchitecture_QueryProcessingandOptimization.pdf
DBMSArchitecture_QueryProcessingandOptimization.pdf
 
CLASSIFICATION OF ANTI - CANCER DRUGS.pptx
CLASSIFICATION OF ANTI - CANCER DRUGS.pptxCLASSIFICATION OF ANTI - CANCER DRUGS.pptx
CLASSIFICATION OF ANTI - CANCER DRUGS.pptx
 

Day 2 Medication Aide

  • 1.
  • 2.   Generic  Universal name based on chemical ingredients  Name starts with a small letter-is longer in length & is more difficult to pronounce  Trade Name  Name is given by Co. that develops it  Name starts with a capitol letter-is shorter in length & is easier to pronounce Drug Names
  • 3.   Body system  Therapeutic use or clinical indication  Physiological or chemical action  Prescription or non-prescription  Illegal drugs Drug Classification
  • 4.   Drugs act in the human body in the following ways:  Change physiological activity within the body  Drugs form a chemical bond within specific sites  Drugs that interact with a receptor to cause a response are agonists  Drugs that attach to a receptor but do not cause a response are antagonists  Drugs that interact with a receptor to cause a response but prevent other responses are partial agonists  Once given, all drugs go through stages  Absorption, distribution, metabolism, and excretion Basic Principles
  • 5.  Factors that affect drug absorption  Absorption  Age and weight of consumer  Dry or wrinkled skin  Decreased number of hair follicles  Condition of consumer i.e. decreased cardiac output, pain, fever  Inability to chew tablets for chewable drugs  Less saliva production  GI absorption affected by disease processes, presence of other drugs
  • 6.  Cont….  Distribution  Amount of body water  Decreased levels of plasma proteins  Metabolism  Decreased liver function  Genetics, smoking, diet, gender, liver disease, other drugs  Excretion  Decreased kidney function
  • 7.   Is the process by which a drug is transferred from its site of body entry to circulating body fluids for distribution. The rate depends on:  The route  Blood flow through the tissue where the drugs was given  How well the drug can dissolve Absorption
  • 8.   Give oral drugs with enough fluid  Reconstitute and dilute drugs as recommended by the manufacturer  Give drugs into the correct tissue To promote absorption
  • 9.   Enteral (oral, rectal, or naso-gastric)  Parenteral (bypass GI tract)  Subcutaneous  Intramuscular  Intravenous  percutaneous Drugs are given
  • 10.   Refers to the ways drugs are transported by circulating body fluids to the sites of action.  Once absorbed into the blood, a drug’s distribution is determined by:  Chemical properties  How it is affected by the blood and tissues it contacts Distribution
  • 11.   Is the process by which the body in-activates drugs.  The liver is the primary site for drug metabolism. Metabolism
  • 12.   Is the elimination of a drug from the body.  Urine and feces are the primary routes of excretion. Excretion
  • 13.   No drug has a single action.  When a drug is absorbed and distributed, the desired action (expected response) usually occurs.  All drugs can affect more than one body system, therefore side effects and adverse drug reactions can occur. Drug Action
  • 14.   An unintended reaction to a drug given in a normal dosage.  Nausea  Dry mouth  Dizziness  Blurred vision  Ringing in ears Side effects
  • 15.   Unintended effect on the body from using a legal drug, illegal drug, or two or more drugs.  Rash, itching, high blood sugar (hyperglycemia) and a reduced number of platelets (thrombocytopenia) are common ADRs. Drug reactions/adverse drug reaction
  • 16.   Is an unfavorable response to a substance that causes a hyper-sensitivity reaction.  Most common reaction is  Uticaria (hives)  Most severe reaction is  Anaphylaxis  Severe, life threatening.  Sweating, SOB, hypotension, irregular pulse, respiratory distress, and swelling of larynx  First exposure- mild reaction  Second exposure- severe reaction Allergic reaction
  • 17.   Is something unusual or abnormal that happens when a drug is first given.  Can be considered an over –reaction to a drug  Related to the body’s inability to metabolize the drug Idiosyncratic Reaction
  • 18.   Age  Body weight  Metabolic rate  Illness  Willingness to take drugs  Placebo effect  Tolerance  Dependence  Cumulative effect Factors Influencing Drug Action
  • 19.   Occurs when the action of one drug is altered by the action of another drug  Increase the action of the other (potentiation)  Decrease the action of the other (antagonist) Drug Interactions
  • 20.   American Hospital Formulary Service Drug Information  Drug Interaction Facts  Drug Facts and Comparison  Handbook of Nonprescription Drugs  Natural Medicines Comprehensive Database  Physician’s Desk Reference  Package Inserts  Drugs.com Drug Information
  • 21.   Classification  Brand Name  Generic Name  Therapeutic Use  Dose  Side Effects  Anything unusual  Any Nsg. Precautions Drug Activity
  • 22.   Physician  Physician’s assistant/ nurse practitioner  Pharmacist  Director of nurses  Supervisory nurse  Medication aide Health Professionals
  • 23.   Person’s full name  Date  Drug name  Route of administration  Dose  Frequency of use  Duration of order  Doctor’s (prescriber’s) signature Drug order
  • 24.   STAT order  Single order  Standing order  PRN order  Ordering methods  Written order  Verbal order  Telephone order  Faxed order  Electronic order Drug orders
  • 25.   All have to be approved by  Joint Commission  Institute for safe Medication Practice  Facility Commonly used Abbreviations
  • 26.   Weights  Metric system (microgram, milligram, centigram, gram, kilogram)  Apothecary system (grain, seldom used)  Household system (pound)  Volume  Metric (milliliter, centiliter, deciliter, liter)  Apothecary (minim)  Household system (tablespoon, teaspoon, cup, ounce) Measurements in drug orders
  • 27.   Addiction  Adverse reaction  Allergic reaction  Anaphylactic shock  Antagonist  Contraindication  Cumulative effect  Drug abuse  Habituation  Idiosyncrasy  Initial dose  Maintenance dose  Nursing precautions, interventions Terms for describing drug interactions
  • 28.   Placebo  Potentiate  Side effect  Therapeutic effect, desired effect  Tolerance  Toxic effect Cont…
  • 29.  Person’s name, address, phone number  Pharmacy’s name, address, phone number  Prescription number  Date prescription filled  Original date of prescription  Doctor’s name  Brand name of drug  Generic name of drug  Manufacture’s name  Drug dosage  Amount in container  How often to take  Warnings  Number of refills allowed  Expiration date or when to discard Information on the label
  • 30.  Person’s name, room number, identifying information  Admission form  Health history  Physical examination results  Doctor’s order form  Doctor’s progress notes  Nursing team progress notes (describes care given, person’s response & progress)  Graphic sheet (records, measurements/observations made daily, every shift, or 3 or 4 times a day  Flow sheet  Laboratory & x-ray reports  IV therapy record Medical record
  • 31.   Respiratory therapy record  Consultation reports  Surgery & anesthesia reports  Assessments/reports from social services, dietary service, and physical, occupational, speech and recreational therapy  Consent forms  PRN/unscheduled medication record Continue
  • 32.   Medication administration record (MAR)  Scheduled medications  Parental medications  STAT medications  Pre-operative medications  PRN medications (date, time, drug given, dose given, route, reason for giving, person’s response)  Time drug given and by whom Cont….
  • 33.   Summarizes information in medical record  Quick, easy source of information  Updated regularly (usually in pencil)  Not formal, legal part of medical record  Destroyed when person leaves facility Purpose of a Kardex
  • 34.   Nurse verifies and transcribes order  Nurse decides is drug safe to give  Nurse contacts physician if order deemed unsafe, physician may cancel or rewrite order  Transcribe (copied)  Copied to Kardex and MAR (secretary may copy)  Nurse signs, dates, times transcription on original order  Nurse sends order to pharmacy to fill  Order may  New drug  Discontinued drug  Change an order  STAT or one-time-only order Transcribing drugs orders
  • 35.   Report  Person’s name, room number  Time of observation  Only what observed or did  Changes from normal  Record  What observed  What you did  Person’s response  Record administration of medication as soon as given  Sign per facility policy, date & time medication given  Report medications refused, not given; not of medication record; discard drug  Record PRN medication immediately with reason given and results  Report unusual reaction How to accurately report and record
  • 36.  Four drug distribution systems  Floor or ward stock system  Frequently used  Avoids waiting or lag time  Pros and cons  Individual prescription order system  3-5 day ordered drug  Stored in patient bin  Safe system  Pharmacist/nurse review order before drug given  Pharmacy monitors drug expiration date  Fewer drugs for drug diversion (taking person’s drug for your own use)  STAT, PRN drugs available
  • 37.  Cont…  Computer-controlled dispensing system  Pharmacy stocks drug cart for patients/residents on unit  Accessed by security code/password  Drug bar coded, patient ID bracelet also bar coded  Patient’s ID scanned and drug scanned (provides check of correct drug and automatically documents drug administration)  Unit dose system  Single-unit dose package dispensed for each dose ordered  24 hour supply (refilled every day) in nursing centers may be for week or month at a time  Safe, cost, and time efficient  Reduces risk of drug diversion  May be color coded for different times of day
  • 38.  Cont…  Computer-controlled dispensing system  Pharmacy stocks drug cart for patients/residents on unit  Accessed by security code/password  Drug bar coded, patient ID bracelet also coded  Patient’s ID scanned and drug scanned (provides check of correct drug and automatically documents drug administration)  Narcotic control systems  Regulation of controlled substances  Single-unit packages kept in locked cabinet in medication room; or in a special container in the med cart- charge nurse has the key which cannot be given to anyone except the person giving the narcotic
  • 39.   Inventoried at the end of each shift  Must be counted by 2 qualified individuals  If the count is not correct- MUST investigate  Each narcotic has its own inventory sheet which must match the count of that narcotic Narcotic count
  • 40.  Drug storage  Drug cart (locked) as is the room that they’re stored in  Drugs stored in original container or unit dose package in person’s individual bin  Some drugs may need to be stored in refrigerator; tight containers- moisture & heat can destroy drug  Assisted living residents may store own drugs if able to self medicate-otherwise are stored in a locked room  Controlled substances (narcotics) double locked –may be on drug cart or separate cabinet  Emergency medications may be stored in floor or stock system  Medications for external use stored separate from those for internal use
  • 41.  Disposal of drugs  Disposed of because  Person refuses to take drug  Drug dropped on the floor or bed  You are to give only part of drug dispensed  Drug becomes contaminated  Person discharged  Person died  Doctor discontinued drug  Follow facility disposal policy  Do not return to stock supply  Document according to facility policy
  • 42.  Six rights  Right drug  Read the label before removing from unit dose cart or shelf  Read label before preparing or measuring prescribed dose  Read label before returning drug to shelf or opening unit dose packet  Right time  By drug order  Standard administration times  Blood level  Best drug absorption time  Diagnostic tests  One-time-only, PRN, STAT
  • 43.  Six rights cont…  Right dose  Compare dose on label to MAR  Use appropriate measuring devise  Report nausea & vomiting  Correct drug calculation (may need to be nurse)  Right person  Compare person’s ID to MAR  Two identifiers  Name  Birthdate  ID number  Check for allergies
  • 44.  Six rights cont…  Right route  Drug order gives route  Never change route  Only give as allowed to give by prescribed route  Routes  IV (most rapid onset action)  IM (next fastest onset action)  Sub-Q (probably next fastest)  Intradermal (absorption slow)  What you can give  Inhalation(fastest)  Sublingual(next fastest)  Suppository(next)  Oral (slowest onset)  Right documentation  Record as quickly as possible  Follow documentation standards  Right documentation
  • 45.  Drug errors  Prescribing errors  Wrong drug for person’s diagnosis  Drug person allergic to  Wrong dose for person’s diagnosis  Transcription errors  Misinterpreting/misunderstanding drug ordered or directions  Interpreting hand-writing, not legible  Using unapproved abbreviations  Omitting a drug order  Using wrong spelling  Writing wrong dates or times
  • 46.  Drug errors cont….  Dispensing  Sending wrong drug or dose to facility  Using wrong formulation  Using wrong dosage form  Giving drugs  Giving wrong drug  Giving wrong dose  Giving an extra dose  Giving drug not ordered for person  Missing or skipping a dose  Giving a drug at wrong time  Giving drug in wrong way
  • 47.  Safety rules for drug administration  Follow the six rights of drug administration  Store drugs properly  Have good lighting to read Kardex, MAR  Stay focused, don’t get distracted  Keep working area clean, neat, orderly  Check container label for drug name, dose, route  Check person’s chart, Kardex, MAR, ID for allergies  Check person’s chart, Kardex, MAR for rotation schedules for drugs applied to skin  Know why drug ordered, side effects, adverse reactions  Calculate drug dosages accurately  Identify person before giving drug  Position person for route of administration  Have correct fluids ready for person to swallow oral drugs  Stay with person to make sure drugs have been swallowed  Follow facility policy for self-administered drugs
  • 48.  Cont…  Never leave a drug in person’s room to take later  Never leave a drug unattended  Refer questions about person’s drug or treatment plan to nurse  Do not prepare or give drug if container not properly labeled or unreadable  Give only drugs you are allowed to administer  Give drugs only prepared by pharmacist  Check drug name, dose, frequency, route, against order  Do not return unused drug to stock supply  Do not mix liquid drug with water or other fluid unless directed to  Ask nurse if you have any questions, concerns  Practice good hand hygiene  Never touch actual drug  Check drug carefully (may look alike)  Listen to patient – knows drugs best  Observe for side effects  Make sure drug cabinet/cart is locked
  • 49.   Infection is a disease state resulting from the invasion and growth of microbes (pathogens)  Bacteria & viruses  Medical asepsis (clean technique)  Hand washing! Preventing Infection
  • 50.   Guidelines set by the CDC  Prevent the transmission of infectious agents  Blood borne Pathogen Standard Isolation Precautions
  • 51.   Hand hygiene  Gloves  Gowns  Masks Standard Precautions

Editor's Notes

  1. Chapter 6, p. 73
  2. Chapter 6, p. 74
  3. Chapter 7, p. 79-84
  4. Chapter 6, p. 74
  5. A drug must be dissolved in body fluids before it can be absorbed into body tissues.
  6. Blood sample may be studied to determine the amount of a drug present in the blood. This is known as a drug blood level.
  7. Chapter 6, p. 75
  8. Chapter 6, p. 76
  9. Chapter 6, p. 77
  10. Chapter 8, p. 87-88
  11. Chapter 8, p. 87
  12. Chapter 8, p. 89-92
  13. Chapter 8, p. 92-93 Administration times -
  14. Chapter 6, p. 75-76
  15. Chapter 8, p. 94
  16. Chapter 8, p. 101
  17. Chapter 8, p. 101
  18. Chapter 4, p. 50-51
  19. Chapter 9, p. 108
  20. Chapter 9, p. 109
  21. Chapter 9, p. 110- 112
  22. Chapter 9, p. 112
  23. Chapter 9, p. 112
  24. Chapter 9, p. 113
  25. Chapter 9, p. 113-116
  26. Chapter 9, p. 117