this is all about rights of administration of drugs to the patient

1. RIGHTS OF
ADMINISTRATION OF
DRUGS
MR. ABHIJIT BHOYAR

2. INTRODUCTION
• Nurses have a unique role and responsibility in medication
administration, in that they are frequently the final person
to check to see that the medication is correctly prescribed
and dispensed before administration.
• It is standard during nursing education to receive instruction
on a guide to clinical medication administration and
upholding patient safety known as the ‘rights’ or ‘ten ‘R’s’ of
medication administration

3. These "Ten Rights" ensures safety in
giving drugs:
1. Right client/patient
2. Right drug
3. Right dose
4. Right time
5. Right method
6. Right patient
education
7. Right
documentation
8. Right to refuse
9. Right assessment
10. Right evaluation

4. 1. Right client
• Read the physician's orders
to make sure for whom the
medicine is ordered.
• Read the client's name on
the client's chart and on the
medicine card.

5. Conti.
• Call the client by name and
ask him to repeat his name.
• Be very careful if the client
is deaf or otherwise does
not understand your
language

6. 2. Right drug
• Read the physician's orders to
study the correct name of the
drug.
• If the order is not clear consult
the physician or at least
seniors.
• To make sure the drug is
copied correctly on the
medicine card, on the nurse's
record or not etc

7. Conti.
• Select the right drugs from the cupboard.
• Read the label of the medicine container and the name of
the medicine in the medicine card thrice. Before taking the
drug from the shelf. Before measuring it.
• When returning the container to the shelf and before
removing the hand from the container.

8. Conti.
• Look for the colour, odour and consistency of the drug.
• Unusual characteristics of the drugs should be questioned.
• Administer medicine only from a clearly labelled container.
• Avoid conversation or anything that distracts the mind.
• Be familiar with the trade names. If there is doubt, consult
the physician or at least seniors or medicine books.

9. • Avoid accepting verbal orders. Verbal orders should be
accepted only in emergencies. But it should be written on
the chart as early as possible.
• Always identify the client before giving medication.
• Make sure that the drug has not been discontinued by the
physician

10. 3. Right dose
• Read the physician's orders to know the correct dose.
• Consider the age and weight of the client. This may help to
find an error in the physician's orders.
• Know the minimum and maximum dose of the medicine
administered. Calculate the fraction of dosage correctly.
• Measure accurately. Use ounce glasses instead of teaspoons
to measure ounces.

11. • Have the medicine card or written order in hand before you
prepare the drug.
• Avoid conversation or anything that distracts the mind.
• Consider how many tablets or capsules are required for the
dose.
• Know the abbreviations and symbols used.
• Make sure that the medicine glasses are dry before pouring
or measuring the medications.

12. • Hold the ounce glass at the eye level and place the thumb at
the mark up to which the medicine is to be poured. Read the
lower meniscus of the fluid level when measuring the fluid
medications.
• Help the client to take all the medicine that is ordered for
him.
• The medicine should be carried to the client without spilling
it out of the container.

13. 4. Right time
• Read the physician's orders.
• Know the hospital routines for the intervals.
• Give at stated intervals for blood levels.
• Know the abbreviations for the time e.g ., B.D ., T.D.S. etc.

14. • Give the medicine near the time ordered - 15 min before or
after the designated time.
• Give the medicine as ordered in relation to the food intake
e.g ., before food or after food.
• Give the medicines according to the action expected e.g .,
sleeping pills are given at bedtime, the diuretics are given in
the morning hours, so that the client will not be disturbed in
the night.

15. 5. Right method
• Read the physician's orders to determine the route of
administration.
• Dilute the medicine if indicated.
• Know the method of giving drugs e.g ., orally, parenterally,
rectally, etc.
• Know the abbreviations used to designate the route of
administration e.g ., I.V., I.M., P.O., etc.

16. • Identify the client correctly.
• Stay with the client until he/she
has taken the medication.
• Never leave any medicine with
the client.
• An error in the medication
should be reported
immediately.

17. 6. Right patient education
• Check if the patient understands what the medication is for.
• Make them aware that they should contact a healthcare
professional if they experience side-effects or reactions.

18. 7. Right documentation
• Ensure you have signed for the medication after it has been
administered.
• Ensure the medication is prescribed correctly with a start
and end date if appropriate.

19. 8. Right to refuse
• Ensure you have the patient consent to administer
medications.
• Be aware that patients do have a right to refuse medication
if they have the capacity to do so.
Say Yes OR Know
for Medication

20. 9. Right assessment
• Check if your patient actually needs the medication.
• Check for contraindications.
• Baseline observations if required

21. 10. Right evaluation
• Ensure the medication is working the way it should.
• Ensure medications are reviewed regularly.
• Ongoing observations if required.

22. THANK
YOU