Total Ten Rights Of Drug Administration.pptx

1. Medication Administration
Presented By:
Ms.Upma George
Nursing Superintendent
SRHU

2. Right Patient Right Route Right Time
Right Dose Right Drug
Ten Rights Of Drug Administration

3. Right
Assessment
Right
Evaluation
Right
documentatio
n
Right to
Educate
Right to
Refuse
Contd….

4. •Vials
•Syrups
•Bottles
•Fluids
•Chemicals
•Disinfectants
Labelling

5. Labels used in Hospital
IV Sets
BT Set
IV Cannula
Urobag
Ryles tube
Drain
ICD Drain
Arterial line

6. Contd…..
Central line
Ventilator circuit
Suction bottle
O2 Humidifier
All Syrups bottles and antibiotics vial and ointments and drops
All chemicals and disinfectants
All types of Lab sample vials
All types of IV Fluids

7. content on labelling
• Date of opening
• Date of expiry
• ML used for diluting
• Name of drug for disolving

8. Explain patient about medication
Action of prescribed medicine
Benefits of prescribed medicine
Common side effects of prescribed medicine
Special precautions to be taken when on prescribed
medicine
Follow up

9. How to check Expiry
Drug/Solutions/Chemicals
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10. How to check Medicine dose and route
Check the dose of the drug with another person to ensure
that the correct drug with the correct dose is administered.
Know the abbreviations and symbols of measurement of
drugs.
Check the label of the container to see if the dose is the
same as that ordered in the prescription.

11. Contd…Route
Oral
Inhalation
Topical
Parental: a) I.D.=Intradermal
b) SC= Subcutaneous
c) IM= Intramuscular
d) IV= Intravenous
e)PR= Per rectum
f) PV=Per vaginal

12. Correct documentation during
medication
• Never document before medication is administered.
• Correct drug, correct dose, correct route (mention strength if
diluted, dilutional solution)is documtnted on treatment chart
and I/O chart on correct time with date and concerned staff
nurse signature.

13. LASA DRUGS
• Look Alike Sound Alike (LASA) medications involve medications that
are visually similar in physical appearance or packaging and names of
medications that have spelling similarities and/or similar phonetics.

14. LOOK A LIKE MEDICATION
• INJ. CALCIUM – POTASSIUM
• INJ. RANTAC - EPTOIN
• INJ. HEPARIN – MIDAZOLAM
• INJ. MANINTOL – METRONIDAZOLE
• INJ. ATROPINE – ADRENALINE
• INJ.LASIX – INJ.AVIL
• INJ.ATROPINE – INJ.GLYCOPYRROLATE
• INJ.UNITRAX – INJ.UNIZOX

16. SOUND ALIKE MEDICATION
• FOLIC ACID – FOLINIC ACID
• ATROPINE – ADRENALINE
• AMPICILLIN AND AMIKACIN
• DOPAMINE AND DOBUTAMINE
• INJ.UNITRAX – INJ.UNIZOX

17. COMMON RISK FACTORS
• Common risk factors associated with LASA drugs are:
• Illegible handwriting
• Incomplete knowledge of drug names
• Newly available products
• Similar packaging or labelling
• Similar strength, dose forms and frequency of administration.
• Similar clinical use.

18. STORAGE AND PRESCRIPTION
• While prescribing LASA medications-CAPITAL LETTERS should always
be used.
• Both the brand name and generic name should be documented in the
medicine chart.
• LASA drug must be stored separately.

19. High risk Medication
“High alert medications are those medications involved in a
high percentage of errors and/or sentinel events as well as
medications that carry a higher risk for abuse or other adverse
outcomes.”

20. ACRONYM FOR High Risk Medication
A- ANTIBIOTICS
P- POTASSIUM CHLORIDE AND CONCENTRATED ELECTROLYTES
I - INSULIN
N- NARCOTICS
C- CHEMOTHERAPUTIC AGENTS
H - HEPARIN , HEAMOLYTIC AGENTS

21. High Alert Medications
• More frequently involved in serious medication errors
• Narrow margin of safety
• Increased risk of harm if an error should occur
• Generally recognized as problematic

22. Common High Alert Medications
• Heparin
• Insulin infusions and U-500 insulin
• Neuromuscular blocking agents (e.g., succinylcholine, vecuronium,
rocuronium, etc.)
• Cytotoxic chemotherapy agents
• Concentrated electrolytes (sodium injection >0.9%; potassium injection
>0.4mEq/mL)
• Magnesium sulfate infusions (>100 mL)
• Thrombolytic agents
• Parenteral nutrition solutions (TPN, PPN)

23. Some reasons errors occur
• poor communications within healthcare team
• verbal orders
• poor handwriting
• improper drug selection
• missing medication
• incorrect scheduling
• look alike / sound alike drugs
• polypharmacy
• availability of floor stock (no second check)
• drug interactions
• hectic work environment
• lack of computer decision support