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Role of nursing officer in drug administration by Ms. Nisha Mecwan, Sister In-Charge, Paediatric ward, SVBCH, Silvassa, DNH
- 1. Ms. NISHA MECKWAN, SISTER IN-CHARGE, PAEDIATRIC WARD, SVBCH, SILVASSA ROLE OF NURSING OFFICER IN DRUG ADMINISTRATIO N
- 2. INTRODUCTION Drug Administration is very important duty and it should be executed in a cautious manner. If we administer correctly it will helps to restore client health. Nursing officer must understand - Fundamentals of drug administration - Routes - Dosage calculations - Techniques of injection - Ten rights - Patient education 10/27/2020 SHRI VINOBA BHAVE CIVIL HOSPITAL, SILVASSA 2
- 3. 1 Prepare medication for one person at a time. 2 Follow the 10 rights of medication administration. 3 Be sure to read labels at least three times (comparing medication administration record before administering medication. 4 Do not allow any other activity to interrupt administration of medication to a patient (e.g phone call, any other discussion with staff). STEPS TO TAKE TO PREVENT MEDICATION ERRORS 10/27/2020 SHRI VINOBA BHAVE CIVIL HOSPITAL, SILVASSA 3
- 4. 5 Double check all the calculation and other high risk medication administration processes. 6 Document all medication as soon as they are given. 7 Ensure that the calculations are correct. 8 Write intravenous fluid orders clearly, ensuring that additives are quantified per litre and rates noted per hour. 9 Avoid use of verbal orders when possible. 10/27/2020 SHRI VINOBA BHAVE CIVIL HOSPITAL, SILVASSA 4
- 5. • Identify the client • Ensure that the patient has no history of drug allergy • Check the diagnosis & age of the patient • Check the medication order • Be accurate during all steps of medication administration. • Follow the medication has been written in case sheet. • Report any error promptly. • Make an assessment of the patient and follow exactly all procedures related to medication administration. • Obtaining current knowledge base of drug. NURSING ROLE AND RESPONSIBILITIES IN MEDICATION ADMINISTRATION 10/27/2020 SHRI VINOBA BHAVE CIVIL HOSPITAL, SILVASSA 5
- 6. • Check for any contraindication present • Explain the procedure to the patient. Discuss the need of medications • Record: administration of drug, i.v. flow rate, site used, vital signs taken immediately before administration • Evaluate and record; patients response to drug • Observation and record; adverse reaction and frequency • Calculate drug doses accurately • Do not leave medication at patient bed side • Institute necessary observations and measures before drug administration (e.g. B.P measurement before antihypertensive administration) • Do not save part of the tablet to be used later 10/27/2020 SHRI VINOBA BHAVE CIVIL HOSPITAL, SILVASSA 6
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