All of these components must be present for a physician order to be considered complete. If all goes well, pharmacy will deliver the medication promptly to the nursing unit. Many clients are ordered medications by their doctor which do not come in tablet or capsule form. Make sure it's the right time Ask questions if the medication is being given at a different time than usual. In the first case, the management of the hospital should take care of this. Policies often protect the nurse from litigation should an error occur. Calculate the right dose Learn about what medications your child will be taking during treatment, including what they do, what dose is needed, and any possible side effects.
And still, medication errors happen every day, everywhere. What can this right influence if not followed? They were drilled into our conscious in nursing school until they became part of our unconscious behavior as practicing nurses. My name is Michelle Colleran Cook. Also, never store a different medication in an empty pill bottle that was used for something else. She also dealt with patient populations that experienced active chest pain, congestive heart failure, end stage renal disease, uncontrolled diabetes and a variety of other chronic, mental and surgical conditions. Such errors of dispensing eat away at nursing time and energy. Safety should be the first thing on your mind with medications.
If this happens on a regular basis, the management of the hospital should conduct the investigation to find out the initial reason for this. Medications may be given on half hour before or after the time prescribed. Think about your patient and if the medication you are giving makes sense for the patients diagnoses. If a medication must be prepared from a larger volume or strength than needed or when the prescriber orders an amount different than what the pharmacy supplies, the chance for a mistake multiplies. New medications enter the market daily. I would also record and chart each medication that was given, what it was given for, what drug was given, how much was given and what time; all immediately after giving the medication.
Ask the doctor what number is too low to give the medication. This system is in place to remind nurses of these drugs and which ones they are, so that they can be on a high-alert when administering them as well as using a double check system. Ordering the wrong medicine accounts for almost half of all medication errors. Six Rights of Medication Administration Medication Route Time Client Dosage Documentation 2. Administrators are not practitioners; they need to be updated by staff on new trends in medication administration.
Check the order for when it would be given and when was the last time it was given. The most common reason for this is being exhausted. What can make a nurse give the patient the wrong dose? Don't not check dosages because you think the pharmacy has already done this. Will others think we are stupid? Hand them their meds and let them take them. Errors can occur with prescribing, documenting, transcribing, dispensing, administering and monitoring.
Systems keep track of errors and near misses so that they can make system safety adjustments to try and prevent future errors. A dose given too soon can cause toxicity and missed doses can nullify the drug action and its effect. The Six Rights of Medication Administration are a set of guidelines that medical professionals adhere to when administering medication, to ensure the highest level of safety for patients. I will make sure I am able to calculate the medication doses and know how to calculate drug doses by weight. She also dealt with patient populations that experienced active chest pain, congestive heart failure, end stage renal disease, uncontrolled diabetes and a variety of other chronic, mental and surgical conditions. Just as nurses know the five rights of medication administration, they should also know what rights they have when administering medications.
Each drug has some peculiarities that a nurse should keep in mind. If this happens, harm to the person can occur and some reactions can be deadly. So there you have it. If you are at home and giving medication to a family member, make sure you check the bottle and giving the right prescription to the right person. Medication errors can happen anywhere along the chain of the process.
Well, one of the important rights gets commonly left out of the mix. Medications like blood pressure medications always warrant a quick blood pressure check before giving a blood pressure medication. The right documentation and route are the points that are mostly ignored by the nurses. Nursing practice is governed by the Board of Regulation in Nursing but nursing policies are what guide nursing practice at that health care entity. Knowing and sticking to 6 rights of administration will lower the chance to make a medical error in any situation with any patient.
An alert client will know if a medication is different from those received before. Knowing this info is essential for nursing practice as it influences the quality of life of the patients. If a drug is refused by the patient, there is a designated area to note the refusal in the medication administration record. However, such costly systems may take years to implement. Keep small children in mind. It is for just these reasons that standards for medication administration were developed.