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Medication Administration

Medication Administration - Medication Administration...

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Medication Administration Nurses Role e must be accountable for knowing which meds are prescribed, their therapeutic and non- therapeutic effects, and the medication’s associated implications u responsible for knowing why the client needs the meds and determining if the client requires supervision with administration and education about the med and it’s side effects u assess client’s ability to self-administer meds u determines if client should receive a med u administer meds correctly and safely u client and family education u use nursing process Prescriber’s Role e prescribes meds by written, verbal or telephone order and gives the parmaeters involving the medication (route, dose, frequency) Pharmacist’s Role e prepares and distributes prescribed meds u work with nurses and other health care providers to evaluate the efficacy of client’s meds u responsible for filling prescriptions accurately and being sure that they are valid u dispensing the correct medication, in the proper dosage and amount, with an accurate label is the pharmacist’s main tasks u can also provide information about medication side effects, toxicity, interactions, and incompatibilities Written Orders prescriber transcribes order in the client’s medical record, in an order book, and/or on a legal prescription pad Telephone Order prescriber gives med order to nurse over the telephone Verbal order prescriber gives med order by talking directly to the nurse u With both verbal and telephone orders, the nurse is responsible for: o Writing the complete order or entering it into a computer o Reads back (RB) the order and receives confirmation from prescriber to confirm accuracy o Indicates time and name of prescriber, the letters (RB) to indicate that the order was read back and verified o Signs the order Types of Orders e Standing/Routine order carried out until the prescriber cancels it by another order or until a prescribed number of days elapse. A standing order may indicate a final date or number of treatments or doses.
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o Tetracycline 500 mg PO q 6 hours and Decadron 10 mg daily x 5 days u PRN orders prescriber may order a med when the client requires it. The nurse uses subjective and objective assessment and discretion in determining whether or not the client needs it. PRN orders include range orders orders in which the dose interval varies over a prescribed range (Morphine sulphate 2mg IV q 1-2 hours prn o when giving PRN meds, the nurse must document the assessment and the time of med administration and frequently evaluate the effectiveness of the medication and record findings if appropriate u Single (one time) orders an order for a med to be given only once at a specified time; pre-op meds o Ativan 1 mg IV on call to MRI and valium 10 mg PO at 0900 u STAT orders indicates that a single does of a med is to be given immediately and only once; often written for emergencies when the client’s condition changes suddenly o Give Apresoline 10 mg IV STAT
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Medication Administration - Medication Administration...

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