SAFE DOC MED ERROR.pdf - ACTIVE LEARNING TEMPLATE Basic...

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Unformatted text preview: ACTIVE LEARNING TEMPLATE: Basic Concept MARIN MCBRIDE STUDENT NAME______________________________________ CONCEPT_______________________________________________________________________________ REVIEW MODULE CHAPTER__2 __________ SAFE MEDICATION ADMINISTRATION & ERROR REDUCTION: SAFE DOCUMENTATION AFTER A MEDICATION ERROR Related Content Underlying Principles (E.G., DELEGATION, LEVELS OF PREVENTION, ADVANCE DIRECTIVES) COMMON MEDICATION ERRORS: ● Wrong medication or IV fluid ● Incorrect dose or IV rate ● Wrong client, route, or time ● Administration of an allergy‑inducing medication ● Omission of a dose or administration of extra doses ● Incorrect discontinuation of a medication or IV fluid ● Inaccurate prescribing ● Inadvertently giving a medication that has a similar name Nursing Interventions WHO? WHEN? WHY? HOW? DATA COLLECTION PRIOR TO MEDICATION THERAPY: ● Health history ● Physical Examination RIGHTS OF SAFE MEDICATION ADMINISTRATION: ● Right Client ● Right Dose ● Right Time ● Right Route ● Right Documentation ● Right Client Education ● Right to Refuse ● Right Data Collection ● Right Evaluation Data collection ● Be knowledgeable about the medication to administer. Use recommended resources. ● Obtain information about medical diagnoses and conditions that affect medication administration. ● Determine whether the medication prescription is complete. ● Interpret the medication prescription accurately. ● Question the provider if the prescription is unclear or seems incorrect for the client. ● Question the provider about abrupt and excessive changes in dosage. Planning ● Identify clients’ outcomes for medication administration. ● Set priorities (which medications to give first or before specific treatments or procedures). Implementation ● Avoid distractions and interruptions during medication preparation. ● Prepare medications for one client at a time. ● Check labels for the medication’s name and concentration. ● Question multiple tablets or vials for a single dose. ● Follow the rights of medication administration consistently and carefully. ● Do not administer medications that someone else prepared. ● Encourage clients to voice concerns if a medication or dosage seems incorrect. ● Follow correct procedures for all routes of administration. ● Communicate clearly both verbally and in writing. ● Use verbal prescriptions only for emergencies, and follow the facility’s protocol for telephone prescriptions. ● Follow all laws and regulations for preparing and administering controlled substances. ● Do not leave medications at the bedside. ● Follow the principles of client and family education for medications. Evaluation ● Evaluate, document, and report clients’ responses to medications. ● Use knowledge of the therapeutic effect and common side and adverse effects of medications to compare expected outcomes with actual findings. ● Identify, document, and report side and adverse effects. ● Report all errors, and implement corrective measures immediately. ACTIVE LEARNING TEMPLATES Therapeutic Procedure  A1 ...
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