Running Head: MEDICATION ADMINISTRATION 1 Medication Administration Henriette Ghapsi Walden University NURS 6050 Week 8 Assignment # 3 July 21, 2018
2 MEDICATION ADMINISTRATION Medication Administration Administering medications is one of the nursing interventions nurses are responsible for with some risks involved. According to Edwards and Axe (2015, P.398), bedsides nurses should continue to use and integrate the five rights (5Rs) of medication administration for patients’ safety. Nonetheless, errors can occur during this process. To minimize them, nurses should all the time ensure it is the right medication, patient, dose, time, and route. Documentation should follow because not documenting any intervention means nothing happened and it is a medication administration error. Young, Cochran, Mei, & Adkins-Bley (2015) emphasize that this complex and multi-factorial process involve not only nursing, but pharmacy as well. With the use of the Electronic Health Records (HER), the complexity of medication management becomes somewhat of an advantage to healthcare system. The color-coded involved in the documentation of tasks and medication administration such as red for work not done, yellow for due tasks, and green for accomplished jobs is very useful. This paper will focus on the 5Rs of medication administration. This exercise will be diagrammed and for each step, we will identify who accomplishes it, the technology used, where it is executed, the information used for the execution, and the policies and rules involved. Workflow of Medication Administration Right medication Nurse identifies the correct drug in the container with the generic name and sometimes the trade name. Nurse opens computer and reads the patient and the drug’s name to be administered.
3 MEDICATION ADMINISTRATION Right dose Nurse check the name of the drug against the dosage of the product to be dispensed. Right time Drugs need to be administered on time, one hour before or one hour after the presumed time for its effectiveness. Right route Identify if the drug is to be given by mouth, sublingually; if it is an injection; or IV. Nurse prepares, labels the drug, and takes it to bedside of the patient, checks patient’s identification again for safety reason. Is medication appropriate? NO YES Nurse checks if the patient is ready, administered the drug during the adequate time, observe patient for side effects, evaluate the effectiveness of the drug, and document the administration. Report defective order to MD and eventually to pharmacy.