Herbal supplements can cause harm to fetus. Teach people to monitor for adverse reactions Natural does not mean safe 9 rights Right Drug Right Dose Right Time Right Route Right Patient Right reason Right response Right documentation Right Refuse Some Rules for Drug Admin!!! Hand Hygiene If unsure, question ORDER Be on time (therapeutic times- like antibiotics) Dispense drugs 1 person at a time Check the med 3x before giving Order Transcribe order Drug- Check actual medication Check again before you open it Check again after you open it Medication reconciliation- upon admission, upon status change (ICU to telemetry floor, or Telemetry to ICU), and when patient is discharged Check expiration dates Check compatibility- especially with IVs. Can both these IVs run together?
Teach the pt regarding meds Open medication bedside. Return medication if pt refused (narcotics-2 people witness) Discard any medications that fall on floor. Make sure the pt takes the medication Document what was given and document any refusal!! Document education of what happens if patient does refuse it Evaluation the pt after med admin (any adverse reactions?) Consider lifespans (infant child vs. older adult) Drug Admin Enteral Medications (intestines) -Oral Meds -Sublingual/Buccal Meds -Orally Disintegrating Medications -Liquids meds -Oral Meds for infants and children -Does pt have dysphasia? (cannot swallow) -drugs via nasogastric or gastronomy tube -Rectal Drugs Eye Medications and Ear Medications Hand Hygeine Gloves Remove eye contacts Supine Eye drops-dominant hand Drops go into conjunctival sac- not cornea
Eye ointment-squeen gently, even strip on the conjunctival sac Drop a lid, patient looks up, inside out Ask them to close eye gently, no more than 30 seconds Ear drops- hand hygiene- explain procedure Remove ear wax, drainage Warm it in hands For children 3 and younger, pull up pin of ear when administering
- Summer '17