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Hospital Medication Administration Guide
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What are the rights of medication administration? Right drug, right dose, right patient, right route, right time, right reason, right documentation, right patient education, right evaluation, right assessment. What is the first step in the nursing process for medication administration? Assessment What should a nurse do if they receive a verbal or phone order for medication? Question the order if unclear and ensure accurate documentation. What is the purpose of medication reconciliation? To ensure that patients receive the correct medications during transitions of care. What are high-risk medications that require extra caution? Insulin, heparin, and warfarin. What is the preferred form of medication for nasogastric or gastrostomy tube administration? Liquid medications. What should be done before administering oral medications to What are the rights of medication administration? Right drug, right dose, right patient, right route, right time, right reason, right documentation, right patient education, right evaluation, right assessment. What is the first step in the nursing process for medication administration? Assessment What should a nurse do if they receive a verbal or phone order for medication? Question the order if unclear and ensure accurate documentation. What is the purpose of medication reconciliation?
To ensure that patients receive the correct medications during transitions of care. What are high-risk medications that require extra caution? Insulin, heparin, and warfarin. What is the preferred form of medication for nasogastric or gastrostomy tube administration? Liquid medications. What should be done before administering oral medications to prevent aspiration? Position the patient appropriately. What is the correct technique for subcutaneous injections? Use a 25-gauge, 5/8-inch needle and insert at a 45- or 90-degree angle. What is the nurse's responsibility regarding medication orders? To interpret, clarify, and ensure safe administration. What should be done if a patient refuses medication? Document the refusal and the reason, and inform the healthcare provider. What are the general principles of accurate drug administration? Follow the rights of medication administration, know your drugs, question orders, and verify patient identity. What is the role of computerized provider order entry (CPOE) in medication safety? To reduce medication errors by ensuring accurate order entry. What is the importance of patient assessment in medication administration? To evaluate the patient's condition and response to medication. What should be done with medications that cannot be crushed? Do not crush enteric-coated or extended-release medications. What is the purpose of using bar coding in medication administration?
When might a 20-gauge needle be needed? For thicker (viscous) medications. What factors should be considered when selecting an injection site? Patient preferences, drug characteristics, anatomical landmarks, and visual inspection. What should be avoided when selecting an injection site? Areas with lumps, bruises, or other lesions. What is the injection technique for intramuscular administration? Tighten the skin, hold the syringe like a pencil, and insert the needle quickly at a 90- degree angle. What should be done post-injection? Remove the needle quickly and apply pressure to the site for several seconds. What is crucial for drug preparation for intravenous (IV) use? Use only drugs labeled for IV use and prepare them right before using them. What is the first step in direct IV injection? Apply a tourniquet and choose a vein in the arm. What should be done to confirm placement in the vein during IV injection? Draw back a small amount of blood. What is the purpose of a volume-control set in IV administration? To infuse the drug over a specified time, usually 1 hour or less. What is the piggyback method in IV administration? Adding the drug to a separate container of IV solution and infusing it over 15- 60 minutes. What should be done when administering multiple drugs via IV? Flush the IV line between each medication.
What is essential when applying medication to the skin? Use drug preparations specifically made for dermatologic use. What should be done before applying medication to the eye? Wash your hands to prevent infection. How should eye drops be instilled? Drop the medication into the conjunctival sac without touching the dropper tip to the eye. What position should a child be in for nasal medication administration? Supine position with the head lowered. What is the technique for administering medication to the ear in adults? Pull the ear up and back to open the ear canal. What is the proper technique for rectal medication administration? Lubricate the end, wear a glove, and insert it into the rectum the length of the finger. What are the key components of integrating evidence-based practice? Using research, staying up-to-date, considering levels of evidence, and applying evidence to improve care. What are major concerns associated with herbal and dietary supplements? Safety issues, delayed treatment, drug interactions, lack of research, and patient disclosure. Position the patient appropriately. What is the correct technique for subcutaneous injections? Use a 25-gauge, 5/8-inch needle and insert at a 45- or 90-degree angle. What is the nurse's responsibility regarding medication orders? To interpret, clarify, and ensure safe administration. What should be done if a patient refuses medication? Document the refusal and the reason, and inform the healthcare provider. What are the general principles of accurate drug administration? Follow the rights of medication administration, know your drugs, question orders, and verify patient identity. What is the role of computerized provider order entry (CPOE) in medication safety? To reduce medication errors by ensuring accurate order entry.
To infuse the drug over a specified time, usually 1 hour or less. What is the piggyback method in IV administration? Adding the drug to a separate container of IV solution and infusing it over 15- 60 minutes. What should be done when administering multiple drugs via IV? Flush the IV line between each medication. What is essential when applying medication to the skin? Use drug preparations specifically made for dermatologic use. What should be done before applying medication to the eye? Wash your hands to prevent infection. How should eye drops be instilled? Drop the medication into the conjunctival sac without touching the dropper tip to the eye. What position should a child be in for nasal medication administration? Supine position with the head lowered. What is the technique for administering medication to the ear in adults? Pull the ear up and back to open the ear canal. What is the proper technique for rectal medication administration? Lubricate the end, wear a glove, and insert it into the rectum the length of the finger. What are the key components of integrating evidence-based practice? Using research, staying up-to-date, considering levels of evidence, and applying evidence to improve care. What are major concerns associated with herbal and dietary supplements? Safety issues, delayed treatment, drug interactions, lack of research, and patient What are the rights of medication administration? Right drug, right dose, right patient, right route, right time, right reason, right documentation, right patient education, right evaluation, right assessment. What is the first step in the nursing process for medication administration? Assessment What should a nurse do if they receive a verbal or phone order for medication? Question the order if unclear and ensure accurate documentation. What is the purpose of medication reconciliation? To ensure that patients receive the correct medications during transitions of care. What are high-risk medications that require extra caution? Insulin, heparin, and warfarin. What is the preferred form of medication for nasogastric or gastrostomy tube administration? Liquid medications. What should be done before administering oral medications to prevent aspiration? Position the patient appropriately. What is the correct technique for subcutaneous injections? Use a 25-gauge, 5/8-inch needle and insert at a 45- or 90-degree angle. What is the nurse's responsibility regarding medication orders? To interpret, clarify, and ensure safe administration. What should be done if a patient refuses medication? Document the refusal and the reason, and inform the healthcare provider.
What are the general principles of accurate drug administration? Follow the rights of medication administration, know your drugs, question orders, and verify patient identity. What is the role of computerized provider order entry (CPOE) in medication safety? To reduce medication errors by ensuring accurate order entry. What is the importance of patient assessment in medication administration? To evaluate the patient's condition and response to medication. What should be done with medications that cannot be crushed? Do not crush enteric-coated or extended-release medications. What is the purpose of using bar coding in medication administration? To enhance accuracy and reduce medication errors. What are the common types of medication errors? Wrong dose, wrong medication, omitting a scheduled dose. What is the correct method for administering liquid medications? Hold the cup at eye level and pour the desired amount. What should be done after administering medication via a nasogastric tube? Clamp off the tube from suction or drainage for at least 30 minutes. What is the significance of accurate calculations in drug administration? To ensure the correct dosage is given to the patient. What are the routes of medication administration? Oral, GI tubes, subcutaneous, intramuscular, intravenous, topical. What is the role of the nurse in preventing medication errors? To be vigilant, follow protocols, and ensure accurate administration. What should be done if a medication order is unclear? Clarify the order with the prescriber before administration. What is the importance of documentation in medication administration? To provide a legal record and ensure continuity of care. What is the correct needle size for intramuscular injections in adults? Use a 1½-inch needle. What is the recommended action for medications that are high-risk? Be extra careful and follow specific protocols for administration. What gauge needle is usually fine for injections? A 22-gauge needle. When might a 20-gauge needle be needed? For thicker (viscous) medications. What factors should be considered when selecting an injection site? Patient preferences, drug characteristics, anatomical landmarks, and visual inspection. What should be avoided when selecting an injection site? Areas with lumps, bruises, or other lesions. What is the injection technique for intramuscular administration? Tighten the skin, hold the syringe like a pencil, and insert the needle quickly at a 90- degree angle. What should be done post-injection? Remove the needle quickly and apply pressure to the site for several seconds. What is crucial for drug preparation for intravenous (IV) use? Use only drugs labeled for IV use and prepare them right before using them.