with answers
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Causes for errors - CORRECT ANSWERS ✔✔Failure to
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identify client and miscommunication
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Lack of information about patient; allergies, meds
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Lack of information about the drug
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Communication and teamwork failures |\ |\ |\
Unclear, absent, or look-alike and sound-alike meds
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Unsafe standardization, storage, distribution, and devices
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Calculation errors and failure to adhere to "rights" |\ |\ |\ |\ |\ |\ |\
check the medication 3 times - CORRECT ANSWERS
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✔✔before pulling |\
during pulling |\
after you pull it at the patients bedside
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Errors can occur during any step of medication process: -
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CORRECT ANSWERS ✔✔Procuring |\ |\
Prescribing
Transcribing
Dispensing
,Administering
Monitoring
QD or qd - CORRECT ANSWERS ✔✔every day, daily
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Types of Medication Errors - CORRECT ANSWERS ✔✔No
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error, although circumstances or events occurred that
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could have led to an error
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Medication error that causes no harm |\ |\ |\ |\ |\
Medication error that causes harm |\ |\ |\ |\
Medication error that results in death |\ |\ |\ |\ |\
BID - CORRECT ANSWERS ✔✔twice daily
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Preventing Medication Errors - CORRECT ANSWERS |\ |\ |\ |\ |\ |\
✔✔Multiple systems of checks and balances |\ |\ |\ |\ |\
Legible and correct orders |\ |\ |\
Appropriate consultation |\
Check medication order three times
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"Six Rights" of medication administration
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Minimize verbal or telephone orders |\ |\ |\ |\
Repeat order to prescriber |\ |\ |\
Spell drug name aloud
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,Speak slowly and clearly |\ |\ |\
List indication next to each order
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Avoid medical shorthand, including abbreviations and
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acronyms
PRN, prn - CORRECT ANSWERS ✔✔as needed
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NEVER use a "trailing zero" with medication orders -
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CORRECT ANSWERS ✔✔Do not use 1.0 mg; use 1 mg |\ |\ |\ |\ |\ |\ |\ |\ |\
1.0 mg could be misread as 10 mg, resulting in a tenfold
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dose increase |\
PO - CORRECT ANSWERS ✔✔by mouth
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ALWAYS use a "leading zero" for decimal dosages -
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CORRECT ANSWERS ✔✔Do not use .25 mg; use 0.25 mg |\ |\ |\ |\ |\ |\ |\ |\ |\
.25 mg may be misread as 25 mg
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NPO - CORRECT ANSWERS ✔✔nothing by mouth
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Take time to learn special administration techniques of
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certain dosage forms |\ |\
Always verify new medication administration records
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, Always listen to and honor any concerns expressed by
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patients regarding medications |\ |\
Check patient allergies and identification - CORRECT
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ANSWERS ✔✔Preventing Medication Errors
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Pharmacokinetics - CORRECT ANSWERS ✔✔what the body |\ |\ |\ |\ |\ |\
does to the drug
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Reporting Medication Errors - CORRECT ANSWERS
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✔✔Report to prescriber and nursing management
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Document error per policy and procedureFactual
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documentation only |\
Medication administered |\
Actual doseObserved changes in patient condition
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Prescriber notified/follow-up orders |\ |\
Pharmacodynamics - CORRECT ANSWERS ✔✔what the |\ |\ |\ |\ |\ |\
drug does to the body
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Six "Rights" of Medication Administration - CORRECT
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ANSWERS ✔✔Right Medication |\ |\
Right Dose |\
Right Client |\
Right Route |\