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In addition to the 6 rights there are some additional steps
which include: -
ANSWER-Drug
information
Patient information
Distraction
Communication
Patient education - ANSWER--the names of medications and
how to pronounce
them
-what the
medications do
-what they look
like
-how and when medications should
be taken
-possible side effects and food/drug
interactions
,Who may issue a verbal order? - ANSWER--Licensed
independent provider (MD, DO, NP, or DDS)
-Other licensed healthcare professional (physician assistant) as
a delegated act of a licensed independent prescriber
When is a verbal order used? - ANSWER--true emergencies
-when issuing a written or electronic order is no feasible (e.g.
during sterile procedures)
Who is permitted to receive a verbal order? - ANSWER-
Physician
Registered Nurse
Physician Assistant
Pharmacist
Respiratory Therapist
Verbal orders are not to be used under any circumstances for
the prescription
of: - ANSWER-antineoplastic
agents
Only the following categories of medications are acceptable as
range orders: - ANSWER-Opioids and other analgesics
Antitussives
Antiemetics
Antihypertensive's
Antihistamines
Anxiolytics
,6 rights of medication administration - ANSWER-Right drug
Right dose
Right patient
Right route
Right time
Right documentation
Right Drug - ANSWER-Proper identification of the ordered drug
is required. Check medication against the physicians order
form. As a Registered Nurse, you have the responsibility before
administering any medication, to ensure that the dose and drug
is appropriate for the patient. You also have the responsibility
to clarify orders, which are unclear or seem inappropriate for
the clinical condition of the patient.
Right Dose - ANSWER-The RN is responsible for checking the
dosage of the drug, doing the appropriate calculations or
conversions, and knowing the usual dosage.
Right Patient - ANSWER-Proper identification of the patient is
required before medication is administered. HFHS acceptable
method for confirming identification consists of checking the
patients first and last name and medical record number (MRN)
on the identification band with the name and MRN on the
Medication Administration Record (MAR).
Right Route - ANSWER-Route of administration should be part
of the physicians order. The RN is responsible for preparing
and administering medications correctly by consulting the
, accompanying instructions from the pharmacy or drug
company.
Right Time - ANSWER-The RN is responsible for administering
medications according to scheduled times if that is how the
order is written. Instructing patients on the timing of self-
administered drugs at home is also an important function for
nurses. Instruct using exact times such as "take at 8:00 in the
morning with food and 5:00 in the evening with food" rather
than "take at meal times" since meal times can vary with
different cultural groups.
Right Documentation - ANSWER-The RN is responsible for
documenting the administration of the prescribed medication
with the information required in the appropriate location such
as the Medication Administration Record (MAR) within the
Electronic Health Record.
Angiotensin Converting Enzyme Inhibitors (ACE inhibitors) –
ANSWER-Benazepril, Captopril (Capoten), Enalapril (Vasotec),
Lisinipril (Prinivil) Indications: treatment of hypertension, either
alone or in combination with other antihypertensive agents;
adjunctive therapy and treatment of CHF; treatment of left
ventricular dysfunction after myocardial infarction
Serious Adverse Reactions: Angeo Adema, severe
hypertension, acute renal failure, severe hyperkalemia
Nursing Considerations: