New ATI Module Safe Dosage
Latest ATI
ModuleSafe
Nursing responsibilities: Dosage
• Preparing, administering medications
• Evaluating client’s responses
• Maintaining up-to-date knowledge base
• Maintaining skills
Acceptable practice includes being knowledgeable, determining medication accuracy, reporting
errors, and safeguarding and storing medications properly.
Rights of Medication Administrations
• Right client
• Right medication
• Right route
• Right time
• Right dose
• Right documentation
Right Client – two forms of identifiers (some facilities use barcode scanners)
Right medication- read prescription carefully, question medication if it doesn’t seem right for the
patient, use three checks (once before removing it from shelve, once after taking it out of
container, and lastly at the bedside).
Right Route – compare the label on MARS and then on label of medication, clarify with
provider if confused.
Right Time – follow facility guideline. With medications needed to be given every 4 hours, 6
hours etc give within 30 minutes of next dose time.
Right Dose – match prescriptions, perform conversion, and calculate dosages. (Have another
nurse check your math if it’s a large or smaller dose than normal).
Right Documentation – immediately after administration. Follow facilities protocol if medication
isn’t given on time.
Types of prescriptions
• Routine – in effect until cancellation, specific end date usually, time frames
for renewal
• Single – specified time, circumstances, (pre-op medications)
• Stat- immediate, once, emergency dose (make sure to document time given
on MAR
• PRN – specific circumstances, nursing judgment, client’s needs( pain level)
Page 1 of 4
Latest ATI
ModuleSafe
Nursing responsibilities: Dosage
• Preparing, administering medications
• Evaluating client’s responses
• Maintaining up-to-date knowledge base
• Maintaining skills
Acceptable practice includes being knowledgeable, determining medication accuracy, reporting
errors, and safeguarding and storing medications properly.
Rights of Medication Administrations
• Right client
• Right medication
• Right route
• Right time
• Right dose
• Right documentation
Right Client – two forms of identifiers (some facilities use barcode scanners)
Right medication- read prescription carefully, question medication if it doesn’t seem right for the
patient, use three checks (once before removing it from shelve, once after taking it out of
container, and lastly at the bedside).
Right Route – compare the label on MARS and then on label of medication, clarify with
provider if confused.
Right Time – follow facility guideline. With medications needed to be given every 4 hours, 6
hours etc give within 30 minutes of next dose time.
Right Dose – match prescriptions, perform conversion, and calculate dosages. (Have another
nurse check your math if it’s a large or smaller dose than normal).
Right Documentation – immediately after administration. Follow facilities protocol if medication
isn’t given on time.
Types of prescriptions
• Routine – in effect until cancellation, specific end date usually, time frames
for renewal
• Single – specified time, circumstances, (pre-op medications)
• Stat- immediate, once, emergency dose (make sure to document time given
on MAR
• PRN – specific circumstances, nursing judgment, client’s needs( pain level)
Page 1 of 4
