Difference between q6h and qid correct answers Although medications ordered q6h and qid will
be administered four times per day, medications ordered q6h must be separated by 6 hours,
whereas drugs ordered qid are not required to be given around the clock. For example, a "qid"
medication schedule might be 0900,1300, 1700, 2100, while a q6h schedule would be 0600,
1200, 1800, 2400.
Difference between q8h and tid correct answers Both abbreviations indicate that a medication is
ordered three times per day, but a q8h schedule is an around-the-clock order, such as 0600,1400,
2200, while a tid schedule might be 1000, 1400, 1800.
Difference between q12 and bid correct answers Both abbreviations indicate a medication is
ordered twice per day, but a q12h schedule is an around-the-clock order, such as 0800, 2000,
while a "bid" schedule might be 1000, 1800.
What dose prn mean? correct answers means as the need arises. Medications ordered on a prn
basis need a time interval and reason included in the order, such as, "q4h prn pain." This phrase
means a medication may be given every 4 hours as needed for relief of pain.
What does ad lib mean? correct answers Medications ordered on an ad lib basis can be given as
often as desired, generally without an assigned time interval. For example, artificial tears are
often ordered to be administered on an ad lib basis.
What are the components of a medication order? correct answers 1. Name of patient and date of
birth (DOB)
2. Name of medication
3. Dose of medication
4. Route of administration
5. Frequency and/or time of administration
6. Date and time the order was written
7. Signature of the prescriber
,How do you take phone orders? correct answers 1. Verify patient's name and DOB
2. Document the order carefully and legibly as the order is being delivered
3. Recite the order back to the prescriber
4. Ask the prescriber to verify that the order is correct
5. Communicate to provider to sign the order ASAP
What is a high alert medication and what is recommended before administering this medication?
correct answers It is a medication that can cause significant harm if given in error.
Prior to administration of most high alert medication, it is recommended that 2 nurses
independently check these 6 procedural rights (right patient, right drug, right dose, right route,
right time, and right reason)
Why do we have "rights of medication administration" and how many are there? correct answers
The nurse can ensure safety when giving medication to patients by attending to the "Rights of
Medication Administration." The "rights" are a set of safety checks that, when adhered to, will
prevent a medication error. There are seven procedural rights and two additional patient rights.
These rights should be used during every administration of medication.
The procedural medication rights of medication administration are? Which ones are considered
the 5 rights of Medication administration? correct answers the RIGHT PATIENT must receive
the RIGHT DRUG in the RIGHT DOSE via the RIGHT ROUTE at the RIGHT TIME for the
RIGHT REASON followed by the RIGHT DOCUMENTATION.
The first five of these seven procedural rights may be accomplished through visual inspection by
the nurse and, according to some medication references, are referred to as the "Five Rights of
Medication Administration."
What are the 2 additional rights of medication administration that are considered the patients
rights? correct answers Two additional rights that also enhance patient safety are considered
patient rights, these rights are:
RIGHT TO KNOW about their medications
, RIGHT TO REFUSE their medications
What is a NEVER event? correct answers clearly identifiable, measurable, serious (resulting in
death or significant disability), and preventable.
Examples include: Pressure wounds, a surgery where the wrong limb was taken, etc.
What is a SENTINEL event? correct answers unexpected occurrence involving death or serious
physiological or psychological injury, or the risk thereof. This is not preventable.
Joint commission mandates reporting sentinel events and performance of root cause analysis.
What is a NEAR MISS event? correct answers An error that has the potential to cause an adverse
event (patient harm) but fails to do so because of chance or because it is intercepted.
This can still be reported
What is just culture? correct answers A culture where people feel safe raising questions and
concerns and report safety events in an environment that emphasizes a non punitive response to
errors and near misses. Clear lines are drawn between human error, at-risk, and reckless
behaviors.
a Just Culture recognizes that individual practitioners should not be held accountable for system
failings over which they have no control
What is reporting culture? correct answers People realize errors are inevitable and are
encouraged to speak up for patient safety by reporting errors and near misses.
What is learning culture? correct answers People regularly collect information and learn from
errors and successes while openly sharing data and information and applying best evidence to
improve work processes and patient outcomes.
Who does the national patient safety goals? correct answers Joint commission