What medical providers can order medications?
- Physicians
- Nurse practitioners
- Physician’s assistants
What is the role of the pharmacist?
- Dispense correct/proper amount of medication
- Colloborate with nurse for reconcilation
What are the nurse’s role (rights) in medication admin.?
Correct::
- person
- Medication
- Dose
- Time
- Route
- Documentation
How does the nurse properly ensure the rights of medication administration?
Check MAR 3 times:
- While gathering
- When preparing
- Before administering
If the doctor’s orders are illegible, what should the nurse do?
Do not try to interpret
Clarify with prescriber
How can nurses provide input on medication dosage?
Question unusually large/small doses (probably written wrong)
What is this abbreviation:
- NPO
When would it be used?
Nothing by mouth
Patient with dysphagia or vomiting
If there is a medical contraindication (something that indicates med shouldn’t be given). what should the nurse do?
Hold medication
Notify provider/pharmacist
What two medications should be warmed to room temp?
Opthalmic (eye)
Ear medication
How should opthalmic medication be administered?
Administer drops in conjunctival sac
List proper steps to administering nasal medication:
Clear sinuses/nose (blow nose)
Have client hold breath (seconds) then breath from mouth after administration
What are the steps to giving ear medication to client?
Pull pinna up and back
Have client remain on side 2-3 minutes
Rectal suppository
- Patient position
- How far is it inserted
- what does patient do after
- Sims position
- Insert suppository 4 inches in adults
- Lie flat for 5 minutes
What are the steps a nurse should take after a med error?
- Assess client
- Notify physician
- Report to nurse manager
- File incident report (not in medical record)
What must be done to obtain a telephone order?
- Record date and time of order in med record
- Verify by reading back to physician
- Countersign by physician within 24 hours
- Record as TO (telephone order)
