What are the rights of medication administration?
Client, medication, dose, time, route, documentation, client education, refuse, assessment, evaluation
What actions should be taken after a near-miss medication error?
Document the time, who was notified, actions taken following the incident
What actions should be taken after a medication error that reaches the patient?
Notify the provider, assess the patient and implement corrective measures immediately
Should you document an incident report or medication error in the client’s medical record?
Do not reference or include the incident report in the client’s medical record
Document the medication error in the client’s medical record
What is TPN (Total Parenteral Nutrition) and whats its use
Hypertonic IV solution is used to prevent nutritional deficiencies
- Administered through a central line
- Keep hub only for TPN and run continuously
What is in TPN
Complete Nutrition
- dextrose
- lipids/essential fatty acids
- protein
- electrolytes
- vitamins
- trace elements
How often should labs be drawn for TPN
Daily
- Daily weights should also be taken
How often should we assess glucose on TPN
4-6 hours for the first 24 hours
Why should you never abruptly stop TPN? What should you keep at bedside to mitigate this risk?
Can significantly alter the patients blood glucose
You should keep a warning on the bedside as well as insulin and dextrose in case of extreme blood sugar changes.
What are some of the potential complications of TPN? How would you identify the client has developed each complication?
Hyperglycemia, hypoglycemia, vitamin deficiencies
Air embolism, infection, fluid imbalance
