MEDICATION ADMINISTRATION NO MISTAKES Know the medication Will

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MEDICATION ADMINISTRATION

MEDICATION ADMINISTRATION

NO MISTAKES • Know the medication • Will it make the pt drowsy? •

NO MISTAKES • Know the medication • Will it make the pt drowsy? • Can they drive home? • Could it cause nausea or vomiting? • Know the route • IM, SC, Pill, Drops, topical, inhalation etc • Check pt’s allergies etc.

Only the Licensed Doctor or PA or can Rx • Not the RN •

Only the Licensed Doctor or PA or can Rx • Not the RN • The order should be in writing

Three “checks” before going to the pt. When medication : 1. is removed from

Three “checks” before going to the pt. When medication : 1. is removed from storage 2. is prepared 3. is returned to storage

The Seven “Rights 1. Right Patient • With 2 identifiers 2. Right Drug 1.

The Seven “Rights 1. Right Patient • With 2 identifiers 2. Right Drug 1. With the 3 checks done by yourself 3. Right Dose • Checked against physician’s order 4. Right Route 4. Right Time • And tell pt when to take next dose 5. Right Technique 6. Right documentation

The Seven “Rights • technique

The Seven “Rights • technique

The patient has the right to refuse • Tell the doctor • Chart it

The patient has the right to refuse • Tell the doctor • Chart it

Correct dose requires math Three systems are used • Metric • Most used •

Correct dose requires math Three systems are used • Metric • Most used • Based on 10 • Grams and liters • Apothecary • Old & not used • Grains, drams, minims • Household • Teaspoons and cups

Metric system • Represents strength • Grams, milligrams and micrograms • Milliliter (m. L)

Metric system • Represents strength • Grams, milligrams and micrograms • Milliliter (m. L) for volume • Liquid meds are measured in liters • I m. L occupies one cubic centimeter (cc) of space • So “cc” and “m. L” are the same • cc is not used in charting; use m. L

Convert • Convert within the same system: • The provider’s order might be in

Convert • Convert within the same system: • The provider’s order might be in grams, but the bottle might be in mg. • Convert one system to another • The doctor’s dose might read “ 5 m. L” but the MA has to tell the pt to give “one teaspoon” at the next dose.

Equivalents in the metric system • 1000 mcg = • 1000 mg = •

Equivalents in the metric system • 1000 mcg = • 1000 mg = • 1000 g = I mg Ig 1 kg • 1000 m. L = 1 L

Decimal point • Use it before the number • Don’t use after a whole

Decimal point • Use it before the number • Don’t use after a whole number • As a trailing number • Right 0. 2 • Wrong: 2. 0 • It could be mistaken for 20

All measurements have to be • in the same system and • the same

All measurements have to be • in the same system and • the same units

N x V = A Dose N (amount NEEDED : doctors order) A (amount

N x V = A Dose N (amount NEEDED : doctors order) A (amount AVAILABLE on hand) tablet, liquid) Example: Order: 240 mg acetaminophen PO Supply on hand: 160 mg/5 m. L X V (Vehicle, or form of med) = Dose 240 mg / 160 mg = 1. 5 x 5 m. L = 7. 5 The correct amount of medication to be administered is 7. 5 m. L

The MA should watch the pt. after medication

The MA should watch the pt. after medication

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