PPT On 10 Rights of Medication Administration

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10 Rights of Medication Administration Presentation Transcript:
1.10 Rights of Medication Administration

2.Right Medication.

3.Nursing Responsibility:
Check three times for safe administration.
Read the medication administration record (MAR) and compare the label of the medication against it.
Check the expiration date of the medication.
If the dosage does not match the MAR, determine if you need to do a math calculation.
While preparing the medication, look at the medication label and check against the MAR.
Recheck the label on the container before returning to its storage place.

4.Right Amount /     Dose.

5.Nursing Responsibility:
Give special attention if the calculation indicates multiple pills/tablets or a large quantity of a liquid medication.  This can be a cue that the math calculation may be incorrect.
Double check calculations that appear questionable.
Know the usual dosage range of the medication.
Question a dose outside of the usual dosage range

6.Right Patient/     Client.

7.The Joint Commission’s National Patient Safety Goal requires a nurse to use at least two client identifiers whenever administering medications. Neither identifier can be the client’s room number. Acceptable identifiers may be the person’s name, assigned identification number, photograph, or other person-specific identifier. Check the clients identification band with each administration of medication.
Know the agency’s name alert procedure when clients with the same or similar last names are on the nursing unit

8.Nursing Responsibility
Make certain that the route is safe and appropriate for the client. Clients may require physical assistance in assuming positions for intramuscular injections.

9.Right Time and Manner

10.Medication given within 30 minutes before or after the scheduled time are considered to meet the right time standard.
The nurse should also check institutional policy concerning administration of medications.
Hospitals often have standardized interpretations for abbreviations.
The nurse must memorize and utilize standard abbreviations in interpreting, transcribing, and

11.Right client education

12.Clients may need guidance about measures to make medication more effective or prevent complications.
Some clients covey fear about medication. Nurses should listen carefully to their concerns and give them the correct information

13.Right documentation  
14.Document medication administration after giving it, before.
If time of administration differs from prescribed time, note the time on the MAR and explain reason and follow-through activities (e.g.’ pharmacy states medication will be available in 2 hours) in nursing notes.
 If a medication is not given, follow the agency’s policy for documenting the reason why.

15.Right to refuse the medication