the allied health professional should not administer medications

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Legal and professional issues | Basicmedical Key14 Allied health care professional should not This preview shows page 2 - 4 of 8 pages. 14)14)Allied health care professional should NOT administer medicines. : Prepared by another Prepared by another professional health ally professional health professional15)15)Percutaneous drug administration routes usually have a slow absorption rate and are difficult to apply.: TRUECHAPTER 12CHAPTER 121) The oral drug administration path is preferred by which of the following EXCEPT: Duration of time for absorptionLongitude of time for absorption2) Generally, which of the following oral medication tablets can be crushed.: EffervescentEffervescent3) By administering liquid oral medications: Hold the cup of medicine at eye level to keep the cup of medication at eye level to measure the medication. measures the medication.4) For ease of swallowing solid oral medications, place the medication at the back of the tongue: TRUE5) Storage of solid oral medications may be anywhere convenient without taking into account moisture, light or heat.: FALSEFALSE6) If a medication is added to the food, the food should be a full hot portion so that the taste of the medication is better disguised.: FALSEFALSE7) The forms of oral consumption medication include all the following EXCEPT: supositoriesuppositories8) When administering medicines: always pour the medication on the lid and do not touch the medication, use the rules of 3 + 7, " give the medication with enough fluid for ease to swallow. * A, B, " CA, B, " C9) By administering rectal medications: All the aboveAll the above10 An annotated tablet is usually a sign that the tablet can be divided or divided.: TrueTrue11) The main danger of oral medication administration is the aspiration of the medication in the respiratory tract: TRUETRUE12) When preparing medications for administration, the inside of the container cap should not be touched. : TRUETRUECHAPTER 13CHAPTER 131) Topical drugs may be in the form of: Powders, tugs, compresses and gunpowders, beetles, compresses and dressings, creams and ointments, gels and lotions *1,2,3,4,5 tocquers, creams and ointment, gels and lotions are used *1,2,4,52) *All of the above*All of the above3) Ophthalmic drugs: It must contain a label of "ophthalmic", must remain sterile, " it must be administered in the joint sac. * All except C.All except C.4) Sublingual medications may be aerosols or small porous tablets: TrueTrue5) Medicines applied to the cornea will not cause pain because the cornea has no blood or supplements. : FALSEFALSE6) Inhaled medications can be 1. administered as MDIs2. administered as a vapor or a malt3. administered in the form of spraying or dust4. rapidly absorbed by the blood supply in the lungs: * 1,2,3, " 41,2,3, " 47) Students who saw this also studied Central Florida University• HSC HSC 3147Exam #2 Review (CHP 11-18)10 pages Exam #2 (CHP 11-18)University of Florida CentralHSC HSC 3147test_prepUniversity of Central Florida• FloridaExample of Central FloridaExample of Central FloridaExample of 2 Responses 2 Responses 2 Responses Exam 2 Responses University of Central FloridaEXAM 2test_preptest_prepUniversity of Central Florida•EXAM 2Exam 2 Responses27 pages Exam 2 Responses University of Central FloridaEXAM 2test_prepUniversity of Central Florida•HSC 3147 HSC HSC 3147pharm final answer12 pages final responseFlorida University HSCHSC HSC 3147test_prep Exam #2 Commentary (CHP 11-18)University of Central Florida HSC 3147University of Central Florida Other Related MaterialsUniversity of Central Florida•HSC 3147Chapter 1113 pagesChapter 11University of Florida CentralHSC 3147University of Central Florida•HSC 3147Exam2.docx23 pagesExam2.docxUniversity of Florida CentralHSC 3147test_prepUniversity of Central Florida•CHM 2046LExam #2-18 Central FloridaExpressity Copyright © 2021. Of course Hero, Inc. Course Hero is not sponsored or supported by any university or university.

Chapter 1. Infection Control 2. Patient assessment character 3. Handling, Positioning and Transfer of Safe Patients 4. Care for the wounded 5. Oxygen therapy 6. Administration of Non-Pateral Medicines Chapter 7. Parental Medicines Administration Mechanism 8. Intravenous TherapyChapter 9. Monitoring of blood glucose Chapter 10. Tubes and accessories 6. Administration of non-parateral drugs 6.2 Administration of safe medicines In the often recited book of the Institute of Medicine to Err Is Human: Building a Safer Health System (Kohn, Corrigan, " Donaldson, 2000), it is estimated that approximately 1.5 million preventive adverse events (ADEs) occur annually. The Joint Commission (JC) defines drug errors as any preventable event that may cause drug abuse or endanger patient safety (CJT, 2012). Drug errors are the number one error in medical care (CDC Centers for Disease Control, 2013). The safe and accurate administration of drugs is an important and potentially challenging responsibility in the nursing. Drug administration requires good decision-making skills and clinical trial, and the nurse is responsible for ensuring full understanding of drug administration and its implications for patient safety. Drug errors have a substantial impact on health care in Canada (Butt, 2010). When preparing and administering medications, and evaluating patients after receiving medication, always follow the agency's policy to ensure safe practice. Table 6.1 for guidelines for the administration of safe medicines. Table 6.1 Guidelines for the administration of safe medicines Security considerations: Principle Additional information Be careful when preparing medications. Avoid distractions. Some agencies have a non-intervention zone (NIZ), where healthcare providers can prepare uninterrupted medicines. Check allergies. Always ask the patient about allergies, types of reactions and severity of reactions. Use two patient identifiers at all times. Always follow the agency policy for patient identification. Use at least two patient identifiers before administration and compare against the MAR. The evaluation comes before the administration of drugs. All medications require an evaluation (review of laboratory values, pain, respiratory evaluation, heart evaluation, etc.) before the administration of medications to ensure that the patient receives the right medication for the right reason. Be diligent in all drug calculations. Miscalculations of medicines have contributed to dose errors, especially when adjusted or titted doses. Avoid relying on memory; use checklists and memory aids. Memory slips are caused by lack of attention, fatigue, distractions. Mistakes are often called care behaviors when lack of formation or knowledge is the cause of error. The slips represent most of the mistakes in health care. If possible, follow a standard set of steps for each patient. Contact your patient before and after administration. Provide information to patients about the medication before administering it. Answer questions about use, dosage and special considerations. Give the patient the opportunity to ask questions. Include family members if appropriate. Avoid work solutions. A work solution is a process that overcomes a procedure, a policy or a problem in a system. For example, a nurse can "borrow" a drug from another patient while waiting for the pharmacy to fill out an order. These measures do not follow the agency's policy to ensure safe drug practices. Ensure that the medication has not expired. Medicines can be inactive if they are expired. Always clarify an order or procedure that is not clear. Always ask for help when it is unclear or unclear about an order. Check with the pharmacist, load nurse or other healthcare providers and make sure you resolve all the questions before proceeding with the administration of medicines. Use the technology available to administer medications. The bar code scan (eMAR) has decreased errors in administration by 51%, and computerized medical orders have decreased errors by 81%. Technology has the potential to help reduce mistakes. Use the technology when managing medicines but be aware of technology-induced errors. Report to all nearby faults, errors and adverse reactions. Reporting allows the analysis and identification of possible errors, which can lead to improvements and exchange of information for safer patient care. Be alert to situations of error and high resistance medications. High-strength medicines are those that are more likely to cause significant damage, even when used as desired. The most common high-risk medicines are anticoagulants, narcotics and opiates, insulins and sedatives. The types of damage most commonly associated with these drugs include hypotension, delirium, bleeding, hypoglycemia, bradycardia and lethargy. If a patient asks or expresses concern about a medication, stop and do not administer it. If a patient questions a medication, stop and explore the patient's concerns, review the doctor's order and, if necessary, notify the doctor in charge of the patient. Data source: Health Research and Quality Agency, 2014; Canadian Patient Safety Institute, 2012; Debono et al., 2013; Health Improvement Institute, 2015; National Patient Safety Agency, 2009; National Priority Partnership, 2010; Prakash et al., 2014 Principle Additional InformationTechnological advances that help mitigate drug errorsComputed medical order entry (CPOE) is a system that allows prescribers to enter electronic orders for medicines, thus eliminating the need for written orders. CPOE increases the accuracy and readability of drug orders; the potential for the integration of support to clinical decision; and the optimization of prescriptor, nurse and pharmacist time (Agrawal, 2009). Decision support software integrated into a CPOE system can allow automatic testing of drug allergies, dosage indications, reference laboratory results and possible drug interactions. When a prescriptor enters an order through CPOE, the information on the order will then be forwarded to the pharmacy and ultimately to the MAR. The use of electronic bar codes in drug and packaging labels has the potential to improve patient safety in several ways. A patient's MAR is introduced into the hospital information system and encoded into the patient's wristband, which is accessible to the nurse through a portable device. When administering a medication, the nurse scans the patient's medical record number on the wristband, and the bar code on the medication. The computer processes scanned information, traces and updates the patient's MAR registry properly (Poon et al., 2010). Automated drug dispensing systems (AMDS) provide automated electronic control of all medicines, including narcotic drugs. Each nurse who accesses the system has a unique access code. The nurse will enter the patient's name, medicine, dosage and administration pathway. The system will open the individual drawer of the patient or the narcotic drawer to dispense the specific medication. If the patient's electronic health record is related to the AMDS, the medication and the nurse who accessed the system will be linked to the patient's electronic registry. The checklist 43 describes the steps for the safe administration of medicines. Checklist 43: Safe drug management Disclaimer: Always review and follow your hospital policy regarding this specific skill. Security considerations: Steps Additional information 1. Check MAR against the doctor's orders. Check that MAR and doctor's orders are consistent. Compare medical orders and MAR Compare MAR to the patient bracelet. Night staff generally complete and check this check as well. 2. Perform SEVEN RIGHTS x 3 (this should be done with each individual medication): Drug calculation: D/H x S = A (D or desired dose/H or available x S or stock = A or prepared amount) The right patient: check that you have the right patient using two patient identifiers (e.g., name and date of birth). Compare MAR with the patient bracelet The right medication (drugs): check that you have the right medication and that is appropriate for the patient in the current context. The right dose: check that the dose makes sense for the age, size and condition of the patient. Different doses may be indicated for different conditions. The correct route: checks that the route is appropriate for the patient's current condition. The right time: adheres to the prescribed dose and schedule. Check the correct patient, medication, dose, route, time, reason, documentation The right reason: to check that the patient is receiving the medication for the right reason. The correct documentation: always check any unclear or inaccurate documentation before administering medications. NEVER documents that you've given a medication until you've actually given it. 3. The drug label should be revised for the name, dose and route, and compared to the MAR on three different occasions: When the medicine is removed from the drawer When the medication is being spilled When the medication is being put in / or in bed Perform seven checks three times before administering medications These checks are done before you administer the medication to your patient. If you take the medication to bed (e.g., eye drops), make a third check in the bed. 4. Drug circle when poured. Get your medication. MAR Circle to show that the medication has been spilled. Circular medicine once it has been spilled 5. Position: This guarantees the patient's safety and comfort. Position patient properly for the administration of medicines 6. Post-medication security control: This ensures patient safety. This step prevents the transfer of microorganisms. Hand hygiene with ABHR Data source: Lilley, Harrington, Snyder, & Swart, 2011; Lynn, 2011; Perry et al., 2014 Checklist 43: Safe Drug Administration Steps Additional information Compare MAR to the patient bracelet. Night staff generally complete and check this check as well. Drug calculation: D/H x S = A(D or desired dose/H or available x S or stock = A or prepared amount) The right medication (drugs): check that you have the right medication and that is appropriate for the patient in the current context. The right dose: check that the dose makes sense for the age, size and condition of the patient. Different doses may be indicated for different conditions. The correct route: checks that the route is appropriate for the patient's current condition. The right time: adheres to the prescribed dose and schedule. The right reason: to check that the patient is receiving the medication for the right reason. The correct documentation: always check any unclear or inaccurate documentation before administering medications. NEVER documents that you've given a medication until you've actually given it. These checks are done before you administer the medication to your patient. If you take the medicine to bed (e.g., eye drops), make a third check in the bed. This step prevents the transfer of microorganisms. Critical Thinking ExercisesLicense by British Columbia Institute of Technology (BCIT) is licensed under one, except where otherwise indicated. Share this book

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