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MEDICATION
ADMINISTRATION
HOLD ON TO YOUR SEAT WE HAVE A
LOT TO LEARN
DRUG LEGISLATION:
Schedule II
Describe:
Schedule III
Describe:
Schedule IV
Describe:
Schedule V
Describe:
MEDICATION ORDER
Overview:
A drug that is prescribed is referred to as a medication or
medicine order
Pharmacists
Nurses:
COMPONENTS OF A MEDICATION ORDER
Name of the patient (may be on the bottom or top of physician order, be
sure the name is on the order)
Dose
What is missing?
Lasix 40 mg now
Lanoxin 1 tab PO daily
TYPES OF ORDER SETS:
Standings orders:
Written for specific circumstances
For example:
TYPES OF ORDER SETS:
Orders can be classified according to how the orders
are received:
Written orders:
Telephone order:
Verbal order:
Stat order:
Specifics:
Word of caution:
Example:
DRUG AMOUNT/QUANTITY
Expiration date
Control numbers
National Drug Code (NDC) number / Bar code
Code identifying one of two official national lists of approved drugs, either the USP
(United States Pharmacopeia) or NF (National Formulary)
Contraindications
BRAND NAME: LOT #:
GENERIC NAME:
DOSAGE STRENGTH: EXPIRATION DATE:
FORM:
AMOUNT: DIRECTIONS:
MANUFACTURER:
NDC:
BRAND NAME: LOT #:
GENERIC NAME:
DOSAGE STRENGTH: EXPIRATION DATE:
FORM:
AMOUNT: DIRECTIONS:
MANUFACTURER:
NDC:
BRAND NAME: LOT #:
GENERIC NAME:
DOSAGE STRENGTH: EXPIRATION DATE:
FORM:
AMOUNT: DIRECTIONS:
MANUFACTURER:
NDC:
BRAND NAME: LOT #:
GENERIC NAME:
DOSAGE STRENGTH: EXPIRATION DATE:
FORM:
AMOUNT: DIRECTIONS:
MANUFACTURER:
NDC:
Brand Name: Lot #:
Generic Name:
Dosage Strength: Expiration date:
Form:
Amount: Directions:
Manufacturer:
NDC:
BRAND NAME: LOT #:
GENERIC NAME:
DOSAGE STRENGTH: EXPIRATION DATE:
FORM:
AMOUNT: DIRECTIONS:
MANUFACTURER:
NDC:
DOES SOMETHING LOOK DIFFERENT HERE?
BRAND NAME: LOT #:
GENERIC NAME:
DOSAGE STRENGTH: EXPIRATION DATE:
FORM:
AMOUNT: DIRECTIONS:
MANUFACTURER:
NDC:
BRAND NAME: LOT #:
GENERIC NAME:
DOSAGE STRENGTH: EXPIRATION DATE:
FORM:
AMOUNT: DIRECTIONS:
MANUFACTURER:
NDC:
BRAND NAME: LOT #:
GENERIC NAME:
DOSAGE STRENGTH: EXPIRATION DATE:
FORM:
AMOUNT: DIRECTIONS:
MANUFACTURER:
NDC:
BRAND NAME: LOT #:
GENERIC NAME:
DOSAGE STRENGTH: EXPIRATION DATE:
FORM:
AMOUNT: DIRECTIONS:
MANUFACTURER:
NDC:
SAFE MEDICATION
ADMINISTRATION
LEGAL IMPLICATIONS:
Maintain competence:
Be knowledgeable:
Drug names
Drug class
Indication/use
INDICATION FOR USE
Analgesic antidote contraceptive
Anesthetic antidote decongestant
Antacid antiemetic diuretic
Antianxiety antihistamine expectorant
Antiarrhythmic antihypertensive hemostatic
Antibiotic anti-inflammatory hypnotic
Anticoagulant antineoplastic
hypoglycemic
Anticonvulsant antipyretic laxative
Antidepressant antitussive sedative
Antidiarrheal bronchodilator vasodilator
vasopressor
NURSE LEGAL RESPONSIBILITIES
Be knowledgeable:
Side/adverse/toxic effects, precautions, contraindications
Side effect
Adverse Reaction
Toxic effect
Allergic effect
Interaction
Compatibilities
Contraindication
NURSE LEGAL RESPONSIBILITIES
Be knowledgeable:
Drug dosage
Determined by what factors?
Safe Dosage
Initial dose
Average dose
Maintenance dose
Maximum dose
Therapeutic dose
Divided dose
Unit dose
Cumulative dose
Lethal dose
Toxic dose
Minimum dose
NURSE LEGAL RESPONSIBILITIES
Be knowledgeable:
Expected response
Idiosyncratic effect
Right patient
How would you identify the patient?
How many times?
Right drug
How
Must know about the med; where would you find
info about a medication?
Right dose
Important to ensure you have correct dose (check
order to label, 3 times)
SIX RIGHTS OF MEDICATION ADMINISTRATION
Right route
Right time
Must be administered within 1 hour of designated
time (30 min before; 30 min after)
Right documentation
Do NOT DOCUMENT anything you did not give
ADDITIONAL RIGHTS OF MEDICATION
ADMINISTRATION
Right reason
Right response
Right to refuse
MEDICATION ERRORS
Best to prevent:
Follow the Institute for Safe Medication for
Practice Guidelines www.ismp.org
Observe approved and unapproved abbreviations
designed by JC
Pay attention to names of meds, how they look
Use caution taking verbal or telephone orders
Use caution with high alert medications: have a
colleague check your med and dose
MEDICATION ERRORS
Prevention:
Learn to pay attention to the look alike drugs:
use Tall man letters
Prevent distractions