Nurse 9
⚡ ALL INFORMATION CLICK HERE 👈🏻👈🏻👈🏻
Nurse 9
Darby Faubion BSN, RN
Darby Faubion is a nurse and Allied Health educator with over twenty years of experience. She has assisted in developing curriculum for nursing programs and has instructed students at both community college and university levels. Because of her love of nursing education, Darby became a test-taking strategist and NCLEX prep coach and assists nursing graduates across the United States who are preparing to take the National Council Licensure Examination (NCLEX).
Copyright © 2022 Nursingprocess.org All Rights Reserved.
About us | Our Contributing Writers | Privacy Policy | Terms of Service | Advertising Disclosure | Contact us
Maryland Nurses Association District 9
Swarthmore, PA
·
Position at
Fresenius Medical Care
Stafford Township, NJ
·
Position at
Fresenius Medical Care
Winslow Township, NJ
·
Position at
Fresenius Medical Care
Communication Opportunities
Post a Job
Find Resumes
Post an Event
For national
nursing
jobs,
events, news, and resources, visit
Nursing Network
The Maryland Nurses Association District 9 promotes excellence in the nursing profession with a culture of camaraderie, mentoring, diversity, and respect for colleagues. We provide programs and educational development for continued personal and career growth, as well as opportunities for community outreach. Each year District 9 hosts two general membership meetings and annual awards and scholarships. We are proud to represent all nurses in our district and would love for you to join us!
Dear MNA Members: As you may recall in the 2019 MNA annual election, MNA decided to conduct its elections electronically. It is both a cost saving...
Call for Editorial Board Members The Maryland Nurse Journal (TMNJ) Editorial Board is currently seeking new editorial board members who have a...
The St. Mary’s branch of the NAACP health committee is having their first annual 5K run/walk in Historic St. Mary’s City on September 17th where we...
Friday, October 21, 2022 at 7:15am ET
Thursday, November 3, 2022 at 2:00pm ET
Thursday, November 17, 2022 at 8:00am CT
POSITION FEATURES:
Hours: MWF - 8a-8p, alternating Saturdays
2021 America's 'Most Loved Workplaces' by Newsweek
Competitive pay, benefits & PTO...
PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP)....
PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP)....
Your access to this service has been limited. (HTTP response code 503)
If you think you have been blocked in error, contact the owner of this site for assistance.
If you are a WordPress user with administrative privileges on this site, please enter your email address in the box below and click "Send". You will then receive an email that helps you regain access.
Wordfence is a security plugin installed on over 4 million WordPress sites. The owner of this site is using Wordfence to manage access to their site.
You can also read the documentation to learn about Wordfence's blocking tools, or visit wordfence.com to learn more about Wordfence.
Click here to learn more: Documentation
Generated by Wordfence at Sat, 15 Oct 2022 4:06:13 GMT. Your computer's time: Sat, 15 Oct 2022 04:06:13 GMT.
Access from your area has been temporarily limited for security reasons.
This website provides entertainment value only, not medical advice or nursing protocols. We strive for 100% accuracy, but nursing procedures and state laws are constantly changing. By accessing any content on this site or its related media channels, you agree never to hold us liable for damages, harm, loss, or misinformation. See our full disclosure and privacy policy .
Copyright Notice: Do not copy this site, articles, images, or its contents without permission.
Important Links
Advertise
Contact Us
Registered Nurse, Free Care Plans, Free NCLEX Review, Nurse Salary, and much more. Join the nursing revolution.
Rights of Medication Administration review for nursing students!
The purpose of the Rights of Medication Administration is to prevent medication errors. The nurse is the last safety net in medication administration, and we must always double or even triple check everything. As a nurse, I’ve caught many medication errors by using the Rights of Medication Administration.
For example, I’ve discovered errors where pharmacy put in the wrong dose and frequency or the physician accidently ordered a medication that was meant for another patient. In addition, I’ve encountered medication dispensing errors where the Pyxis system dispensed the wrong medication. Therefore, even with all the technology available today, errors can still happen and by following the Rights of Medication Administration we may be able to prevent some of them.
The medication administration rights have really evolved over time. We started out the 5 rights, which really lay the foundation for the nurse’s safety checks during medication administration. However, the number of rights has grown and you have probably heard of the 5 Rights, 7 Rights, 9 Rights, and 10 Rights etc. So, in this review I’m going to cover the 5 Rights, and then I’m going to cover some of the extra ones that have been added on over the years.
As a nurse, you want to perform these rights every time you give medications. If something doesn’t seem right or make sense ALWAYS take the time to investigate it.
Confirm you have the right patient for the medication by using at least TWO patient identifiers.
Example: Have patient state their full name and date of birth and compare this information to the patient’s identification band and to the MAR (medication administration record).
Check the medication order and make sure the medication name on the order matches the name of the medication you’re administering. Be sure to look at it fully because some medications have similar names and if you do a quick glance you may not catch it.
Here is an example: Acetazolamide (diuretic) vs. Acetohexamide (treats diabetes and helps lower blood glucose)
Also, during this step confirm that the medication is not expired or damaged along with the patient’s allergies.
Check that the dosage ordered matches the dosage you plan to administer. Many times you’re not going to be dispensed with the exact dose because the pill needs to be split or the vial contains more medication than what was ordered. But whatever the reason is, you want to always double check your math if calculating and if needed, have another nurse double check it with you.
Check the prescribed route on the order with how you plan to administer it. Medications can be given various ways. Most common routes are oral, IV, subq, IM, topically etc.
Make sure you have the right supplies for the prescribed route. For example if giving IV: confirm the IV access works by flushing it and once the med has been given flush the access again, IM: select the best muscle to use with the right sized needle, orally: check how well your patient swallows, do they need them crushed or mixed in apple sauce or pudding, and if so, can that particular medication be crushed, topically: remove and clean previous dose off the skin before applying the fresh dose.
Check how often the medication was prescribed and that it matches how often you will be administering the dose. Make sure you’re familiar with the common frequencies .
In addition, make sure you are administering the medication at the right time…not too late or too soon (especially with PRN medications). The facility you work at should have a specific policy that outlines the time frames for administering medications, and this is very important for time critical meds like antibiotics, anticoagulants, insulin etc.
Chart after giving the medication. This is very important because remember the phrase if you didn’t chart it, it didn’t happen.
Documentation helps tell other caregivers when the patient’s last dose was, which is very important for the next shift, when the patient is being transferred to another unit, or being discharged.
In the documentation be sure to include: the medication name, dose, time, route, site you used (example: fentanyl patch….where did u place it), any numerical data that is needed like: vital signs (hr, bp, temp, pain rating), lab values, descriptive words and location of pain if giving pain medication, follow-up to how it helped the pt (pain meds) etc.
Inform the patient or their caregiver about what medications you’re administering, why it’s prescribed, how often it’s taken, dosage, technique for administering like with an injection, and expected vs. abnormal side effects…the patient needs to be included in their care so when they go home they understand how to take the medication and what to monitor for.
Collect important assessment data that is needed for certain meds before administering them. This can be vital sign data (ex: heart rate with beta blockers ), lab values (ex: warfarin …know INR level), health history information (their last dose, other meds they’re taking that could interact, allergies, underlying health conditions)
When you see the order as yourself “why was this medication ordered?” “What condition is the med treating?” For example, let’s say your patient has right-sided heart failure and is in fluid volume overload. The doctor orders Furosemide. Ask yourself…how will this medication help my patient? It will help pull fluid from the blood into the urinary system to be voided. Therefore, the nurse should prepare the patient with easy access to the bathroom, monitor for dehydration, and for a low potassium level. Furosemide is a loop diuretic that wastes potassium.
The patient can refuse medications. If after educating the patient about why it’s ordered and assessing the patient’s concern for why they don’t want to take it, they still decline to take it, be sure to document thoroughly. In addition, let the prescribing physician know.
Follow-up and assess if the medication provides the right effect and document. Example: Your patient is experiencing uncontrollable a-fib. You receive an order to start a Diltiazem drip. You need to evaluate if this medication is providing the proper effect. It should control the rate which may help convert the rhythm back to normal sinus rhythm. Therefore, the nurse will be evaluating the patient regularly by monitoring the patient’s rhythm, heart rate and blood pressure.
Enter your email address below and hit "Submit" to receive free email updates and nursing tips.
Copyright © 2022 RegisteredNurseRN.com. All Rights Reserved.
Old Horny Granny
Mouth Throat Teen
Skinny Gagging