Term
| U.S. Food and Drug Administration |
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Definition
-FDA
-oversees safety of consumer products including medications |
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Term
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Definition
| -system of standards of quality control |
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Term
| Institute for Safe Medication Practices |
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Definition
| -a nonprofit, independent watchdog organization devoted solely to safe medication use and error prevention |
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Term
| The National Coordinating council for medication error reporting and prevention |
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Definition
| -formed b/c medication errors occur for mutliple reasons and that no single organization can adequately address the danger to patient safety. |
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Term
| The insitute for healthcare improvement |
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Definition
-IHI
-improve healthcare throughout the world.
-goal to advance 6 areas= safety, effectiveness, patient-centerredeness, timeliness, efficiency, equality |
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Term
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Definition
-improve paitent safety in healthcare facilities through accreditation and certification services that support performance improvement.
-reduce risk of adverse outcomes for patients recieving care in hospitals, labratories, ambulatory clinics, behavioral healthcare agencies, and long term care facilities
-published National Safety Goals (NSGs) to improve safety in areas such as improving patient identification, communication b/t caregivers, standardizing medical abbreviations, and reducing errors in surgery. |
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Term
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Definition
-each state has
-laws defining the scope of practice and responsibilities for nurses
-designed to protect the healthy, safety, and welfare of public |
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Term
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Definition
| -every facility has writeen policies and procedures that outline a nurse's scope of practice and responsiblities |
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Term
| Medication delivery systems? |
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Definition
-Unit dose systems
-Multiple dose systems
-Automated medication dispensing systems |
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Term
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Definition
-packaged individually in sterile, clearly marked packages
-most are solids or liquids such as prefilled containers or syringes
-Advantages=ease of administration for nurse, increased safety for patient.
-less time to prepare, lessens risk of drug contamination through inappropriate handling tachniques, reduce risk of chance of mixing different medications in a common container.
-transport to bedside in origional packaging to reduce chance or errors. |
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Term
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Definition
-package more than one dose in a container b/c such packaging is sometimes more cost effective.
-within expirtation date and handled safely to reduce risk of contaminiation
-if single use only, then only use once |
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Term
| Automated medication dispensing systems |
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Definition
-AMD
-computer-operated storage and dispensing devices for medications and healthcare supplies.
-medication storage cabinet, keyboard, monitor, and software
-must insert users ID code and password to get to meds.
-Advantages=manage and track inventory of drugs and supplies in real time, enhance security of stored medications b/c must log in, faster access to patient meds, reduce risk for errors (alert drug interactions, use barcode, allergie alerts) |
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Term
| T/F? Human factors, such as knowledge deficits, contribute to many medication errors |
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Definition
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Term
| T/F? The missions of the Food and Drug Administration is to protect public health by ensuring the safety, efficacy, and security of drugs. |
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Definition
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Term
| T/F? The National Patient Safety Goals were formulated to punish hospitals for medication errors? |
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Definition
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Term
| T/F? The Center for Drug Evaluation and Research is a division of the Institute for Healthcare Improvement. |
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Definition
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Term
The nurse removes a tablet from a bottle of acetaminophen. This is an example of a(n):
A. Unit dose delivery system
B. Multiple dose delivery system
C. Automated delivery system
D. Dual dose delivery system |
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Definition
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Term
One disadvantage of a multiple dose delivery system is:
A. Increased risk of contaminiating the contents of the container
B. Reduction in time to administer the drug
C. Increased risk of mixing more than one medication in one container
D. A and C. |
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Definition
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Term
The nurse is preparing to administer a single-dose medication to a patient. Which of these actions is correct?
A.The nurse opens the unit dose package outside the patients room
B. The nurse takes the medication from a bottle that the patient brought from home.
C.The nurse opens the unit dose package at the patient's bedside
D.The nurse opens the unit dose package inside the patient's room |
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Definition
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Term
| Computer-operated storage and dispensing divises for medications are called? |
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Definition
| automated medication dispensing system |
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Term
| The organization responsible for setting the standards for the quality, purity, strength, and consistency of medicines, food ingredients, and dietary supplements is the? |
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Definition
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Term
| The organization that has the authority and resources to tackle the complex nature of medication errors and develop appropriate solutions is the? |
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Definition
National Coordinating Council for Medication Error Reporting and Prevention.
-NCC MERP |
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Term
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Definition
-patient
-Drug
-Dose
-Route
-Time
-Documentation
(TRAMPED=time, route,amount, medication, Patient, Education, Documentation) |
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Term
| Factors that lead to giving the wrong medication include the following? |
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Definition
-drug names that look alike or sound alike
-drug lables that look similar or are misleading
-poorly written prescriptions
-errors in transcribing the medication to the MAR
-Lack of knwolege by the care provider about the medication being described |
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Term
| Three names of a medication? |
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Definition
| -generic, trade, chemical |
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Term
| Factors that contribute to dosage errors include the following? |
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Definition
-poor handwritting
-Inaccurate calculation of dosages that are based on body weight or body surface area
-incorrect transcription of the dosage from the order into the medication record
-Use of unapproved abbreiviations
-Use of trailing zeros in the dosage prescriptions
-Availability of highly concentrated drug products. |
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Term
| Most important for nurse when checking dose |
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Definition
| Make sure that dose is within the limits directed by the drug manufacturer |
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Term
-By mouth
-Through injection
-direct contact with skin or mucous membrane |
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Definition
-orally
-parenterally
-topically |
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Term
| The form of the drug and the route taken determines? |
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Definition
How quickly it
-is absorbed
-distributed throughout the body
-metabolized
-excreted |
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Term
| Nurses should always check what with route? |
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Definition
| That the medication is given in that route and the amount for that route is correct. |
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Term
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Definition
SOLIDS
tablets
-capsules
-caplets
-lozenges
-troches/pastilles
-suppositories
-transdermal patches
LIQUIDS
-syrups
-elixirs
-suspensions
-solutions
-lotions
SEMI-LIQUIDS
-Ointments |
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Term
| Documented giving a drug should include |
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Definition
| name of drug, dose, route and time administered |
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Term
| When should the three checks be performed? |
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Definition
1.Check the time of administration, the name of the medication, and the dose against the MAR as medications are pulled from the drawer.
2.CHECK the medications with the MAR after all the medications have been obtained but prior to entering the patient's room.
3.CHECK the medications with the MAR at the patient's bedside after ensuring that the right patient is about to recieve the medication. |
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Term
| Barcode medication administration do what? |
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Definition
| -improve accuracy of med distribution and reduce number of drug-related errors. |
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Term
ABBREVIATIONS
1.ac
2.pc
3.ad lib
4.IV
5.subcut
6.IM
7.ID
8.SL
9.STAT
10.PRN
11.IVP
12.IVPB
13.PEG
14.NG
15.PR
16.PO
17.supp
18.NPO
19.b.i.d.
20.t.i.d.
21.q
22.q24hr
23.q4h
24.gtt
25.ER
26.SR
27.CR
28.g
29.mg
30.kg
31.mcg
32.tsp
33.NKA
34.NKDA |
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Definition
1.ac-before meals
2.pc-after meals
3.ad lib-as desired
4.IV-intravenous
5.subcut-subcutaneous
6.IM-intramuscular
7.ID-intradermal
8.SL-sublingual
9.STAT-immediately
10.PRN-as needed
11.IVP-intravenous push
12.IVPB-intravenous piggyback
13.PEG-percutaneous endoscopic gastrostomy
14.NG-nasogastric
15.PR-per recturm
16.PO-by mouth
17.supp-suppository
18.NPO-nothing by mouth
19.b.i.d.-twice daily
20.t.i.d.-three times daily
21.q-every
22.q2hr-every 2 hours
23.q4h-every 4 hours
24.gtt-drop
25.ER-extended release
26.SR-sustained release
27.CR-controlled release
28.g-gram
29.mg-milligram
30.kg-kilogram
31.mcg-microgram
32.tsp-teaspoon
33.NKA-no known allergies
34.NKDA-no known drug allergies |
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Term
Factors that may lead to giving the wrong medication to a patient include:
A.look-alike medication names
B.sound-alike medication names
C.errors in transcribing the medication to the MAR
D.All of the Above |
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Definition
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Term
Which patient identifier would not be acceptable?
A.The patient's social security number
B.The patient's date of birth
C.THe patient's medical record number
D.The patients room number |
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Definition
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Term
Which drug route refers to a drug that is applied directly to the skin?
A.Intramuscular
B.Subcutaneous
C.Topical
D.Intravenous |
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Definition
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Term
Which right is not one of the six rights of medication administration?
A.Right patient
B.Right Place
C.Right Dose
D.Right Route |
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Definition
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Term
Which dosage is written correctly?
A.0.2mg
B.2.0mg
C.2.02mg
D.0.02mg |
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Definition
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Term
A nurse makes the decision to withhold a medication for a patient. Which action should the nurse take next?
A.Nortify the patient's next of kin.
B.Notify the nursing supervisor
C.Noritfy the pharmacy
D.Notify the patient's provider. |
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Definition
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Term
Which statement is incorrect regarding the nurse's rold in medication reconcilliation?
A.Upon admission to the hospital, the nurse must gather and verify the patient's list of medications taken at home.
B. The nurse must notify the provider about any discrepencies noted between the medications ordered for the patient while in the hospital and those that are on the patient's list from home.
C.The nurse must give the patient a complete list of medications upon discharge from the hospital.
D.The nurse is not iinvolved in the process of medication reconcilliaationg; that is the provider's responsibility. |
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Definition
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Term
The nurse should check medications at least three times before giving them to the patient. Correct order?
A.Check the medication at the patient's bedside
B.Check the medicatoin as it is being gathered from its storage location
C.Check the medication prior to entering the patient's room |
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Definition
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