T/F: An advanced practice nurse can write a medication order.
True
-
What is a medication order?
Lists the drug name and directions for its administration
***Components of a medication order
The client's name
the date and time the order is written
the drug name
the dose to be administered
the route of administration
the frequency of administration
the signature of the person ordering the drug
3 ways to receive a medication order
Verbal, telephone, and in the patient's MAR
BID
Twice a day
TID
Three times a day
QID
Four times a day
Q4
Every 4 hours
PRN
As needed
STAT
Immediately
What is an oral route of administration
Swallowing or instilling through an enteral tube
Solid oral medication
, Scored tablets
Enteric-coated tablets
Modified release
Liquid oral medications
Syrups, Elixirs, Suspensions
Liquid medications are measured by:
Calibrated cups, Droppers, Syringes, and Dosing spoons
Accounting for controlled substances:
Nurses are responsible for an accurate account of their use and must keep a
record of each narcotic from the stock supply
-Most places require a count off per shift with 2 nurses
Four routes of administration:
Oral, Topical, Inhalant, Parenteral route
What is a MAR?
Written or computerized form used to document drug administration
Methods of supplying medications
Individual supply, Unit dose supply, Stock supply, Automated medication-
dispensing system
What is an Individual supply?
A container with enough pf the perscribed drug for several days or weeks;
common in long-term care facilities
What is a unit dose supply?
A self-contained packet that holds one tablet or capsule and is most common in
acute care hospitals that stock drugs for individual clients several times in 1 day
What is a stock supply?
Large number of stored drugs that remain on the nursing unit for use in an
emergency so that a nurse can give the drug without delay
What are the six "rights" of medication administration?
Right patient
Right drug
Right dose
Right route
Right time
Right documentation
What are the 3 checks of medications?
-When pulling the medication/Obtaining the medication
-Outside the room/ during preperation
-At bedside
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