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17 Cards in this Set
- Front
- Back
List the six rights of medication administration
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right drug, right dose, right time, right route, right patient, right documentation
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Fulfillment of a caregiver's course of treatment or therapeutic plan by a patient
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compliance
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What is a medication error?
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preventable adverse drug event involving inappropriate medication use by a patient or health care professional **doesn't have to cause patient harm**
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Descriptions of specific patient behaviors or responses that demonstrate meeting of or achievement of goals related to each nursing diagnosis
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outcome criteria
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health care professional licensed by appropriate regulatory board to prescribe meds
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prescriber
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List 5 steps of nursing process in order:
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Assessment, Diagnosis, Planning, Implementation, & Evaluation
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Purpose of NANDA (North American Nursing Diagnosis Association):
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increases visibility of nursing's contribution to the care of patients
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Consists of initiation and completion of specific actions by the nurse as defined by nursing diagnoses, goals, and outcome criteria
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Implementation
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subjective data include information shared through ___ by any reliable source
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spoken word
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when documenting drug administration what MUST be included?
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date and time of med administration, name of medication, dose, route, and site of administration
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True or False: If a patient refuses to take a medication then the nurse does not need to document this.
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False, nurse must document refusal to take medication and reason for refusal, if possible
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True or False: Nurse must document when a drug is not administered.
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True, must also document why and what actions he/she took in response
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True or False: If I give a medication at 0400 it's okay to chart given at 0430.
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False, must chart at exact time medication administered
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The TJC requires 2 identifiers of the patient ____ before adminstration of a medication
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Name, ask them to state it and check armband against medication order/profile
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For routine medicatgion orders, the medications must be given no more than __ before or after the actual time specified in the prescriber's order.
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1/2 hour (have 60 minutes to give routine medications)
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stat orders must be given
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immediately, within 1/2 hour of time order is written
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nurses must always check the ___ policy regarding routine medication administration times
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health care agency or instituion policy
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