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The patient rights of medication adminstration
Rights for Medication Administration
Understanding and knowing the medication administration rights helps to prevent, minimize and eliminate medication administration errors
- right patient
- right medication
- right dose
- right time & frequency
- right route
- right documentation
- right to refuse
Additionally, right assessment, diagnosis, planning, intervention, evaluation, patient teaching. The goal is not to have a medication error. |
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Right Patient
Be sure you are administering medication to the RIGHT PATIENT
- use two verifies (commonly name and DOB)
- ask the patient their name
- cross check ID band and medication administration record MAR
Error: can deliver medication to the wrong patient! |
Right Medication
Be sure you are administering the RIGHT MEDICATION
- check and verify the MAR and physician orders
- utilize nursing knowledge
- medication dispenser: often have verification (ie. Omnicell)
Error: can give the wrong medication! |
Right Dose
Be sure you are administering the RIGHT DOSAGE of medication
- utilize the appropriate calibration measurement tools (syringe, spoon, cup, etc.)
- pay close attention to the dosage listed on the MAR vs. medication
- if needed, perform necessary medication calculation (ie. g, mg, mcg, kg, lbs)
Error: can overdose or underdose patient! |
Right Time & Frequency
Be sure to administer the medication at the RIGHT TIME & FREQUENCY
- verify this information with MAR and physician orders
- follow the scheduled time and frequency of administration
- medications can be administered within 1 hour before or after of scheduled time
Error: can prevent therapeutic effect for occurring and/or and cause overdose or underdose |
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RIght Route
Be sure to administer the medication by the RIGHT ROUTE
- pay close attention to the route listed of administration
- verify with MAR and physician orders
- can be enteral (PO) or parenteral (IV, IM, SubQ, ID)
Error: can cause overdose, underdose, other complications including absorption |
Right Disposal
Be sure to administer the medication and utilize the RIGHT DISPOSAL
- medications not taken need to be disposed of properly, according to facility policy
- sharps are to be discarded in sharps container
Error: needle sticks can occur and misuse of medication due to inaccurate disposal |
Right Documentation
Be sure that immediately after administration of the medication you use the RIGHT DOCUMENTATION
- document accurately and appropriately
- only document what you did
-IF IT WASN'T DOCUMENTED, IT DIDN'T HAPPEN!!!!!
Error: inaccurate documentation and lack of documentation can result in duplication of medication administration |
Right to Refuse
Be sure that you understand the patient always has the RIGHT TO REFUSE
- all patients have the right to refuse medication, with exceptions
- be sure to notify physician
- document appropriately
Error: violation of patient autonomy |
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