Rights of Medication Administration in Nursing (5, 6, 7, 9, 10, 12) NCLEX Review

RegisteredNurseRN
13 May 202117:07
EducationalLearning
32 Likes 10 Comments

TLDRThe video by Sarah from registeredness rn.com emphasizes the importance of the rights of medication administration in preventing errors. She explains the five basic rights: right patient, right medication, right dose, right route, and right time/frequency, and discusses additional rights such as right reason, right assessment, right education, right documentation, the patient's right to refuse, and right evaluation. These rights guide nurses through the medication administration process, ensuring patient safety and proper treatment.

Takeaways
  • 📌 The primary purpose of the rights of medication administration is to prevent medication errors, with nurses acting as the last safety net in this process.
  • 🔍 Nurses should always double-check or triple-check medications by adhering to the rights of medication administration, which has evolved over time with additional rights added for increased safety.
  • 👤 The first right, 'right patient,' emphasizes the importance of using at least two patient identifiers to ensure the medication is given to the correct individual.
  • 💊 The second right, 'right medication,' involves careful comparison of the ordered medication name with the dispensed medication, paying attention to similar-looking drug names to avoid errors.
  • 🍀 The third right, 'right dose,' requires checking the medication's expiration, integrity, and ensuring the patient has no allergies or adverse reactions to the medication.
  • 📐 The fourth right, 'right route,' focuses on the correct administration method, ensuring the nurse has the appropriate supplies and confirming the patient's ability to receive the medication as ordered.
  • 🕒 The fifth right, 'right time and frequency,' involves checking the medication administration record to ensure the medication is given at the correct intervals and not too late or too soon.
  • 🤔 The 'right reason' involves understanding the medication's purpose and its expected effects on the patient's condition, guiding the nurse in monitoring and adjusting care accordingly.
  • 📝 The 'right documentation' stresses the importance of recording all necessary information after medication administration, serving as a communication tool for other healthcare providers.
  • 🙅 The 'right to refuse' acknowledges the patient's autonomy in declining medication and the nurse's responsibility to educate and communicate the refusal to the prescribing physician.
  • 📊 The 'right evaluation' requires the nurse to assess the medication's effectiveness, ensuring it is achieving the desired therapeutic outcome without adverse effects.
Q & A

  • What is the primary purpose of the rights of medication administration?

    -The primary purpose of the rights of medication administration is to help prevent medication errors and ensure patient safety by serving as the last safety net in the medication administration process.

  • How has the concept of the rights of medication administration evolved over the years?

    -The concept has evolved from the basic five rights to include additional rights such as the seven, nine, or ten rights, aiming to increase safety checks and improve the accuracy of medication administration.

  • What are the five basic rights of medication administration?

    -The five basic rights are the right patient, right medication, right dose, right route, and right time/frequency.

  • Why is it important to use at least two patient identifiers when administering medication?

    -Using at least two patient identifiers helps ensure that the medication is given to the correct patient, preventing potential errors that could occur due to similar names or other identifying factors.

  • What should a nurse do if they find a medication order that seems incorrect or intended for another patient?

    -The nurse should double-check the order, compare it with the patient's medical record, and if necessary, consult with a physician to clarify the order and prevent potential medication errors.

  • How can a nurse confirm that a medication has not expired or been tampered with?

    -A nurse should inspect the medication packaging and label for the expiration date and any signs of damage or tampering, ensuring the medication is safe for administration.

  • What is the significance of checking a patient's allergies before administering medication?

    -Checking a patient's allergies is crucial to prevent allergic reactions and ensure the patient's safety. It helps the nurse to confirm whether the patient has had the medication before and if they tolerated it well.

  • Why is it necessary to double-check math calculations when preparing certain medications?

    -Double-checking math calculations is necessary to ensure the accuracy of the dose, especially for medications that require precise measurements based on the patient's weight, lab results, or other factors.

  • What is the right reason in the context of medication administration?

    -The right reason refers to understanding the purpose and indication for the medication, its pharmacological action, and what the nurse is monitoring for, to ensure the medication is appropriate for the patient's condition.

  • How can educating patients about their medications improve their care?

    -Educating patients about their medications helps them understand their treatment, promotes adherence, allows them to monitor for side effects, and empowers them to ask questions and report concerns, leading to better overall care.

  • Why is documentation so important after medication administration?

    -Documentation is crucial for communication among healthcare providers, tracking the patient's medication regimen, and ensuring continuity of care. It also serves as a legal record of the medication administration.

Outlines
00:00
💊 Introduction to Medication Administration Rights

This paragraph introduces the concept of medication administration rights, emphasizing their importance in preventing medication errors. Sarah, the speaker, shares her personal experiences as a nurse in catching medication errors by adhering to these rights. The rights have evolved over time, with the foundation being the five basic rights, and additional rights have been added to increase safety. The paragraph sets the stage for a detailed discussion on the rights of medication administration, starting with the right patient and medication, and the importance of double-checking every detail to ensure patient safety.

05:01
📋 Rights in Detail: Patient, Medication, and Dose

In this paragraph, the speaker delves into the specifics of the first three rights of medication administration: the right patient, the right medication, and the right dose. The right patient involves using at least two patient identifiers to ensure the medication is given to the correct individual. The right medication requires careful examination of the medication name, checking for expiration, and confirming it matches the order. The right dose involves precise calculation and verification, especially when dealing with math involved in dosage adjustments. The speaker also highlights the importance of checking patient allergies and previous experiences with the medication.

10:03
🛑 Rights in Detail: Route, Time, and Frequency

This section continues the discussion on medication administration rights, focusing on the right route, time, and frequency. The right route ensures the medication is administered via the correct method, considering various ways such as oral, IV, or topical application. The right time and frequency involve checking the medication administration record to ensure the medication is given at the appropriate intervals and not too early or late. Special attention is given to time-critical medications like antibiotics, anticoagulants, and insulin. The speaker also introduces additional rights beyond the five basic ones, aiming to further enhance patient safety and guide nurses throughout the medication administration process.

15:04
📈 Advanced Rights and Documentation

The paragraph discusses the more advanced rights of medication administration, including the right reason, assessment, education, documentation, and evaluation. The right reason involves understanding why a medication is prescribed and its intended effect on the patient. The right assessment ensures the patient is suitable for the medication before administration. The right education entails informing the patient about their medication, including side effects and proper administration. The right documentation stresses the importance of recording all necessary information after medication administration, serving as a communication tool for other healthcare providers. The right to refuse and the right evaluation are also covered, emphasizing the patient's autonomy and the nurse's role in monitoring the medication's effectiveness, respectively.

Mindmap
Keywords
💡Medication Administration
Medication administration refers to the process by which nurses and healthcare providers give medications to patients. It is a critical aspect of patient care, aiming to ensure the right patient receives the right medication, in the right dose, via the right route, at the right time, and for the right reason. The video emphasizes the importance of following established protocols to prevent medication errors and improve patient safety.
💡Medication Errors
Medication errors are mistakes or oversights that occur during the medication administration process, which can lead to patient harm. The video highlights the role of nurses as the last safety net in preventing these errors by diligently following the rights of medication administration, such as verifying the medication name, dose, and patient details.
💡Patient Identifiers
Patient identifiers are specific pieces of information used to confirm a patient's identity. In the context of medication administration, using at least two identifiers, such as name, date of birth, or medical record number, helps ensure that medications are given to the correct individual, thus preventing errors.
💡Medication Reconciliation
Medication reconciliation is the process of comparing a patient's current medications to their medication orders, to ensure that all prescribed medications are being given safely and accurately. This process helps to prevent omissions, duplications, and errors in medication orders, and is a key component of safe medication practices.
💡Pharmacology
Pharmacology is the branch of science concerned with the effects of drugs on living organisms and their mechanisms of action. In the context of the video, understanding pharmacology is crucial for nurses to know why a medication is prescribed, its intended effect, potential side effects, and to monitor the patient's response appropriately.
💡Safety Checks
Safety checks are procedures or protocols put in place to ensure that healthcare practices, including medication administration, are carried out correctly and without harm to the patient. These checks help to verify critical aspects of care, such as patient identification, medication accuracy, and proper administration techniques.
💡Right Dose
The right dose refers to the correct amount of medication that should be administered to a patient as per the healthcare provider's order. It is one of the fundamental rights of medication administration and is crucial in preventing medication errors and ensuring therapeutic outcomes.
💡Right Route
The right route refers to the appropriate method of delivering medication to a patient, based on the prescription order. Medications can be administered orally, intravenously, topically, or via other routes, and it is essential to use the correct route to ensure the medication's effectiveness and safety.
💡Right Time and Frequency
The right time and frequency refer to the correct schedule for administering medication as per the healthcare provider's order. This is critical to ensure the medication's effectiveness and to avoid potential harm from giving medication too frequently or too infrequently.
💡Patient Education
Patient education involves informing and instructing patients about their medications, including the purpose, dosage, potential side effects, and proper administration techniques. This is an essential aspect of medication administration that empowers patients to participate actively in their care and to understand their treatment.
💡Documentation
Documentation in healthcare refers to the recording of patient care activities, including medication administration. Accurate documentation is crucial for communication among healthcare providers, continuity of care, and legal and regulatory compliance.
Highlights

The purpose of the rights of medication administration is to prevent medication errors.

Nurses are the last safety net in medication administration, responsible for giving patients their medication.

Following the rights of medication administration can help catch errors such as wrong dosage, frequency, or medication intended for another patient.

Technology like the PIVX system can still dispense the wrong medication due to similar-sounding drug names.

The five basic rights lay the foundation for safe medication administration.

Additional rights have been added over the years to increase safety checks in medication administration.

The first right is the right patient, ensuring the medication is for the correct individual using at least two patient identifiers.

The second right is the right medication, carefully comparing the ordered medication name with the dispensed medication.

The third right is the right dose, paying attention to the ordered dose and ensuring it matches what is given.

The fourth right is the right route, confirming the correct method of administration as per the order.

The fifth right is the right time and frequency, ensuring the medication is given at the correct intervals and not too late or too soon.

The right reason involves understanding why a medication is prescribed and its intended effect on the patient.

The right assessment requires gathering necessary information before administering a medication to avoid adverse effects.

The right education involves informing the patient about their medication, its purpose, side effects, and correct usage.

The right documentation means recording all necessary information after medication administration for communication and tracking.

Patients have the right to refuse medication, and nurses should educate and discuss concerns with them.

The right evaluation involves monitoring the patient to ensure the medication is having the desired effect and adjusting as necessary.

Transcripts

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