Mistakes in Medication Administration
TLDRThe video script is a demonstration of common mistakes made during medication administration, highlighting the importance of proper procedures. It walks through a scenario where a nurse, Helen, incorrectly administers medication to a patient named Sumira, missing critical steps such as verifying identification, checking prescription details, and considering the patient's allergies. The script emphasizes the need for adherence to the seven rights of medication and the consequences of neglecting proper protocol.
Takeaways
- 🧼 Proper hand hygiene is crucial before administering medication, following the seven steps to ensure cleanliness and reduce infection risk.
- 🔍 Conduct a thorough identification check, including the patient's documentation, ID band, and allergy information to verify the correct patient and details.
- 📋 Check all pages of the prescription for accuracy, including name, date of birth, hospital number, and allergy information to ensure the right medication is being given.
- 🚫 Never start oxygen therapy without a doctor's prescription to avoid critical mistakes and potential harm to the patient.
- 💊 Always check the medication details, including the drug name, dosage, frequency, and whether it's a one-time or ongoing order to administer the correct medication.
- 🏥 Do not touch the medication tablet directly; place it on the lid first and then transfer it to the cup to maintain aseptic technique.
- 📝 Sign for medication administration only after successfully giving the medication, in accordance with the NMC code of conduct.
- 🈲 Never change a prescription without proper authorization; it's a critical mistake that can lead to serious consequences.
- 📌 Confirm the patient's blood pressure is within normal limits before administering certain medications, especially anti-hypertensives.
- 🍓 Splitting or crushing medication is not allowed in certain situations; always follow the guidelines and rules for proper medication administration.
- 📝 Always inform the patient about the medication name, indication, side effects, and ensure they do not have any allergies or swallowing difficulties before administering the drug.
Q & A
What is the purpose of the demonstration video?
-The purpose of the demonstration video is to illustrate common mistakes made during medication administration, providing a visual guide on how not to proceed with giving medications.
What is the first step the nurse should have done according to the Ryolovsky protocol?
-The first step according to the Ryolovsky protocol is to declare the area safe and perform the seven steps of hand hygiene.
How should the nurse introduce herself to the patient?
-The nurse should introduce herself by saying her name and her role, for example, 'Hi, I'm Helen, I'm a nurse.'
What is the proper way to conduct a three-way identification check?
-A proper three-way identification check involves checking the patient's documentation, such as the prescription, verifying the information on the ID band, and asking the patient for their preferred name.
Why is it important to check the prescription for the correct details?
-Checking the prescription for the correct details ensures that the medication is prescribed for the right patient, with the correct dosage and instructions, preventing potential medication errors.
What is a critical mistake made regarding the administration of oxygen?
-A critical mistake made is that the nurse starts oxygen administration without a prescription from a doctor, which is against the protocol.
What should the nurse do before administering medication to a patient?
-Before administering medication, the nurse should inform the patient about the medication's name, its purpose, potential side effects, and ensure the patient does not have any allergies to the medication.
Why is it considered a mistake to mix medications in one cup?
-Mixing medications in one cup is a mistake because it can lead to dosage errors and potential drug interactions, which can be harmful to the patient.
What should the nurse do if the patient's weight is below 50 kilograms and prescribed a 1000 milligram tablet of paracetamol?
-If the patient's weight is below 50 kilograms and they have been prescribed a 1000 milligram tablet of paracetamol, the nurse should escalate the situation to a doctor for further instructions.
How should the nurse handle a patient who is allergic to a medication?
-The nurse should never administer a medication to a patient if they are allergic to it. They should check the patient's allergy information before giving any medication and avoid giving medications that the patient is allergic to.
What is the significance of the 'seven rights of medication'?
-The seven rights of medication are a set of principles to ensure that medications are administered safely and correctly. They include the right patient, right medication, right dose, right route, right time, right documentation, and right to refuse.
Outlines
📋 Demonstration of Medication Administration Mistakes
This paragraph outlines a video demonstration that compiles common mistakes made during medication administration. It begins with the nurse, Helen, failing to perform proper hand hygiene and not introducing herself correctly to the patient. The nurse also does not conduct a proper three-way identification check, which includes verifying the patient's documentation, ID band, and allergy information. The video highlights critical errors such as not checking the prescription for accuracy, missing ordered doses, and administering medication without a doctor's prescription. The nurse also fails to follow the seven rights of medication administration and attempts to sign for a drug without actually administering it. The paragraph ends with the nurse making more critical mistakes, such as changing a prescription and giving the patient medication they are allergic to.
💊 Incorrect Handling of Medications and Patient Communication
In this paragraph, the video script continues to illustrate the nurse's incorrect handling of medications and poor patient communication. The nurse assumes the patient has pain without asking and gives two tablets instead of the correct dosage. The nurse also fails to check the patient's blood pressure before administering anti-hypertensives and does not properly read the drug label. The script emphasizes critical mistakes like splitting a tablet, which is not allowed, and giving the wrong dosage based on the patient's weight. The nurse does not inform the patient about the medication's name, indication, side effects, and the patient's right to refuse. The nurse also commits the mistake of mixing drugs in one cup, which is against the rules, and does not follow the prescribed timing for medication administration.
🏥 Conclusion of the Medication Administration Demonstration
The final paragraph of the video script wraps up the demonstration on how not to administer medications. It emphasizes the importance of leaving the patient with a buzzer and ensuring the patient is left in a proper and safe manner. The video serves as a cautionary example of the numerous errors that can occur during medication administration if proper protocols are not followed, highlighting the need for meticulous attention to detail and adherence to established procedures to ensure patient safety.
Mindmap
Keywords
💡Medication Administration
💡Hand Hygiene
💡Three-Way ID Check
💡Prescription
💡Seven Rights of Medication
💡Allergy
💡Oxygen Therapy
💡Blood Pressure
💡Splitting Tablets
💡Patient Education
💡Mixing Medications
Highlights
Demonstration of common mistakes in medication administration.
Proper seven steps of hand hygiene were not followed.
Introduction and identification process was not correctly executed.
The importance of a proper three-way identification check was overlooked.
Signing medication without proper verification is a critical mistake.
Administering medication without a prescription is highlighted as a major error.
The significance of checking medication details for accuracy was ignored.
The proper handling of medication was not adhered to.
The seven rights of medication were not followed, leading to critical mistakes.
The demonstration included an example of altering a prescription, which is not allowed.
The nurse in the demonstration failed to confirm the patient's pain level before administering pain medication.
The demonstration showed an error in administering medication without confirming the patient's blood pressure.
Splitting or altering a medication tablet is highlighted as a critical mistake.
The demonstration showed an error in not informing the patient about the medication's name, indication, and side effects.
The importance of checking for allergies before administering medication was not followed.
The nurse in the video failed to follow the right time principle of medication administration.
Mixing drugs in one cup is shown as a mistake in the demonstration.
The demonstration highlighted the error of not adjusting medication dosage based on patient weight.
Proper patient communication and leaving the patient in a proper manner was not demonstrated.
Transcripts
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