Medication Administration - Eight Rights of Medication Administration

The presentation focuses on the Safe & organised medication process,Patient Safety, Risk Management and Safe Patient Care.

1. Medication Administration Mandatory NABH Education Dr. Shiv Yadav,Mount Abu, India Presentation By – Dr. Shiv Yadav (BDS, MHA)

2. Safe & organised medication process Patient Safety – Do No Harm Risk Management – Identifying and minimizing risk of harm Key Themes Dr. Shiv Yadav,Mount Abu, India

3. Chapter 3 – Management Of Medication (MOM) Standards - Documented policies and procedures guide the safe and rational medication administration. Documented policies and procedures guide the safe dispensing of medication. Medication errors and adverse drug events are reported and analysis. Patients are monitored after medication administration. Relevant NABH Chapter & Standards Dr. Shiv Yadav,Mount Abu, India

4. Nurses are responsible for ensuring safety and quality of patient care at all times. Many nursing tasks involve a degree of risk , and medication administration arguably carries the greatest risk . Nurses have traditionally followed the five rights of medication administration (patient, drug, route, time, dose) to help prevent errors, and more recently, the eight rights (including documentation, response and reason) are being followed. Introduction Dr. Shiv Yadav,Mount Abu, India

5. Right Patient Right Medication Right Dose Right Route Right Time Right Documentation Right Reason Right Response Eight Rights of Medication Administration Dr. Shiv Yadav,Mount Abu, India

6. Check the name of the patient on the order. Ask patient to identify himself/herself. Dr. Shiv Yadav,Mount Abu, India Right Patient

7. Check the medication label. Never administer drug that is not labeled. Check the order. Dr. Shiv Yadav,Mount Abu, India Right Medication

8. Check the order. If necessary, calculate the dose and have another nurse calculate the dose as well. Dr. Shiv Yadav,Mount Abu, India Right Dose

9. Verify the drug route. Check the order and appropriateness of the route ordered. Confirm that the patient can take or receive the medication by the ordered route. Dr. Shiv Yadav,Mount Abu, India Right Route

10. Check the frequency of the ordered medication. Double-check that you are giving the ordered dose at the correct time. Confirm when was the last dose given to the patient. Dr. Shiv Yadav,Mount Abu, India Right Time

11. Always document after the administration of the ordered medication. Chart the medication or drug, dosage, time, route, and any other specific information as necessary. Dr. Shiv Yadav,Mount Abu, India Right Documentation

12. Confirm the rationale for the ordered medication.  What is the patient’s history? Why is he/she taking this medication? Revisit the reasons for long-term medication use. Dr. Shiv Yadav,Mount Abu, India Right Reason

13. Make sure that the drug lead to the desired effect.  If an antihypertensive was given, has his/her blood pressure improved? Be sure to document your monitoring of the patient and any other nursing interventions that are applicable. Dr. Shiv Yadav,Mount Abu, India Right Response

14. Safe Patient Care Dr. Shiv Yadav,Mount Abu, India

15. http://www.ncbi.nlm.nih.gov/pubmed/20335899 https://www.nursingcenter.com/NCBlog/May-2011/8-rights-of-medication-administration https://www.google.co.in/search?q=8+rights+of+medication+administration+ppt&rlz=1C1CHMO_enIN569IN569&espv=2&biw=1280&bih=709&tbm=isch&tbo=u&source=univ&sa=X&ved=0ahUKEwi6w6vSgq7JAhWSjo4KHb-pCRsQ7AkIJg#imgrc=ho5Yov7NQ59ifM%3A Book – NABH 3 rd Edition Dr. Shiv Yadav,Mount Abu, India References