NABH MEDICATION ADMINISTRATION PPT.pptx

medication administration guideliness in health care servise of nursing care procedure

1. NABH BASE NURSING PROCEDURE TRAINNING MEDICATION PROCEDURE

2. Medication Procedure

3. Drug Forms for Oral Administration Solid – tablet, capsule, pill, powder Liquid – syrup, suspension, emulsion, elixir, milk, or other alkaline substances. Syrup– sugar-based liquid medication Suspension – water-based liquid medication. Shake bottle before use of medication to properly mix it. Emulsion– oil-based liquid medication Elixir – alcohol-based liquid medication. After administration of elixir, allow 30 minutes to elapse before giving water. This allows maximum absorption of the medication.

4. Right Administration

5. Principles of Medication Administration I . “Six Rights” of drug administration 1.The Right Medication – when administering medications, the nurse compares the label of the medication container with medication form. The nurse does this 3 times: Before removing the container from the drawer or shelf As the amount of medication ordered is removed from the container Before returning the container to the storage

6. 2. Right Dose 2. Right Dose  –when performing medication calculation or conversions, the nurse should have another qualified nurse check the calculated  dose 3. Right Client  – an important step in administering medication safely is being sure the medication is given to the right client. To identify the client correctly: The nurse checks the medication administration form against the client’s identification bracelet and asks the client to state his or      her name to ensure the client’s identification bracelet has the correct information.

7. 4. Right Route  4. Right Route – if a prescriber’s order neither does nor designates a route of administration, the nurse consult the prescriber. Likewise, if the specified route is not recommended, the nurse should alert the prescriber immediately.

8. 5. Right Time The nurse must know why a medication is ordered for certain times of the day and whether the time schedule can be altered Each institution has are commended time schedule for medications ordered at frequent interval Medication that must act at certain times are given priority ( e.g insulin should be given at a precise interval before a meal)

9. 6. Right Documentation 6. Right Documentation  –Documentation is an important part of safe medication administration The documentation for the medication should clearly reflect the client’s name, the name of the ordered medication, the time, dose, route and frequency Sign medication sheet immediately after administration of the drug

10. Client’s Right Related to Medication Administration A client has the following rights: To be informed of the medication’s name, purpose, action, and potential undesired effects. To refuse a medication regardless of the consequences To have a qualified nurses or physicians assess medication history, including allergies To be properly advised of the experimental nature of medication therapy and to give written consent for its use To received labeled medications safely without discomfort in accordance with the six rights of medication administration To receive appropriate supportive therapy in relation to medication therapy To not receive unnecessary medications

11. Articles need for medication administration

12. Medication order

13. Medication Tray setting

14. Before Administration

15. Practice Asepsis Wash hand before and after preparing the medication to reduce transfer of microorganisms.

16. Nurse Action Nurse who administers the medications is responsible for their own action Question any order that you considered incorrect (may be unclear or appropriate)

17. Nurse knowledge  Be knowledgeable about the medication that you administer A fundamental rule of safe drug administration is: “Never administer an unfamiliar medication”

18. Nursing administration V. Keep the Narcotics in locked place VI. Use only medications that are in clearly labeled containers. Relabeling of drugs is the responsibility of the pharmacist. VII. Return liquid that is cloudy in color to the pharmacy. VIII. Before administering medication, identify the client correctly IX. Do not leave the medication at the bedside. Stay with the client until he actually takes the medications.

19. Continued X. The nurse who prepares the drug administers it. Only the nurse prepares the drug knows what the drug is. Do not accept endorsement of medication. XI. If the client vomits after taking the medication, report this to the nurse in charge or physician. XII. Preoperative medications are usually discontinued during the postoperative period unless ordered to be continued. XIII. When a medication is omitted for any reason, record the fact together with the reason. XIV. When the medication error is made, report it immediately to the nurse in charge or physician

20. After care of procedure

21. Recording and reporting Date and time Type of drug administration Observe for adverse reaction ADR Patient status/condition Signature

22. Indicator :01 medication Error Medication error OR Medication error per 1000 patient days (Number of medication errors reported in a period / Total number of medication administration events) x 100 OR (Number of medication errors reported in a period / Total patient days in that period) x 1000

23. Indicator :02 Percentage of adverse drug reactions (Number of patients who suffered adverse drug reactions in a period / Number of admitted patients in that period) x 100

24. Indicator :03 Percentage of adverse drug reaction due to high-risk medicine (Number of patients developing adverse drug reaction from high-risk medicines in a period / Number of patients given high-risk medicine in that period) x 100

25. Indicator :04 Percentage of medical records with error-prone abbreviations (Number of medical records which contains error-prone abbreviations / Number of medical records screened) x 100

26. Summary Till now we discussed about the medication administration like meaning, forms of drug, principle of administration, rights of drug, and patients, preparation of patient and procedure, after care , recording, indicator for medication etc.

27. References NABH guidelines 5 th edition ,QCI