Rights of administration of medication

this is all about rights of administration of drugs to the patient

1. RIGHTS OF ADMINISTRATION OF DRUGS MR. ABHIJIT BHOYAR

2. INTRODUCTION Nurses have a unique role and responsibility in medication administration, in that they are frequently the final person to check to see that the medication is correctly prescribed and dispensed before administration. It is standard during nursing education to receive instruction on a guide to clinical medication administration and upholding patient safety known as the ‘rights’ or ‘ten ‘R’s’ of medication administration

3. These "Ten Rights" ensures safety in giving drugs: Right client/patient Right drug Right dose Right time Right method Right patient education Right documentation Right to refuse Right assessment Right evaluation

4. 1. Right client Read the physician's orders to make sure for whom the medicine is ordered. Read the client's name on the client's chart and on the medicine card.

5. Conti. Call the client by name and ask him to repeat his name. Be very careful if the client is deaf or otherwise does not understand your language

6. 2. Right drug Read the physician's orders to study the correct name of the drug. If the order is not clear consult the physician or at least seniors. To make sure the drug is copied correctly on the medicine card, on the nurse's record or not etc

7. Conti. Select the right drugs from the cupboard. Read the label of the medicine container and the name of the medicine in the medicine card thrice. Before taking the drug from the shelf. Before measuring it. When returning the container to the shelf and before removing the hand from the container.

8. Conti. Look for the colour , odour and consistency of the drug. Unusual characteristics of the drugs should be questioned. Administer medicine only from a clearly labelled container. Avoid conversation or anything that distracts the mind. Be familiar with the trade names. If there is doubt, consult the physician or at least seniors or medicine books.

9. Avoid accepting verbal orders. Verbal orders should be accepted only in emergencies. But it should be written on the chart as early as possible. Always identify the client before giving medication. Make sure that the drug has not been discontinued by the physician

10. 3. Right dose Read the physician's orders to know the correct dose. Consider the age and weight of the client. This may help to find an error in the physician's orders. Know the minimum and maximum dose of the medicine administered. Calculate the fraction of dosage correctly. Measure accurately. Use ounce glasses instead of teaspoons to measure ounces.

11. Have the medicine card or written order in hand before you prepare the drug. Avoid conversation or anything that distracts the mind. Consider how many tablets or capsules are required for the dose. Know the abbreviations and symbols used. Make sure that the medicine glasses are dry before pouring or measuring the medications.

12. Hold the ounce glass at the eye level and place the thumb at the mark up to which the medicine is to be poured. Read the lower meniscus of the fluid level when measuring the fluid medications. Help the client to take all the medicine that is ordered for him. The medicine should be carried to the client without spilling it out of the container.

13. 4. Right time Read the physician's orders. Know the hospital routines for the intervals. Give at stated intervals for blood levels. Know the abbreviations for the time e.g ., B.D ., T.D.S. etc.

14. Give the medicine near the time ordered - 15 min before or after the designated time. Give the medicine as ordered in relation to the food intake e.g ., before food or after food. Give the medicines according to the action expected e.g ., sleeping pills are given at bedtime, the diuretics are given in the morning hours, so that the client will not be disturbed in the night.

15. 5. Right method Read the physician's orders to determine the route of administration. Dilute the medicine if indicated. Know the method of giving drugs e.g ., orally, parenterally , rectally, etc. Know the abbreviations used to designate the route of administration e.g ., I.V., I.M., P.O., etc.

16. Identify the client correctly. Stay with the client until he/she has taken the medication. Never leave any medicine with the client. An error in the medication should be reported immediately .

17. 6. Right patient education Check if the patient understands what the medication is for. Make them aware that they should contact a healthcare professional if they experience side-effects or reactions.

18. 7. Right documentation Ensure you have signed for the medication after it has been administered. Ensure the medication is prescribed correctly with a start and end date if appropriate .

19. 8. Right to refuse Ensure you have the patient consent to administer medications. Be aware that patients do have a right to refuse medication if they have the capacity to do so . Say Yes OR Know for Medication

20. 9. Right assessment Check if your patient actually needs the medication. Check for contraindications. Baseline observations if required

21. 10. Right evaluation Ensure the medication is working the way it should. Ensure medications are reviewed regularly. Ongoing observations if required.

22. THANK YOU