1. Nursing process as it relates to med administration

a. 6 Rights of Med Admin

i. Patient

ii. Drug

iii. Dose

iv. Time

v. Route

vi. Documentation

b. Extra rights to med admin

i. Assessment

ii. Evaluation

iii. Patient to education

iv. Patient to refuse care

c. Biggest medication error is misinterpreting prescriptions

i. Do not assume if something is unclear about an order. Clarify with prescriber.

ii. TORB and VORB

d. Pre- and post- medication administration assessment and interventions

i. Pre

ii. Post

1. If patient is complaining of pain 10/10, intervene (prn meds, standing orders, call physician for new orders) then assess.

2. Collection of baseline data to evaluate therapeutic effects and adverse effects

3. Identification of high-risk patients

4. Assessment of the patient’s capacity for self-care

5. Allergies?

a) Collect history. What happens during an allergic reaction?

b) If patient is having an allergic reaction: primary intervention is to STOP THE MEDICATION THAT IS CAUSING THE REACTION.

6. If patient refuses drug, determine why. INVESTIGATE.

1. Therapeutic response

2. Adverse reaction and interaction

3. Adherence to treatment

4. Satisfaction with treatment

2. Patient teaching for medication therapy in general (safety, compliance, etc.)

a. Teaching

i. Safety

1. If medication causing certain side effects, consult physician.

ii. Compliance

1. It is important not to stop or change a medication without consulting the physician.

2. Take medications as prescribed and for the reason they are prescribed.

3. Side effects vs adverse effects vs allergies

a. Side effects

i. Nausea, vomiting, expected and unavoidable reactions, drug effects produced at therapeutic level.

b. Adverse effects