Safe Medication Administration
The administration of medicine is a clinical
procedure. Nurses are primarily responsible for the administration of
medication safely. Rights of Drug Administration aid to guide them, and prevent
degrees of risk in medication errors.
10 Right's for Safe Medication Administration
These are -
1. Right Patient
2. Right Drug
3. Right Dosage
4. Right Route
5. Right Time
6. Right Documentation
7. Right to Refuse
8. Right Education
9. Right Assessment
10. Right Evaluation
1. Right Patient
Nurses have to make
sure that the name of the patient is correct before giving the medication.
Check the Patient's name, Patient’s ID, Patient’s Diagnose
to confirm the right patient before giving the medication.
2. Right Drug
1. Check and verify drug name and the prescription
order
2. Misreading medication names that look similar
is a common mistake, so check the drug at least twice before giving it.
3. Check the
Medication Label
4. Check the Drug
salt composition and expiry date
5. Never leave a drug
at the patient bedside
3. Right Dosage
1. Check the Medication sheet and Doctors order before
medication.
2. Double check the drug Dose must be aware of the
difference between adult and pediatric doses.
3. Check the Order dose, available dose, expiry date,
chemical nature
4. Right Route
1. Determine giving the medication by the correct route
2. Check the Medication order; it is prescribed routes of
drug administration like Oral, IV, SQ, IM, etc. route.
Check out here routes of drug administration; Enteral, Parenteral, and Topical routes of drug administration.
3. If the ordered drug and route is not specified, call the
doctor immediately for clarification
5. Right Time
Ensuring that the medication to administer closely to time
for therapeutic effect or level. In
Prescription time for drug administration is mentioned in form of medical
abbreviations.
Check out here Common Medical Abbreviations list.
1. Check the
frequency of ordered medication
2. Double checks, giving the ordered dose at the
correct time
3. Check the order
when medication is given and when the last time it was given.
4. Confirm when the
last dose was given
6. Right Documentation
1. Document should be administered after giving the ordered
medication.
2. Never document a drug before administration, always
documenting after administration with your signature.
7. Right to Refuse
1. Client has the right to refuse the
medication after explaining the effect.
2. You have the patient consent to
administer the medication.
8. Right Education
Nurses have to
educate the patient about the prescribed medication.
1. Make sure that the patient understands the importance of
taking medicine for the entire prescribed course because many patients who
start feeling better after some dose, stop taking the drug.
2. Patient must have knowledge of what drug he/her is taking
and what is expected therapeutic and side effect.
9. Right Assessment
1. Check the Patients
history of drug interaction and allergies
2. Check the Needs medication
3. Collect baseline data
4. Check
contraindication
10. Right Evaluation
1. Review the medication
previously given
2. Ongoing observation is required to ensure that patient is
receiving medicine regularly.
3. If the Evaluation condition is changed then the planning
condition is also changed.
To know the angles of administration Injection, check out here.
Nurse’s Five Rights for Medication Administration
These are -
1. Right Patient
2. Right Drug
3. Right Dose
4. Right Route
5. Right Time
3 Check’s of Safe Medication Administration
1. First Check
When taking the medication from the client drawer/medication
cupboard.
Verify client name and bed number from medication chart/sheet.
2. Second Check
While preparing the medication -
1. Check the dose as per the order medication sheet
2. Check the composition level of medicine
3. Check the expiry date of the medicine
3. Third Check
Recheck the label of medication before retiring to its
storage place and also check the availability of medication.
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