DHA Nursing Medication Administration and Safety

Question 1

What are the 'Rights' of medication administration that DHA nurses must follow?

Accepted Answer

Right patient, right drug, right dose, right route, right time, right documentation, right reason, right response

Answer

DHA extends the traditional '5 Rights' to include right documentation (recording administration), right reason (understanding the indication), and right response (monitoring for expected and adverse effects).

Question 2

What is the DHA protocol for high-alert medication administration?

Accepted Answer

Require independent double-check by two qualified nurses, standardized concentrations, and distinct labeling

Answer

DHA classifies certain medications as high-alert (insulin, anticoagulants, opioids, concentrated electrolytes) requiring independent double-checks, standardized concentrations, and distinctive labeling to prevent errors.

Question 3

How should a DHA nurse manage a medication error?

Accepted Answer

Immediately assess the patient, notify the physician, document the incident, complete an incident report, and participate in root cause analysis

Answer

DHA medication error management requires immediate patient assessment, physician notification, accurate documentation, incident reporting through the facility's reporting system, and participation in review processes for learning.

Question 4

What is the DHA regulation regarding nurse administration of controlled substances?

Accepted Answer

Controlled substances require dual-nurse verification, accurate documentation in the controlled drug register, and secure storage

Answer

DHA regulations require two nurses to verify controlled substance administration, with precise documentation in the controlled drug register including time, dose, patient, and both nurses' signatures, with medications stored in locked cabinets.

Question 5

What does a DHA nurse need to verify before administering an intravenous medication?

Accepted Answer

Compatibility with existing IV fluids, correct dilution, appropriate rate of administration, and line patency

Answer

Before IV medication administration, DHA nurses must verify drug compatibility with concurrent infusions, correct dilution and concentration, appropriate infusion rate, IV line patency, and site assessment.

DHA Nursing Practice Test

DHA Nursing Practice Test

DHA Nursing Medication Administration and Safety