Medication reconciliation is a thorough procedure that includes keeping track of and recording the patient's current medication schedule, giving them access to an updated list, updating data whenever a prescription is changed, and comparing the patient's medication information with the prescriptions that the provider has ordered in order to find and fix any discrepancies.
Distractions and interruptions during medication administration, insufficient staffing leading to high nurse-patient ratios, illegible medication orders, inaccurate dosage calculations, similar-sounding drug names, and packaging that looks alike are among the most common causes of medication errors. To mitigate the risk of errors, nurses must adhere to several crucial steps. These include verifying the five rights before administering medication, confirming the patient's identity and checking their allergy status, and asking the patient to state their full name and date of birth for comparison with the medical record and physician's order. Each of these actions is vital and effective in minimizing medication errors.
Aspiration preceding the administration of an intramuscular injection is essential as it confirms that the needle has not penetrated a blood vessel. The presence of blood upon aspiration indicates potential vessel puncture, highlighting the need for caution. Injecting medication under such circumstances may pose complications. Thus, aspirating for blood serves as a safety measure, preventing inadvertent medication delivery into a blood vessel and ensuring precise administration into the muscle tissue.
When making Rocephin, any of the diluents listed above can be utilized. Rocephin is often diluted with D5W, 1% lidocaine, and normal saline.
The outer upper arm (deltoid) or the anterolateral upper thigh (vastus lateralis) can receive the hepatitis B vaccination. These are the suggested injection locations for the vaccination. The Hepatitis B vaccination should not be administered in the abdomen, back of the upper outer arm, or the antecubital vein.
The abdomen, the outside aspect of the upper thigh, and the back of the upper outside arm are among the body parts where a subcutaneous injection can be administered. This indicates that each of the suggested options is accurate. During subcutaneous injections, medicine is injected into the tissue layer directly beneath the skin. The type of drug being given and the patient's comfort level are two important considerations when selecting an injection location.
Label multidose vials with your initials and the expiration date, and dispose of them after 28 days. This helps to avoid giving out tainted or outdated medication and guarantees that the drug is still safe and effective for use. Initials and the expiration date on labels make it easier to keep track of usage and guarantee that stock is rotated properly.
The online LSCC Patient/Visitor Adverse Incident Report is used to report medication errors, near misses, and serious adverse medication or immunization responses that happen in the clinic. This suggests that the claim that "The online LSCC Patient/Visitor Adverse Incident Report, found under "LSCC Forms," is used to report any medication errors, "near misses," and serious adverse reactions to a medicine or immunization while the patient is still in the clinic." is correct.
MAs could be tasked with the duty of administering suitable medications solely after verifying patient identification through two distinct identifiers. This implies that MAs must guarantee that they are providing the accurate medication to the correct patient by confirming their identity through two separate means. This precautionary step is crucial in averting medication errors and upholding patient safety.
The Medical Assistant (MA) ought to dispose of the previously prepared syringes, redraw new ones, and personally administer the vaccines, adhering to the five principles of safe medication administration. This action is warranted as the nurse has entrusted the MA with the responsibility of administering the vaccines to the patient in her absence, signifying confidence in the MA's capabilities. To uphold patient safety, it is imperative for the MA to adhere to correct medication administration procedures, ensuring verification of the correct patient, medication, dosage, route, and timing.
The lot number and expiration date of the vaccines must be recorded in the patient's medical file following the administration of the tetanus, influenza, and pneumococcal shots. Documentation of the dosage given, the administration site, and the administration route is also necessary. In addition, the documentation ought to contain the patient's educational materials and the date of their last update (VIS).
