On November 14th, 2016 I went back to acute care at Moses Cone. My job for the day was to be the Medication Nurse. So when we were getting report from the leaders, I was assigned 4 patients. Going into the clinical day, I was sort of nervous just because I did not know what the day was going to be like and also because I had not been in the hospital setting, let alone an acute floor, in three weeks. So I brushed up on how clinical and reminded myself of important things that I like to do throughout the day to better a patients stay.
One patient was diagnosed with Acute on Chronic Respiratory Failure with Hypoxia. Another patient had had S/P Cervical Spine Fusion. The other two of the patients had a diagnosis of Meningioma. They recently got …show more content…
First the nurse needs to make sure that she is giving the medications to the right patient. One can check the patient’s wrist band and ask the patient to state their name and date of birth. The nurse is to also scan the patient’s wristband in order for the computer system to pull up the patient and the medication list. The second and third step is to make sure you are giving the right drug and the right dose. The nurse is to make sure that he/she is giving the right medication ordered and the right dose. The nurse is to also scan it into the system before administering it to the patient. The fourth step is to make sure you are giving it by the right route. This is found in the order. The route for administration are oral, sublingual, rectal, topical, and parenteral (intravenous, intramuscular, and subcutaneous). The fifth step is to make sure you are giving it at the right time. Most hospitals have a set rule of the time frame which one can administer medications. This all has to be documented. When a medication error does occur, the nurse is to blame for not completing the five rights. All in all, the Five Rights of Medication Administration should be a safety goal of a nurse when going through the medication process.
The goal for next week’s clinical is to apply what I have learned through this clinical when I give patients their medications. Next week will also be my first time, in a month, taking care of a regular nursing load of patients – I’m
One patient was diagnosed with Acute on Chronic Respiratory Failure with Hypoxia. Another patient had had S/P Cervical Spine Fusion. The other two of the patients had a diagnosis of Meningioma. They recently got …show more content…
First the nurse needs to make sure that she is giving the medications to the right patient. One can check the patient’s wrist band and ask the patient to state their name and date of birth. The nurse is to also scan the patient’s wristband in order for the computer system to pull up the patient and the medication list. The second and third step is to make sure you are giving the right drug and the right dose. The nurse is to make sure that he/she is giving the right medication ordered and the right dose. The nurse is to also scan it into the system before administering it to the patient. The fourth step is to make sure you are giving it by the right route. This is found in the order. The route for administration are oral, sublingual, rectal, topical, and parenteral (intravenous, intramuscular, and subcutaneous). The fifth step is to make sure you are giving it at the right time. Most hospitals have a set rule of the time frame which one can administer medications. This all has to be documented. When a medication error does occur, the nurse is to blame for not completing the five rights. All in all, the Five Rights of Medication Administration should be a safety goal of a nurse when going through the medication process.
The goal for next week’s clinical is to apply what I have learned through this clinical when I give patients their medications. Next week will also be my first time, in a month, taking care of a regular nursing load of patients – I’m