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14 Cards in this Set
- Front
- Back
legislation and standards
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government regulations
health care institutions and medication laws medication regulations and nursing practice nontherapeutic medication use |
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drug abuse laws
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harrison narcotic act of 1914
legallly classify habit forming narcotics; regulates manufacture sale, use of substances comprehensive drug abuse prevention and control act 1970 "controlled substance act" catergorizes controlled substances, limits number of times prescription can be filled |
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administering medications: prescriber's role
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are physicians and advanced practice nurses; be familiar with each state's Nurse Practice Act as to who can prescribe medications
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types of medication orders
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standing-everyday until patient is discharged
prn: an needed single one time STAT-immediately,within 30mins new combination-2 drugs together prescriptions |
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pharmacists role
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is to accurately insure prescriptions are valid
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distribution systems
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unit dose and automated medication dispensing systems(PYXUS)
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nurses role in distributing medication
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administer correctly
monitor side effects assess ability for patient self medication patient and family education |
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medication error examples
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inaccurate prescribing
administration of the wrong medication, route, and time interval administering extra doses failing to administer a medication |
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medication reporting procedures
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written report within 24 hours of occurrence
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medication reconciliation
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comparison of medications taken at home and prescribed when in the health care setting
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licensure issues
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falsification of records
acts of ignorance patient refusing to take medications: never force how a nurse can be a defendant |
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critical thinking and medication administration
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standards:
right medications right dose right patient right route right time right documentation maintaining patient's rights |
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nursing process and medication administration: assessment
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history:
allergies, medication, diet patient's perspectives: patient and family teaching receiving, transcribing, and communicating medication orders accurate dosage calculation and measurement correct administration record medication administration |
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evaluation of medication
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change in patient's condition
desired effect adverse reactions observation of physiological measures changes in laboratory values |