Safety and Infection Control
What components should be included in a medication order?
1. · The client’s name
· Date and time of order
· Name of medication (may be generic or brand)
· Dosage of medication
· Route of administration
· Time and frequency of medication administration – exact times or number of times per day (dictated by facility policy or specific qualities of the medication).
· Signature of prescribing provider.
2. What are the best steps to take when a client refuses a medication? Always remember that even though a client has a right to refuse there is a need to follow protocol: Clients have the right to refuse to take a medication. Determine the reason for refusal, provide information regarding the risk of refusal, and notify the appropriate health care personnel, and document refusal and actions taken.
Health Promotion and Maintenance
1. Briefly explain Lactation/Pregnancy Risk Categories
Category A: Controlled studies in pregnant women fail to demonstrate a risk to the fetus in the first trimester with no evidence of risk in later trimesters. The possibility of harm appears remote.
Category B: Presumed safety based on animal studies, with no controlled studies in pregnant women, or animal studies have shown an adverse effect that was not confirmed in controlled studies in women in the first trimester and there is no evidence of a risk in later trimesters.
Category C: Studies in women and animals are not available or studies in animals have revealed adverse effects on the fetus and there are no controlled studies in women. Drugs should be given only if the potential benefits justify the potential risk to the fetus.
Category D: There is positive evidence of human fetal risk (unsafe), however in some cases such as a life-threatening illness the potential risk may be justified if there are no other alternatives.
Category X: Highly unsafe: risk of use outweighs any potential benefit. Drugs in this category are contraindicated in