Principles of Drug Administration
PRINCIPLES OF DRUG ADMINISTRATION I. The “Five Plus Five Rights” of Drug Administration 5 Traditional Rights 1. right client 2. right drug 3. right dose 4. right time 5. right route 5 Additional Rights 1. right assessment 2. right documentation 3. client’s right to education 4. right evaluation 5. client’s right to refuse
A. Right Client Nurse must do: verify client check ID bracelet & room number have client state his name distinguish bw 2 client’s with same last names B. Right Drug medication order may be prescribed by: a. Physician b. Dentist c. Podiatrist d. Advanced practice registered nurse (APRN) Components of a drug order: 1. date & time the order is written 2. drug name (generic preferred) 3. drug dosage 4. frequency & duration of administration 5. any special instructions for withholding or adjusting dosage 6. physician or other health care provider’s signature or name if TO or VO 7. signature of licensed practitioner taking TO or VO Nurse must do: • check med order is complete & legible. • know general purpose or action, dosage & route of drug • compare drug card with drug label three times. 1. at time of contact with drug bottle/ container 2. before pouring drug 3. after pouring drug 4 Categories of Drug Orders: 1. Standing Order / Routine Order ongoing order may have special instructions to base administration include PRN orders
ex. digoxin 0.2 mg PO q.d., maintain blood level at 0.5 – 2.0 ng/ml 2. One-time (single) order given only once, at a specific time ex. Cefixime 2mg IM at 7 AM on 12-1-05 3. PRN order given at client’s request & nurse’s judgement for need & safety ex Mefenamic Acid 500mg q 4h PRN for pain 4. STAT order given once, immediately ex. Morphine 2mg IV STAT C. Right Dose Nurse must do: • Calculate and check drug dose accurately. • Check PDR, drug package insert or drug handbook for recommended range of specific drugs. • Check heparin, insulin and IV digitalis doses with another nurse. Stock-
A. Right Client Nurse must do: verify client check ID bracelet & room number have client state his name distinguish bw 2 client’s with same last names B. Right Drug medication order may be prescribed by: a. Physician b. Dentist c. Podiatrist d. Advanced practice registered nurse (APRN) Components of a drug order: 1. date & time the order is written 2. drug name (generic preferred) 3. drug dosage 4. frequency & duration of administration 5. any special instructions for withholding or adjusting dosage 6. physician or other health care provider’s signature or name if TO or VO 7. signature of licensed practitioner taking TO or VO Nurse must do: • check med order is complete & legible. • know general purpose or action, dosage & route of drug • compare drug card with drug label three times. 1. at time of contact with drug bottle/ container 2. before pouring drug 3. after pouring drug 4 Categories of Drug Orders: 1. Standing Order / Routine Order ongoing order may have special instructions to base administration include PRN orders
ex. digoxin 0.2 mg PO q.d., maintain blood level at 0.5 – 2.0 ng/ml 2. One-time (single) order given only once, at a specific time ex. Cefixime 2mg IM at 7 AM on 12-1-05 3. PRN order given at client’s request & nurse’s judgement for need & safety ex Mefenamic Acid 500mg q 4h PRN for pain 4. STAT order given once, immediately ex. Morphine 2mg IV STAT C. Right Dose Nurse must do: • Calculate and check drug dose accurately. • Check PDR, drug package insert or drug handbook for recommended range of specific drugs. • Check heparin, insulin and IV digitalis doses with another nurse. Stock-