36 3 Label Checks Of Medication Administration

SAFETY CHECKS FOR MEDICATION ADMINISTRATION SAFETY CHECKS FOR MEDICATION ADMINISTRATION THE THREE LABEL CHECKS FOR 5 RIGHTS – this refers to the comparison that is made between the drug label and MAR ƒ Right patient ƒ Right drug ƒ Right dose ƒ Right route ƒ Right time Allergies The Six Rights and Three Checks Office of Licensing and Regulatory Oversight’s Safe Medication Administration Campaign Developed by Deborah Cateora BSN RN This short presentation does not meet OAR 411-050-0625 training requirement for APD Adult Foster Homes Dont forget the three checks in medication administration Nurse Leader Insider August 7 2019 Want to receive articles like this one in your inbox Subscribe to Nurse Leader Insider Before administering medication it is critical to have five areas of information correct patient identification medication dosage time and route 3 label checks of medication administration Remove the medication from the locked area and check the prescription label against the medication log to make sure that they match 3 way check 1 1 check the doctors orders 2 check the medication name to the mar 3 check the medication when administering this do What is the 3 checks of medication administration Click card to see definition 👆 The label on the medication package or container should be checked three times during medication preparation and administration Click again to see term 👆 First Check Click card to see definition 👆 Tap card to see definition 👆 Read medication administration record and remove the medication s from the clients drawer Verify that the clients name and room number match MAR Compare the label of the Medication against the MAR If the dosage does not match the MAR determine if you 3 label checks of medication administration Read medication administration record and remove the medications from the clients drawer The second check is when preparation of the medications for administration takes place 1 as the medication is taken from the patients drawer Third check After placing all meds on the cart recheck the label on the container against the MAR before returning its storage place That is the only 3-related thing I know so far But it seems to fit You are supposed to do all three of these checks before adminstering a med so says my fundamentals book 3 Way Check Compare each medication to the order on the MAR as it is removed from the resident’s medication drawer Check the resident’s name drug name dosage form strength or concentration dosage administration route frequency duration and time it is to be given If there ever is a difference between the MAR and the medication stop Nurses have a unique role and responsibility in medication administration in that they are frequently the final person to check to see that the medication is correctly prescribed and dispensed before administration1 It is standard during nursing education to receive instruction on a guide to clinical medication administration and upholding patient safety known as the ‘five rights’ or Nurse Leader Insider August 7 2019 But its not only critical to ensure this information is correct you should check three times The first check is when the medications are pulled or retrieved from the automated dispensing machine the medication drawer or whatever system is in place at a given institution 6 rights to medication adminstration and 3 checks The three label checks for 5 rights this refers to the comparison that is made between the drug label and mar The first check is when the medications are pulled or retrieved from the automated dispensing Right patient right drug right dose right route right time allergies 4 Administration of MedicationsRefer to attachment A Identified resident B Gathered appropriate equipment and keeps equipment clean C MAR utilized when medications are administered and also when medications are prepared or poured if prepouring is allowed D Read the label 3 times Label is checked against order on MAR the medication administration process Nursing and Midwifery Council-NMC 1986 In 2010 in its report about safe medicine management stated that prior medication administration every registrant registered nurse midwife specialist community public health nurse should check with another one about A complete medication order must include the clients full name the date and the time of the order the name of the medication the ordered dosage and the form of the medication the route of administration the time or frequency of administration and the signature of the ordering physician or licensed independent practitioners signature Three checks done to verify correct medication 1 as the medication is taken from the patients drawer 2 as the medication is place still in its package in a paper cup or on a small tray 3 just before opening the package to administer the dose to the patient 62 Safe Medication Administration In the Institute of Medicines often-cited book To Err Is Human Building a Safer Health System Kohn Corrigan Donaldson 2000 it is estimated that approximately 15-million preventable adverse drug events ADEs occur annually The Joint Commission TJC defines medication errors as any preventable Remove the medication from the locked area and check the prescription label against the medication log to make sure that they match this is the 1st check 2 Before pouring the medication check the prescription label against the medication order to make sure that they match this is the 2nd check 3 2 Remove the individuals medications from the medication storage area 3 Check the label on the bottle or card and select the medication to be administered 4 Compare the medication administration record with the label to make sure they correlate If there is a discrepancy call the service coordinator before giving the medication 5 Check the right patient medication dose route time reason documentation NEVER document that you have given a medication until you have actually administered it 3 The label on the medication must be checked for name dose and route and compared with the MAR at three different times When the medication is taken out of the drawer administration record is not correct The directions on the medication label from the pharmacy must be checked against the order on the medication administration record If there is a discrepancy between the information on the medication administration record and the medication label the order in the residents record is to be checked Always check name strength of the medication expiry date on the ampoule or bottle If details are not legible return to Pharmacy Infection control hand hygiene and workplace health and safety policies must be followed Aseptic technique must be followed in preparation and administration of medications Compare the medication dose listed on the medication label with the dose listed on the electronic MAR At this point the Right Dose step of the third safety check is complete Review the electronic MAR to confirm that the medication administration route listed on the electronic MAR is the intended route for administration Selects the required medication from the stock and checks to confirm that it is the prescribed order Selects the correct type and amount of diluent if needed Selects normal saline NS ampoules for the IV cannula flushes if using the bolus push method Checks medication label to confirm the following Generic name of the medication 1 Describe a Medication Administration Record and its purpose 2 Describe steps in preparing for medication administration 3 Describe the purpose of a triple check and how it is to be performed 4 Demonstrate the correct technique for administering medications through five common routes mouth ears eyes nose and skin 5 Right Medication • After you have verified that you have the right individual read the name of the medication on the label • Read the medication label three times and compare it to the information on the individuals MAR Seven Rights of Assisting with Self -Administration of Medication 310 withhold a medication when it would pose a risk of harm to the client and consult the authorized prescriber immediately or as soon as possible 311 document and sign for the administration of a medication in the medication administration record including the client name medication name dose route 3 If there is a medication order and PRN protocol for the signs and symptoms that the individual has check the medication log to see when the medication was last given 4 If the medication has not been administered or if enough time has elapsed since it was last given administer the PRN medication according to the PRN Administration of medication requires thorough understanding the drug including how it moves through your body when it needs to be administered possible side effects and dangerous reactions