Hello dear all student nurses…..
We the medical personnel are the ones dealing with medicines daily and among them we nurses are mostly dealing with tablets and injections in every shifts. As we are also human , error is expected. But medication error is undoubtedly , unexpected from a nurse. To avoid errors while administering drugs they must follow the rights of medicine administration. The ten rights of medicine administration are as follows :
1) RIGHT DRUG
Check if it is the right name and the drug is in the right form as prescribed. Be careful regarding the LASA drugs , that is, Look Alike – Sound Alike drug names. For example, Captopril and Carvedilol
Cisplatin and Carboplatin
Dopamine and Dobutamine etc.
Also, TRIPLE CHECK the medication label . First check , before taking out of the shelf. Second check while preparing the medicine. And the Third check before replacing the container back to shelf.
2) RIGHT PATIENT
Ask the patient name even if you know his / her name. Check the ID bracelet. Check and compare all the given names and not only the first name.
3) RIGHT DOSE
check for the correct dosage in the doctor’s prescription and in the drug sheet. Be resourceful on medicine calculation formulas. Also , take into account if it’s an adult dose or a paediatric dose prescribed.
If required counter check the calculation and dose with another nurse.
4) RIGHT ROUTE
Check the doctors prescription to confirm the route of administration of the medicine. Check if it is IV, IM, oral, SQ etc and administer and document accordingly.
5) RIGHT TIME AND FREQUENCY
confirm from the prescription the time to administer the medication also check when was the last dose of the medicine administered.
6) RIGHT DOCUMENTATION
Proper documentation with date , time , medicine name, dose, route of administration, any reactions like allergies is necessary. NEVER document before the medicine is administered.
7) RIGHT HISTORY AND ASSESSMENT
Thoroughly check the medical history of the patient regarding any allergies to medicine or food. Any history of previous drug interactions or allergic reactions should be filed properly.
8) RIGHT TO REFUSE
This right gives the patient full autonomy to make decision to refuse or receive the drug. Explain to the patient the uses , effects as well as the side effects of the medicine you are administering. When he / she refuses try to explain the consequences of their refusal. Inform the doctor who prescribed the drug regarding the refusal. Clearly document everything in your record.
9) RIGHT EDUCATION AND RIGHT INFORMATION
Prior explanation regarding every aspect of the drug is necessary. Thoroughly explain which medicine is to be administered and why. Also explain it’s effects , time of onset of action, and any side effects of the medicine. Educate the patient to contact his/her doctor if they experience any side effects or reactions.
10) RIGHT DRUG – DRUG INTERACTIONS AND EVALUATION
Review the medicine given previously and the diet the patient took, inorder to identify any untoward drug interactions with the medicine to be administered. Thoroughly check the expiry date of the medicine also. Also, Evaluate the outcome of the therapy after the medicine is administered.
These 10rights if properly followed one could avoid medication errors to a larger extent. Hope you all will keep these rights in mind while administering medicines to your patients. Have a nice duty!!!!
Please feel free to post your feedback and suggestion in the comment box .