Transcript Ten Rights of Medication Administration with

10 RIGHTS OF MEDICATION
ADMINISTRATION
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1. RIGHT
MEDICATION.
The medication given was the medication ordered.
NURSING RESPONSIBILITY:
Check three times for safe administration.
 Read the medication administration record
(MAR) and compare the label of the medication
against it.
 Check the expiration date of the medication.
 If the dosage does not match the MAR, determine
if you need to do a math calculation.
 While preparing the medication, look at the
medication label and check against the MAR.
 Recheck the label on the container before
returning to its storage place.
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2. RIGHT AMOUNT /
DOSE.
The dose ordered is appropriate for the client
NURSING RESPONSIBILITY:
Give special attention if the calculation indicates
multiple pills/tablets or a large quantity of a
liquid medication. This can be a cue that the
math calculation may be incorrect.
 Double check calculations that appear
questionable.
 Know the usual dosage range of the medication.
 Question a dose outside of the usual dosage range
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3. RIGHT PATIENT/
CLIENT.
Medication is given to the intended client.
NURSING RESPONSIBILITY:
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The Joint Commission’s National Patient Safety
Goal requires a nurse to use at least two client
identifiers whenever administering medications.
Neither identifier can be the client’s room
number. Acceptable identifiers may be the
person’s name, assigned identification number,
photograph, or other person-specific identifier.
Check the clients identification band with each
administration of medication.
Know the agency’s name alert procedure when
clients with the same or similar last names are
on the nursing unit
4. RIGHT ROUTE
Give the medication by the ordered route
NURSING RESPONSIBILITY
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Make certain that the route is safe and
appropriate for the client. Clients may require
physical assistance in assuming positions for
intramuscular injections.
5. RIGHT TIME AND
MANNER
Give the medication at the right frequency and at
the time ordered according to agency policy.
NURSING RESPONSIBILITY:
Medication given within 30 minutes before or after the
scheduled time are considered to meet the right time
standard.
 The nurse should also check institutional policy
concerning administration of medications.
 Hospitals often have standardized interpretations for
abbreviations.
 The nurse must memorize and utilize standard
abbreviations in interpreting, transcribing, and
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6. RIGHT CLIENT
EDUCATION
Explain information about medication to the client
NURSING RESPONSIBILITY
Clients may need guidance about measures to
make medication more effective or prevent
complications.
 Some clients covey fear about medication. Nurses
should listen carefully to their concerns and give
them the correct information
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7. RIGHT
DOCUMENTATION
Record the drug administrated.
NURSING RESPONSIBILITY
Document medication administration after giving
it, before.
 If time of administration differs from prescribed
time, note the time on the MAR and explain
reason and follow-through activities (e.g.’
pharmacy states medication will be available in 2
hours) in nursing notes.
 If a medication is not given, follow the agency’s
policy for documenting the reason why.
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8. RIGHT TO REFUSE
THE MEDICATION
Adult clients have the right to refuse any medication.
NURSING RESPONSIBILITY
Assess the reason of refusing medication
 If it’s possible provide correct information about
the drug.
 Inform the client about the consequences of
refusing the medication given.
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9. RIGHT
ASSESSMENT
Some medication require special assessment prior to
administration.
10. RIGHT
EVALUATION
Conduct appropriate follow up
NURSING RESPONSIBILITY
In all activities, nurses need to be aware of the
medications that a client is taking and record
their effectiveness as assessed by the client and
the nurse on the client’s chart.
 The nurse may also report the client’s response
directly to the nurse manager and primary care
provider
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THANK YOU FOR YOUR
ATTENTION
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