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Adm of Oral Medication-sep 08_edited 3 Dec 2008

Adm of Oral Medication-sep 08_edited 3 Dec 2008

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Published by: myvi317 on Dec 09, 2011
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NATIONAL NURSING AUDIT MINISTRY OF HEALTH MALAYSIA
ELEMENT
5
:
CONTINUUM OF CARE
5.15.1ADMINISTRATION OF ORAL MEDICATIONADMINISTRATION OF ORAL MEDICATION 
1. INTRODUCTION
“First, do no harm” is the ethical imperative for every patient safety effort. Inworking to reduce the frequency of medication errors, first priority must be toprevent those errors with the greatest potential for harm. The leading cause of patient harm is medication errors, which account for almost 20 percent of medical injuries.
The definition of a medication error as approved by the NationalCoordinating Council for Medication Error and Prevention is
 
". . .any preventable event that may cause or lead to inappropriatemedication use or patient harm, while the medication is in the
 
control of the health care professional, patient, or consumer.
 
Such events may berelated to professional practice, health
 
care products, procedures, and systems including: prescribing,
 
order communication, product labeling, packaging and nomenclature,
 
compounding, dispensing, distribution,administration, education,
 
monitoring, and use."  Administering oral medications is a core function of nurses. Theiresponsibility is to comply with safe medication use processes and  practices
in order to prevent occurrence of medication errors misadventures. 
National Nursing Audit, Ministry of Health Malaysia : Version 1 / September 2008, Bahagian Kejururawatan , KementerianKesihatan Malaysia
 
Page
1
 
2.OBJECTIVES
2.1.
 
To prevent occurrence of oral medication errors / misadventures2.2. To ensure nurses serve medications according to the 6 R’s of Medication use.*Right patient*Right drug*Right dose*Right route*Right time*Right documentation2.3.To ensure that nurses exhibit the caring component whenadministering oral medication.
3.STANDARD
3.1.Nurses serve oral medications according to the 6 R’s of medication use.
3.2.
Nurses exhibit the caring component during the administration of oral medication.3.3.Nurses document accurately and completely the medicationadministered.
National Nursing Audit, Ministry of Health Malaysia : Version 1 / September 2008, Bahagian Kejururawatan , KementerianKesihatan Malaysia
 
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4. CRITERIAStructureProcessOutcome
1.Each patient has current legalwritten prescription /medication profile2. There is a NursingOperating Procedure (NOP)for administration of Medication. 3. The nurse is competent inthe serving of medication,has knowledge on the effectand adverse drug reactionand the appropriatemeasures to be taken whenthere is an adverse reaction.
 
1. Greet patient.2. Identify right patient3. Verify prescription4. Assess patient, takeappropriate nursingmeasures and document5. Dish out the correctmedication6. Explain and informpatients.
7.Listen/
Responds promptlyand politely to patient’s/carer questions.8. Administer and ensurepatient takes oralmedication.9. Document medicationserved / omitted.10. Monitor patient’s responseand document.11. Take appropriate measureif adverse reactionidentified.1.All medications areserved accordingto the 6 R’s of medication use2.Patient receivessafe medicationduring hospitalstay3.Medicationmisadventures aredetected early andappropriatemeasures takentimely4.Patient is informedof his medication.5.Documentation isaccurate andcomplete.
TECHNICALDOCUMENTATIONSOFT SKILL
National Nursing Audit, Ministry of Health Malaysia : Version 1 / September 2008, Bahagian Kejururawatan , KementerianKesihatan Malaysia
 
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