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10 Rights of Drug Administration - Confirm appropriateness of the

dose using a current drug


reference.
1. Right Patient - Calculate the dose and have
- An important step in administering another nurse verify.
medication safely is being sure the
medication is given to the right
client. 4. Right Route
- Check the name on the order. - Check the order written in the
- Read the physician's orders to chart.
make sure for whom the medicine - Dilute the drug it indicated.
is ordered. - Know the right method of giving
- Use TWO Patient Identifiers drugs.
- Ask the patient to identify - Know the abbreviations used to
himself/herself. designate the route of
administration e.g. IV, IM, PO,
2. Right Medication - Confirm if the patient can take or
- Read the physician’s orders to receive the drug by the ordered
study the correct name of the route.
drug.
- If the order is not clear consult the 5. Right Time
attending physician. - Check the frequency of the drug.
- Check the medication label - Confirm when the last dose was
- Check the written order given.
- BEWARE of sound alike and look - The nurse must know why a
alike drugs. medication is ordered for certain
- Look for the color, odor, and times of the day and whether the
consistency of the drug. Unusual time schedule can be altered.
characteristics of the drugs that - Medication that must act at certain
should be questioned. times are given priority. Give the
medicines according to the action
3. Right Dose expected.
- Read the physician's orders to - Know the common approved
know the correct dose. abbreviations.
- Consider the age and weight of
the patient. Time of abbreviation
- This may help to find an error in
physician's orders. ac – before meals
- Know the minimum and maximum pc – after meals
dose of the medicine tid-with meals – three times a daily
administered. Calculate the with meals
fraction dosage correctly. bid – twice a day
- Know the abbreviations and tid – three times a day
symbols used. q6h – every six hours (four times a
day)
q4h – every four hours (six times a - Provide enough knowledge to the
day) client of what drug he/she would
q3h – every three hours (eight be taking and what are the
times a day) expected therapeutic and side
q2h – every two hours (twelve effects.
times a day)

6. Right Documentation
- Documentation after giving the
medication.
- Is an important part of safe
medication administration.
- It should clearly reflect the client’s
name, the name of the ordered
medication, the time, dose, route
and frequency.
- Sign medication sheet immediately
after administration of the drug.
- Use the standard abbreviations in
recording.
- Record the effects observed.
- Record the medications that are
vomited or refused by the patient
and those drugs that are not
administered and the reason for
not giving the medication.

7. Right History and Assessment


- Check client's history to drug
interactions and allergies.

8. Right Drug-Drug Interaction and


Evaluation
- Review medications previously
given or diet that can yield bad
interaction to the drug to be
administered. Check expiry date
also.

9. Right to Refuse
- After explaining the purpose and
explaining the effects, the client
has the right to refuse.

10. Right Education and Information

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