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