The TEN RIGHTS of drug administratlon

THE RIGHT DRUG

Measures to.o.
1.
> i areain
ensure that you givingfheGht
Mght imëdiátions:
meditations:
check carefully the doctor's order
1. Components of drug order: date and time the order was written, drug
name, drug dosage. route of administration, frequency of administration,
doctor's signature

2. Categories of drug order

sfanding order -

an order
ongoing or maybe given for a specific number
of doses or days
single order given once and usually at specific fime
PRN order- given at the clients request and nurse's judgmenf
STAT order - given once, immediately

check the medication against the order

do not administer medication prepared by someone else
if using a unit dose system do not open the unit packaging until you are a
the patients bedside
The drug label should be read three times:
1. before removing the drug from the
shelt
2. before preparing or measuring the actual prescribed dose
3. before replacing the drug on the shelf

2. THE RIGHT PATIENT

O n c e the medication has been thoroughly prepared the next step is to identiy
the patient. Techniques suggested are as follows:
check the tag on the patients bed/door
check the client's ID band
ask the client to state his/her name
ask the parents to tell you the name of their child
address the person by name before administering the drug
double check orders which the patient questions
always
3. THE RIGHT DOSE/AMOUNT
dose of medication
Measures to ensure giving the right amount /
and the conversion from one
. b e familiar with various measurement systems
system to another
calculate the drug dose correctly
and read it correctly
Always the appropriate measuring device
Use
shake all suspension and emulsion
with dropper always hold the dropper
when measuring drops of medication
in vertical position
dose vial inject an amount of air equal
when removing a drug from multiple
to the amount of fluid to be withdrawn
 Do
not attempt to
which have been divide unscored tablets and do not
broken unevenly administer tablets
4.
along the scoring
THE RIGHT TIME
>Measures to ensure
To the right time
be achieve maximum therapeutic effectiveness
administered at specified time medication are
The nurse should scheduled to
administration t adher aias closely as po_sible to,the scheduled time of
5. THE RIGHT RÒUTE
Various routes of
administrationh
Parenteral route- IV, IM, SC, ID
Oral- liquid, elixir suspension, pill, tablet,
Sublingual capsule
Bucccal
Topical
Instillation
Inhalation
Suppository
If no route is specified in the doctors order the
about the intended route nurse should asked the prescriber
6. THE RIGHT
APPROACH/MANNER ud
Administering a drug so that the patient is able to take the entire dose and
receive maximum benefit from it
The nurse must gain the
Consider the clients
cooperation of the client
developmental level during drug administration
Some medication are administered in
small amount or have an unpleasanf
taste that they must be diluted or mixed in another
vehicle such as juice in
order for the client to take the entire dosSe
If several drugs are to be administered at the same
time, the order in which
the nurse administer theses drug areimportant
As a general rule when administering oral medication the sequence used
should be to administer the drug in the following order
 VALUUATION
Requires the effectiveness of the medication to be
response to the medication determined by the client's
Determine the extent of Side effects and adverse effects.if
any
9. THE RIGHT TO
EDUCATION
Requires that the client receive dah Len hnseilt a k aleama-
medication and how it relates toaccurate and thorough information about the
Client teaching includes the his/her situation
therapeutic purpose, possible side effect, diet
instruction, laboratory monitoring
10. THE
RIGHT TO REFUSE MEDICATION Q
t h e right is a ae o t n sdeu
the knowledge
a
principle informed consent which is based on individuals
of
necessany to make a decision having
the refusal should be
documented in the patient's chart with the date, time and
reason for refusal if known
GUIDELINES FOR CORRECT ADMINISTRÄTION OF
PREPARATION MÈDIATION
Wash hands before
2. check for preparing medication
drug allergies; check the assessment history and kardex
3. check medication
order with health care
4. check the
drug label 3 times provider's order
5. check the expiration date
6. recheck drug calculation
7. verify dose that
8.
are potentially toxic with other nurse or pharmacist
poUr tablet or capsule into the cap of the drug container, with unit dose
bedside open af
9. pour liquid at eye level, meniscus should be at the line of desired
dose
10. dilute drug that irritate
gastric mucosa or give with meals
ADMINISTRATION
1. administer only drugs that
you have prepared
2. identify client by ID band
3. offer ice chips to numb taste bUds when
giving bad tasting drugs
4. when possible, give bad tasting medication first followed
by pleasant tasting
medication
5. assist the client to appropriate position
5. provide only liquid allowed in the diet
7. stay with client until the medication are taken
8. administer no more than 2.5-3 ml of solution IM at one site
9. when administering to a group of clients. give last to clients who need extra
assistance
10. discard neeadles and syringes to appropriate containers
11. discard unused solutions from ampules
12. appropriately store the medication
13. write the date and time opened and your initials to multiple dose medication
14. keep narcotics in double locked drawer or closet. Medication cart must be
locked at all times when the nurse is not around
15. keys to narcotic drawer must be kept by the nurse and not stored in drawer

RECORDING
1. report drug error immediately, complete an incident report
2. document the medication that are given
doses
3. record drugs promptly after given especially STAT
4. record effectiveness and result of medication
5. record the drugs that were refused and reason
6 record gmaunt of fluid taken in MIO
 A D M I N I S T R A T I O N

MEDICATION
medication
DURING
w h e n preparing
BEHAVIORS
distracted
o r label is
1. do not be by others difficult to read
do not give
drugs prepared
c o n t a i n e r s with
labels that
are
2. from
do not pour
drugs
3.
partially removeed
hand
4. do not pour drugs into the
medication
in doubt
5. do not give expired dose. Ask
when

not guess
about drug and drug d i s c o l o r e d or
cloudy
6. do that have
sediments,

7. do not Use drugs b e d s i d e or with

folks
m e d i c a t i o n at
8. do not leave m e d i c a t i o n out of
site
the drug
do not leave prepared
that he has allergy to
9.
if the client state
10. do not give the drug sole m e a n s of
identification
he has
clients n a m e as
different from the drug
11. do not call the drug is
drug if the client states
12. do not give
been receivin9
foods that are
13. do not recap
needles
of food or beverage or
amount
the drug with large
14. do not mix before
20-30 minutes
contraindicated
vomit. Wait for
patient
readminister drug when the
15. Do not
giving other medication.