5 Plus 5 Rights (+ Bonus)
Right to education
1. Why they're taking it (a.k.a 'indication) 2. Possible side effects 3. Dietary restrictions *All of this is part of the informed consent and the purpose is to increase *safety* and *knowledge*
What are the plus 5 rights of medication administration?
1. Right assessment 2. Right documentation 3. Right to education 4. Right evaluation 5. Right to refuse *Bonus: Nurse's rights
Bonus: Nurse's Rights
1. Complete and clear orders 2. Correct dispensing 3. Access to information 4. Safety policies 5. Identify problems in safety (have time for reflection) 6. Stop, think, and be vigilant (aware/mindful)
Right evaluation
1. Did it work? 2. Did it cause SE or ADR (adverse drug reactions)? *It is important that evaluation be ONGOING*
What are the 5 rights of medication administration?
1. Right patient 2. Right drug 3. Right dose 4. Right time 5. Right route
Right Documentation
Can also be part of the "6th right" The quicker/sooner, the better Most hospitals have bar scanning that does the charting immediately as administered
Right Assessment
Determine what needs assessed before administering medication Examples: - Vitals - Labs - Organ failure - Allergies - Lifespan: age? young/old? -> could alter dose required
Right to refuse
If the patient does refuse, be sure to: 1. Ask *non-judgementally* "why are you refusing"? 2. Educate on consequences 3. Document and report to provider (recommendations for changing to other med?) 4. F/u (follow-up)
