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What is an advantage of e-prescriptions?

Reduces the possibility of forgery Helps maintain a running record of patient medications Prevents handwriting errors

what is required in documenting immunizations?

Serial number of container Expiration date Pharmaceutical company name

A prescription is best described as:

a written order that authorizes the dispensing of a medication to a patient

intra-arterial

administered into an artery

factors that influence route of administration

age of patient, general physical condition; whether athletic or debilitated, body size, or body size, gender, other medical problems; example kidney or liver disease, other medications being taken; example blood thinners

A medication order should contain the following elements

amount of medication to be given. patient name signature of prescriber.

opthalmic

applied directly into the eyelid or lacrimal form opening in the corner of the eye medication in the form of ointment or drops

topical

applied directly to the skin

transdermal

applied directly to the skin an adhesive patch placed on the skin, containing time-released medication

inhalation

breathed in through nose or mouth delivered by spray or by metered aerosol device

oral

by mouth medication may be swallowed in solid or liquid form

When administering oral medication, the countertop is considered contaminated and must not come into contact with the inside of the:

cap

right medication

check at least 3 times before, and once after

What best describes the Seven Rights?

checklist of criteria to help prevent medication errors

medication error can involve what

correct drug given tot he wrong patient, wrong drug given to the correct patient, wrong dose administered, wrong documentation, drug given by the wrong route, drug given at the wrong time

vaginal

delivered directly by manual insertion or applicator into the vaginal vault in the form of ointment or disolvable tablet

intravenous

delivered into a vein by injection or infusion

otic

delivered into the ear canal

intrathecal

delivered into the spinal canal by injection or infusion

Prescriptions often contain a box or line with DAW, which stands for:

dispense as written

Drugs may be administered by many routes, depending on the rate of absorption desired, distribution, biotransformation (how the body converts the drug into a form it can use), and ______________

elimination

Medications given to patients by the inhalation method are in the form of:

gases sprays fluids

intradermal

given by shallow-angle injection just under the dermis of the skin

intranasal

given through the nares

intramuscular

injected into muscular tissue for delayed absorption

subcutaneous

injection just below the cutaneous layer of the skin

rectal

inserted directly into the rectum, usually in the form of an ointment or dissolvable tablet

The _________________, the accrediting agency for hospitals, has prepared a "Do Not Use" list of abbreviations and recommends that each practice, facility, or system use standardized procedures for documenting medications.

joint commission

drops

liquid solutions applied directly to eyes, ears, nose, or in the mouth for infants and small children

Companies that produce immunizations are required to assign ___________ to each batch of the product.

lot numbers

immunization documentation

manufacturer lot number serial number expiration date

appropriate documentation includes:

patient's name, date or birth, medication name, amount, site, and route of administration, time administered, any reactions observed, patient education provided, ordered by, for immunizations, include manufacturer, lot number, serial number if applicable, and expiration date

buccal

placed between the cheek and the gum for absorption through the mucous membranes in the mouth medication is a solution, gel, or dissolvable tablet

sublingual

placed under the tongue for fast absorption medication is a dissolvable tablet or gel

A _______ is a written order prepared by a licensed provider or practitioner authorizing a medication or treatment to be dispensed to the patient for self-administration.

prescription

If the prescribing practitioner leaves out a minor part of the prescription, the MA's most appropriate action should be to:

return the prescription to the prescriber to be completed.

The medical assistant is permitted to administer medications by certain routes unless otherwise designated by ________ laws.

state

documenting adverse reaction

time and date, type of reaction, medication administered, airway support when applicable, level of care, outcome of interventions, instructions provided to the patient

When documenting a medication entry you need to verify the patient's identity, using at least how many identifiers?

two

right patient

two identifiers

intraosseous

used in emergencies to deliver drugs directly into bone marrow; not a commonly used route but used in emergencies when other routes are unavailable

parts of a prescription

1, physician's name, address, telephone, fax numbers, and DEA registration number 2, patient's name, date of birth, address, and date 3, superscript 4, inscript 5, subscript 6, sig 7, physician's signature blanks 8, refills

Seven Rights

1, right patient 2, right medication 3, right dose, amount 4, right route, method 5, right time, schedule 6, right documentation 7, right technique

Checks to Ensure the right medication

1, when preparing the medication 2, upon bringing the medication to administer to the patient 3, prior to administering 4, following administration