Five Plus Five Rights of Medication Administration
Five plus Five Rights of Medication Administration
1. right patient 2. right drug 3. right dose 4. right route 5. right time 1. right assessment 2. right documentation 3. patients to education 4. right evaluation 5. right to refuse
Right Patient
ask patient to state their full name and DOB identify patient each time medication is given is patient is unable to self-identify with no available family member around, follow the facility's policy
Right assessment
assess patient appropriately prior to drug administration before giving Digoxin, assess and document the patient's HR
Right drug
comparing the drug you are giving to the drug that was ordered do not administer an incomplete order; verification must be done in a timely manner and document the conversation read drug label three times: 1. when you pick up the medication 2. as you prepare the drug for administration 3. right before administering the drug
Right to refuse
patient has the right to refuse medication at any time for any reason unless it poses a danger on public health (tuberculosis) notify provider of patient's refusal and document the refusal with patient's stated reason
Right education
patient receives accurate and thorough information about the drug they are taking principle of informed consent educate on possible side effects of the drug answer any questions the patient might have
Right documentation
requires the nurse to immediately record the appropriate information about the drug administered document the patient's response to the medication
Right time
the time the prescribed dose is ordered to be administered health care agencies have policies that specify a range of times which drugs can be given military time is used for documentation
Right Dose
verification that the dose administered is the amount ordered and that it is safe for the patient for whom it is prescribed medication dosage can be based on weight important to assess renal and hepatic function
Components of a complete drug order
1. Patient's name and birth date 2. Date the order is written 3. Provider's signature or name, if an electronic order, T/O or V/O 4. Signature of licensed staff who took the T/O or V/O 5. Drug name and strength 6. Drug frequency or dose 7. Route of administration 8. Duration of administration
Right evaluation
Determines the effectiveness of the drug based on the patient's response to the drug assessing patient for effectiveness of drug, side effects and adverse reactions by ongoing assessment
Right route
Know the correct route of administration by which the drug should be given oral, IM, IV, subq, buccal
