So let's talk about medication safety.
We give these all the time.
So as nurses the problem
when we administer medications,
we give them day in day out to several patients.
One patient may have 26 meds.
So you can imagine that in giving medications,
it's really important that we do it the right way.
So let's look at a framework to help keep safe.
So this is called the seven rights of medication safety.
First off, we got to think about,
hey is this even the right medicine?
So the problem with medications as there's a lot
of what we call "look-alike", and "sound-alike" drugs.
There's a lot of medication names, they're very confusing
and very hard to pronounce, especially for a new student.
So we want to make sure it's even the right med first.
After we do that, we've got to
make sure it's the right dose.
So when we're making sure
we've got the right medicine,
is that the appropriate
amount of drug for the patient?
This could mean way too much
medicine or really not enough.
You may think, Okay, why does
it matter if it's not enough med?
Well, that matters, because it will not produce
the therapeutic effect that we need it to do.
Also, first of all, 'hey, is this even the
right guy?' Do you have the right patient?
So making sure you do your patient identifier
such as, 'hey, sir, can you give me your name?'
Also, what's your date of birth?
These two patient identifiers are so very important to
make sure you're giving the meds to the right person.
So here's a great example of this.
So when I was taking nursing students to
clinical, we went to a rehabilitation center.
It's a little bit of a different setting, and patients are just
kind of wheeling around and hanging out in the day room.
It's not like their traditional room hospital setting.
So the nurse went about her business and she
saw Mr. Brown and she was gonna go give his meds.
So she said, 'Oh, hey, Mr. Brown, how are
you doing today? Here's your medications.
Well, the patient who took
all the meds, well guess what?
Wasn't Mr. Brown, it was Mr. Smith.
The problem with that setting is that
person had a traumatic brain injury,
and he was just saying, 'uh, huh' and very agreeable to
the nurse because he knew her and he was comfortable.
So it seems like such a silly thing but
making sure it's the right patient is huge.
Next, let's talk about the right route.
So this can be a little bit tricky for us as new
nursing students but the right route is really important,
because it's gonna matter how the
patient receives and metabolizes that drug.
The other thing is certain meds
can only be given a certain route.
And if we give it the wrong route, that can mean
the patient doesn't get the med or it can be dangerous.
So when we talk about route, what
I mean by that, can it be by mouth?
Can it be in their IV? Or is it
going to be an injection, for example.
The other thought is the timing of that drug.
So the time the medication
is given is really important.
Here's an example, antibiotics for sure.
We want to give them at a certain
time and so many hours per day.
Also to think about some medications like cholesterol-reducing
medicines work much, much better in the evening time
because our digestion slows down, and
we hold on to that drug a little bit longer.
all need less cholesterol-- or
more cholesterol control, right?
The other thought is the right reason.
So this is also something new as a
nursing student that we've got to think about,
'hey, not only am I giving this drug, but is it
for the right reason that patient's receiving it?
A lot of drugs have multi use, so
we need to consider this in our patient.
So we know to look for how the
patient's supposed to react to it.
And don't forget, write documentation.
So I need to make sure I
document that med appropriately
in case that patient goes somewhere else to another
unit, they need to know that that person got that drug.