What should you do when a medication instruction is unclear?
Pause and seek clarification; do not guess. Follow the current order, applicable law, professional scope, and workplace policy.
Study 01 Foundations of Safe Medication Administration with 12 free online flashcards. Review key terms, definitions, and concepts with this interactive flashcard deck.
What should you do when a medication instruction is unclear?
Pause and seek clarification; do not guess. Follow the current order, applicable law, professional scope, and workplace policy.
What are the administering professional’s core responsibilities?
Confirm the order is authorized, complete, and appropriate; work within your competence and legal scope; and perform required assessment, education, monitoring, and documentation.
What do the medication-administration “rights” not replace?
They are practical safeguards, not substitutes for the medication order, clinical judgment, or local policy.
How many person-specific identifiers should be used before administration?
Use at least two person-specific identifiers and match them with the medication order and patient record.
Can a room or bed number identify a patient for medication administration?
A room or bed number is not a person-specific identifier.
How should you ask a patient to confirm their identifiers?
When possible, ask the patient to state the identifiers instead of asking a yes-or-no question.
What should happen before acting on an incomplete or ambiguous order?
Clarify incomplete, ambiguous, or conflicting instructions before proceeding.
What is medication reconciliation at a transition of care?
Reconcile the best-possible medication history against new orders and resolve discrepancies.
When must a prepared medication not be administered?
Do not administer a medicine that is unlabeled, uncertain, or inconsistent with the order.
What patient-specific information should be checked before giving a medication?
Check relevant allergies and prior reactions, the patient’s current condition, and any measurements or laboratory results required by the order.
How should a patient’s medication refusal be handled?
Respect and document the refusal, then communicate it as clinically appropriate; never conceal or force administration.
What should medication documentation include?
Record administration promptly and accurately according to policy, including relevant omissions or refusals.