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NURS 2132 Objectives & Required Readings
Dosage Calculations, Medication Administration, Adverse
1. Discuss standards of care in the application of the nursing process.
To be able to prevent and respond to ADRS. Adverse drug reactions are all types of clinical
problems these include medication errors (MEs) and adverse drug reactions (ADRS). Note that
not all errors may cause the patient harm. Two major type of ADR are allergic reaction (often
predictable) and idiosyncratic reaction (usually unpredictable)
Some therapeutic drug medications have similar names, right documentation such as labeling
can prevent MEs.
Proper documentation helps to organize and increase efficiency in the work place
Increases patient safety
Proper documentation is need to assess prescription, dispensing and drug administration
2. Explain the importance of documentation in the administration of medications.
Dispensing-to select prepare and transfer stock medication for one or more prescribed
medication doses to a client or the client representative for administration for at a later time.
3. Discuss factors contributing to medication incidents.
- prescribing faults and prescription errors most common, most can be caught by pharmacist
before entry or by nurse before administration
- administration next most common point of error, followed by dispensing and transcription
- Technology that is difficult to use, inadequate education or training, difficulties mastering can
increase medication error as well
Education system issues and impact on MEs
- commonly reported student nurse errors involve; unusual dosing times, medication
administration record issues (unavailable, failure to document doses, failure to review),
administration of discontinued or held medications, failure to monitor vitals or la results,
administration or oral liquids as injections, preparation of medications for multiple patients at
same time, dispensing of medications in different doses from those ordered
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