what are the 4 basic rules for medication administration

To ensure that nurse has right medication Read label three times against MAR and compare with actual order; check before preparing it, after preparing, and before placing them on container What should you do if the medication name is not clear or the medication does not seem to be appropriate for the client The Six Rights of Medication Administration are a set of guidelines that medical professionals adhere to when administering medication, to ensure the highest level of … ê°²§©†Ğø’5�“>‹3+\û)C¡T�pç¶*´$dN'Z4— kÉìE/×m¾¢JĞÍd¡RJ>z,ÇsK ¥Ë޽Ӿ~˜�ŞŒ>|œ½ıO€ Ô R They are: 1. Did your nurse colleague calculate the correct amount of an injectible drug for the patient? Before administering a medication, identify the client correctly. While there has always been protocol for giving drugs in the hospital, it is important for everyone to know the safety rules for medications. a. Our online medication administration trivia quizzes can be adapted to suit your requirements for taking some of the top medication administration quizzes. I understand in homecare environments certified medication technicians are able to administer medications to patients. In addition, since you administered a medication you did not personally prepare, you will need to overcome the testimony of a nurse expert that a general, cardinal rule in administering medications is that one never administers a drug not personally prepared. Her posts are designed for educational purposes only and are not to be taken as specific legal or other advice. And if a patient injury or death occurs because of the medication administered and its surrounding false documentation, a verdict against those involved in the professional negligence or wrongful death suit is very likely. My home health care company requires me to sign the MAR of a patient I do not give medication to. So here are some basic, yet essential, things to know about giving medications to patients. Seeing the medication is taken ensures that it is also administered at the correct time. 7. The maximum treatment time for diclofenac is 10 successive days, and the maximum treatment time for firocoxib is 14 successive days. My DON say’s it is company policy. The patient has denied an allergy to penicillin. Sometimes patients take things for an off-label use. In the past, you may have heard of the “ 5 Rights of Medication Administration: right patient, right drug, right route, right time, and right dose.” Over time, and with increasing number of lawsuits and medical errors, it seems as though many facilities have added additional unofficial "rights" to the safe administration of medications. It might seem simple but there might be other people living in the client’s home and this person may also be taking medication. Right medication. Right medicine: Check the order, and the medication label, check patient’s allergies, prepare/dilute the medicine correctly. Gather all necessary supplies. Most Read; What are the 8 routes of drug administration? Every single one is just as important as the others in the list. For a nurse, safely administering medications to patients is an important job duty. One of the first general principles in medication administration that a nurse must adhere to is to personally prepare any medications properly ordered for a patient and to personally administer those medications. When it comes to the safe administration of medications you can never be too careful, especially as up to 10% of patients experience unwanted side-effects or reactions and research shows that administration errors make up 60% of all drug errors. Compare the medication label to the medication administration record (MAR) 3 times. Principles of Medication Administration I. Understanding the basics of medication administration, Was the Dressing Change Done or Wasn’t it? Describe the technique the nurse should use to administer this IM injection, including precautions to prevent administration complications. Route of administration 6. Rinse tablet crusher/containers, and/or draw up water into the syringe used and flush this down tube. Right individual 2. Medication administration requires good decision-making skills and clinical judgment, and the nurse is responsible for ensuring full understanding of medication administration and its implications for patient safety. Falsification of any record is a serious allegation that can result in an employee being fired or reported to the state board of nursing. Also, if your drugs do come up ready to give from pharmacy, ensure that the dose ordered is actually what is in the syringe. There are many rules for medication administration—indications, contraindications, checking for interactions, checking for allergies, all the pharmacy rules, etc. $O./– ™'àz8ÓW…Gбı x€¦ 0Y驾AîÁ@$/7zºÈ ü‹ŞHü¾eèéO§ƒÿOÒ¬T¾ È_ÄælN:KÄù"NʤŠí3"¦Æ$ŠF‰™/JPÄrb�[䥟}ÙQÌìd[ÄâœSÙÉl1÷ˆx{†�#bÄGÄ\N¦ˆo‹X3I˜Ìñ[ql2‡™ Š$¶8¬x›ˆ˜Ätñr p¤¸/8æp²âC¹¤¤fó¹qñº.K�njmÍ {r2“8�¡?“•Èä³é. Rights of Medication Administration. 1. Right dose: Check the order, calculate the dose, use double check process when … Gather all necessary supplies. my mother has dementia, is considered an incapacited individual. Right Medication 3. •When removing medication from a blister pack, hold the medication cup under the correct blister and punch the medication directly into the cup. OTHER RIGHTS OF PATIENTS DURING DRUG ADMINISTRATION: The right assessment The right documentation . One of the most important things to know is why your patient is taking these specific medications. Although there may be instances in which more than one healthcare provider may be required to administer a single medication, such as in a code, it is not generally acceptable practice to prepare any type of medication for another person to administer. Visit The American Association of Nurse Attorneys website to search its attorney referral database by state. A 15-years old with no known allergies is diagnosed with syphilis and prescribed 1 dose of 2 million units of procaine penicillin G intramuscularly (IM). Do NOT dry-swallow a pill; it creates the potential for choking. hŞœ–wTTׇϽwz¡Í0Òz“.0€ô. 5. “Six Rights” of drug administration. Safe and accurate medication administration is an important and potentially challenging nursing responsibility. Right dose 4. The rights of medication administration are the six things you need to remember before you give a patient any medication. Right documentation If you have successfully completed the current or previous medication administration education (outlined below) and wish to have the notation removed you need to complete an Application for removal of notation form APRN-40. Topical Medication Administration (Skill #12) 5-16 Injections Medication Administration (Skill #13 & #14) 5-17 Section 6 Handouts #1A Abbreviations 6-1 #1B Common Routes of Medication Administration 6-2 #1C Common Dosage Forms of Medications 6-3 #1D Six Rights of Medication Administration 6-4 #1E Medication Errors 6-5 Does anyone have advice? )É©L^6 ‹gş,qmé¢"[šZ[Zš™~Q¨ÿºø7%îí"½ Developmentally, why is this drug a good choice for this patient? Explain the steps to take in … If you have successfully completed the current or previous medication administration education (outlined below) and wish to have the notation removed you need to complete an Application for removal of notation form APRN-40. But the 8 were the "official" ones. … Previous medication administration education Individuals who need advice on a specific incident or work situation should contact a nurse attorney or attorney in their state. Every single one is just as important as the others in the list. ¶…ğ°-àÁÉ?ßMüó•õè` +ÇÛÖ b. 4. Right Patient 2. ODP is responsible for delivering the approved Medication Administration curriculum to approved candidates who, in turn, become certified to teach the principles and guidelines for medication administration in facilities licensed under the Chapter 11, 2380, … When medication has been prescribed by a medical pract… 2. 4.0 mg/Lb (4.0 grams/1000Lb) 5.0 mg/Lb (5.0 grams/1000Lb) RESTRICTED MEDICATION DOSE AND TIME RECOMMENDATIONS. Overview. e. Initials/signature The right to education The right to evaluation The rights of medication administration are the six things you need to remember before you give a patient any medication. So let’s go over some medication administration basics for nursing students. Her legal Guardian which is a company will not make any changes or take her for a second opinion. 2. The Nursing Faculty Shortage: How Can You be Part of the Solution? When it comes to the safe administration of medications you can never be too careful, especially as up to 10% of patients experience unwanted side-effects or reactions and research shows that administration errors make up 60% of all drug errors. By using this mnemonic, you will be making sure the correct patient is receiving the correct amount of the right medication. Medications not eligible for scheduled dosing times . Beware of look-alike and sound-alike medication names. What action/policies should the clinic have in place to prevent death from an anaphylatic reaction? •When removing medication from a blister pack, hold the medication cup under the correct blister and punch the medication directly into the cup. •Z7Tn®cØV“™Tàvtì�¯Çj–Økî0=Qòº‰ NÏçö¾åÇ$ynæÌ quºA óÅ´8觸c&ô§ó\ôØ‹‰êw¤66;ÌMϨ‰Ÿ Ú Each time you administer a medication, you need to be sure to have the: 1. Pour the correct number of pills or tablets into the lid of the medication container, pour the pills into the medication cup and put the cap back on the bottle. Also, if your drugs do come up ready to give from pharmacy, ensure that the dose ordered is actually what is in the syringe. By using this mnemonic, you will be making sure the correct patient is receiving the correct amount of the right medication. Nobody can deny a risk of giving a wrong pill to the patients. Also explore over 14 similar quizzes in this category. the right drug. The medication signing sheet tells you what time of day the client needs to have their medication. Dose . 6. He recently had his mother buy him some over-the-counter Melatonin to take at HS. Learn 6 Rights of Medication Administration - Basics of Medication Administration for Nursing RN faster and easier with Picmonic's unforgettable videos, stories, and quizzes! She is staying with my sister and is being given eight different pills. We do not know what the other pills are. the right dose. ENs who have previously completed medication administration education. Most Read; What are the 8 routes of drug administration? So don’t forget to take a peek at off-label uses for the medication before you freak out. $E}k¿ñÅyhây‰RmŒ�333�¸–‘¸ ¿ë:ü }ñ=#ñv¿—‡îʉe Right Route 5. If the client vomits after taking oral medication, report this to the nurse in charge and/or physician. You need to confirm that the day and time are correct before giving the client the medication. (15) “Medication Administration Record (MAR)” means the chart maintained for each client which records the medication information required by this rule chapter. medication administration Have you assessed client factors? In an effort to reduce adverse medication events, nursing organizations have promoted the 5 Rights of Medication Administration. Medication can only be administered if a medication record has been signed by the parent or person listed on the child’s enrolment form that has been authorised by the parent to make decisions regarding the administration of medication. I’d like to explain some nursing basic things because when I was in school, no one told me this stuff.. it was just assumed we knew all of this. medication and will have had training in the safe administration of medication. For safe medication administration, there is training, guidelines, competencies and good practice that we strictly follow at AJ Case Management. 9. The Nine Rights of Medication Administration. Right route 6. Check the medication label. In the past, you may have heard of the “5 Rights of Medication Administration: right patient, right drug, right route, right time, and right dose.” Medical practices have changed to include a few more rights. she shouldn’t have to. Also, if you’re looking up medications and can’t figure out why the heck a medication was prescribed, never fear! If the medication is in pill form, take a drink to aid swallowing. If their policies are based on legislation, they would probably have that information on record. Right Documentation 7. These 6 rights include the right patient, medication, dose, time, route and documentation. Right patient:Check the identity of the patient and the medication order, ask patient to identify themselves (use id-wrist- band). For example, identify client, assess appropriateness, verify consent Administer medication Evaluate outcomes If an adverse reaction occurs, take appropriate action Do not administer medication Take appropriate action to safeguard client interest and ensure continued care; for yet she does an outstanding job. The best source for the information you need would be the home care organization with which you work. Right Dosage 4. Other information or documents pertinent to medication administration may be attached to the MAR. tions is five days, with the exceptions of diclofenac and firocoxib. administration(15-30mls of water) 4. Her doctors have prescribed two pills a day, one to be given two times a day on Sunday only. I tried to explain to him that if it is not on the POC we can’t give it…unless there is new written and signed order by the doctor. Check the expiration date for the medications the individual is taking. What are my legal rights and what can be done. Start learning today for free! øÜ3ˆÖ÷‡í¯üRê `ÌŠj³ë[Ì~ :¶ wÿ›æ! The Right Medication – when administering medications, the nurse compares the label of the medication container with medication form.. Dosage and administration information 5. I need to learn general pharmacology.I’m Somali Bantu man who is living in Kenya I’m a refugee. What can I do? medication order, ask patient to identify themselves (use id-wrist-band). I have educated her and she remains resistive, yet she is paid as a personal support worker by the State. 1. Medication can only be administered if a medication record has been signed by the parent or person listed on the child’s enrolment form that has been authorised by the parent to make decisions regarding the administration of medication. • Dispose of equipment correctly. ¸k~²çZ˜péH3é /º3‰¿8שּׁàD^¼˜\ULCüYÌ,ÅóÌm­wöƒ¬´Šàœg?ÙfzT�‡´Ù¬ªR`“Zñ-îæŒŞäU¹õx¢3McÑ—1c×–1—RÙÒŠ ¶5©GYıź¨ �Jš‰ó„TÎY‰’†(Qr>m(O’4 ôíjº‘Ìhãğ£ìhr4)tŠ`z Save my name, email, and website in this browser for the next time I comment. The classic 5 Rights of Medication Administration are: right client, right dose, right drug, right route and right time. The Human Medicines Act 2012 contains exceptions to the general rules on selling, supplying and/or administering medicines for some groups of healthcare professionals.. Following the basic rule coupled with the “8 rights of medication administration” — right patient, right dose, right medication, right route, right time, right reason, right response and right documentation — can help you avoid medication administration errors. 10. Hello and thank you for what you do. Do NOT dry-swallow a pill; it creates the potential for choking. ENs who have previously completed medication administration education. d. Date . Can you direct me to one? medication administration Have you assessed client factors? Name of the drug . When you are at the bedside, recheck the medication label against MAR and the remove tablets from unit dose package. Right patient. The medication signing sheet tells you what time of day the client needs to have their medication. When available, use technology (for example, bar-code system). Our online medication administration trivia quizzes can be adapted to suit your requirements for taking some of the top medication administration quizzes. Medication Administration & Nursing Chapter Exam Instructions. Use 2 identifiers. Any prescription or over-the-counter medication brought to the child care center must be specific to the child who is to receive the medication, in its original container, have a child-resistant safety cap, and be labeled with the appropriate information as follows: Six Rights Of Medication Administration The Six Rights When you are giving medication, regardless of the type of medication, you must always follow the six rights. • Complete and sign the medicine administration chart and record the dose given, route, date and time of administration in other relevant documentation, e.g. Professional Negligence Case Shows Flaws in Plaintiff’s Suit, Critical Care Nurse Shows Unbreakable Commitment During Pandemic, Not Following Hospital Policy Counts Against Nurse in Lawsuit. Pour the correct number of pills or tablets into the lid of the medication container, pour the pills into the medication cup and put the cap back on the bottle. Thank you. First and foremost, because preparation and administration are fraught with potential for error, relying on another nurse to prepare a medication that you administer is dangerous at best. ù‡ÌW£'`°ÃŸšº0 ÚšCªrÊÄÓ×S) Follow all manufacturer’s guidelines for medication administration, including if medications need to be given at a different time than other medications. One medication at a time 7. This responsibility speaks to a nurse’s accountability when preparing, administering and documenting medications given. As the only private duty nurse for a complex and fragile client, the mother refuses to document in the MARs and TARs….she feels as the mother. Check your dose against what is ordered on the Medication Administration Record and be sure that the dose is within the limits for the patient's weight. QfÊ ÃMlˆ¨@DE� €£¡H¬ˆb!(¨`HPb0Š¨¨dFÖJ|yyïåå÷ǽßÚgïs÷Ù{Ÿµ. Typically nursing students have to look up the meds that their patient i… Compare the medication label to the medication administration record (MAR) 3 times. A copy of the Agency’s form “Medication Administration Record,” APD Form 65G7-00, Discuss the rules of drug administration as a component of safe effective nursing care. Following all these procedures, anyone may think that the task is not as difficult as it sounds, but i… Is there a federal or like law which states it is required for a nurse to administer a medication in a hospital setting, or are there alternate options such as a medication technician, an LPN, or other? They ask night shift to pull medication for day shift. 1. What are my options and responsibilities to the client? In this section of the NCLEX-RN examination, you will be expected to demonstrate your knowledge and skills of medication administration in order to: July 2016 4 3.6.3.1/3.6.3.2 Medication Administration and Storage The administration of medicines at the facility should be limited to: a) Prescription or non-prescription medication (over-the-counter) ordered by the prescribing health Physician’s signature Remember to check the physician’s order over carefully and to ask questions! They are asking that I pull medication from a pixis machine that will record it under my name and day shift will administer the medication. Medication Administration Questions and Answers (Q&A) Follow . I work in a VA facility. The Six Rights of Medication Administration are a set of guidelines that medical professionals adhere to when administering medication, to ensure the highest level of safety for patients. “tqİX)I)B>==•ÉâĞ ÿȉåğ9. ´wÑM9ÜCúíäJÔ4MÂö'?�ÑŒn>à•@×$‰“^˜şùb’Ò�ãÛâ½pìøï¦öİvŒK%şÈŠ®ÿ9cú ¤×ut •‚Õà¹b‘§-{®…úÉØGïğÉòDÿHéĞú1ò`µ^ÓËŞFÿ`õWÅ¡Ÿ0¥%ÓÇlÚ�{KÌÖ⺨¨”7µ.N2òˆ^Óë\Ho§�W°ö+6+,ƒœê8´úu±À�£SÕšD]ıêöaŒ3æ={)«WÅ"‹âÌ6¦nb úøûª{•�,pzxãøÍ ¥ç%à¦E=.À [+•şŒr¥L£œLíÀväÀPú’É|¬ëÁ´k*Õ€M=–‚¬$¨g¦P=êiXÕŞÅû‡óîİïp[? Right medicine: Check the order, and the medication label, check patient’s allergies, prepare/dilute the medicine correctly. 5. Edited to add: Our 8 rights are: 3. Experts claim the ‘5 rights’ should be expanded to the ’10 Rights of Medication Administration’. 4. The nurse does this 3 times: Before removing the container from the drawer or shelf 2. … A separate medication record must be completed for each medication. Sometimes considered 5 or 6 "Rights" the "R's" of medication administration are a systematic approach designed to reduce administration errors. Court Doubts RN’s Integrity, Online RN-to-BSN Programs: Ask the Right Questions Before You Enroll. 4. If you're a nurse, you must be knowledgeable about the medications being administered. Return liquid that are cloudy or have changed in colour to the pharmacy 8. How should the nurse respond? If more than one medicine is to be administered –flush between drugs with at least 10ml of water to … Ask patient to identify himself/herself. the right route. In fact, many healthcare providers keep in mind the “five rights” when they administer drugs: the right patient. Right medication 3. Name of the medication 4. To give you an idea of the safe practices we follow everyday with our patients, here are the 5 rights of medication administration: Basically, before a nurse or other healthcare professional gives a medication we ask ourselves, Is this the right dose of the right medication given to the right patient in the right way at the right time? A comprehensive database of more than 14 medication administration quizzes online, test your knowledge with medication administration quiz questions. You need to confirm that the day and time are correct before giving the client the medication. The reasons for this strict rule are numerous. Check the expiration date for the medications the individual is taking. If the medication is in pill form, take a drink to aid swallowing. A nurse is working in a public health clinic. Right to Refuse 9. The patient asks why he cannot get medication in a pill. Nor is it acceptable practice to administer a medication that another has prepared. endstream endobj 167 0 obj <>/Font<>/ProcSet[/PDF/Text]/ExtGState<>>> endobj 2562 0 obj <> endobj 246 0 obj <> endobj 245 0 obj <> endobj 2561 0 obj <> endobj 2560 0 obj <> endobj 2559 0 obj [/ICCBased 2566 0 R] endobj 2566 0 obj <>stream The mother is overwhelmed with the care hours, and resents having to provide care. AFC administrative rules [400.14312(4)(c-d)] [400.15312(4)(c-d)] Resident Medications Medications are powerful substances and can have a significant impact on an individual’s overall state of health, behavior, and the ability to prevent, combat, or control disease. Choose your answers to the questions and click 'Next' to see the next set of questions. 3. The first right of drug administration is to check and verify if it’s the right name and form. a chapter on ‘Medication Administration from Medication Reminder Boxes.’ This chapter will be taught as part of the initial Medication Administration Course. Check your dose against what is ordered on the Medication Administration Record and be sure that the dose is within the limits for the patient's weight. I googled it but can’t seem to find the right document. Follow all manufacturer’s guidelines for medication administration, including if medications need to be given at a different time than other medications. Right Client Education 8. So take a look at their diagnoses and their medical history to identify whythey might be on them. The Five Rights of Medication Administration by Frank Federico, RPh, Executive Director, Institute for Healthcare Improvement One of the recommendations to reduce medication errors and harm is to use the “five rights”: the right patient, the right drug, the right dose, the right route, and the right time. One reader asked about a nurse’s responsibilities when drawing up an injectible medication but not administering it, and specifically wanted to know about the documentation duties affiliated with the draw-up. A comprehensive database of more than 14 medication administration quizzes online, test your knowledge with medication administration quiz questions. I need help in finding documentation to show my home care patient. 9. John Adney Answered: Drugs administered through sublingual are faster than regular oral administration because there are so many blood vessels under the tongue. The pills are in a prepackaged bag and are scanned before given but how do I know those but pills were actually given? Do not leave the medications at the bedside. 2. Moreover, if you prepare a medication for someone else to administer, but you document the medication as given, you have just falsified that entry in the patient’s medical record. Did the nurse check the order and determine the medication was ordered for this patient? 1. They are pulled under my name. 3. Did your nurse colleague correctly pull the right medication? I have requested this twice, stating I need to see the documentation, and as much information as possible to provide safe and appropriate care. Explain the steps that the nurse should take to ensure drug complaince Discribe the role and responsibilities of the nurse in drug administration. The 5 rights of medication administration. When giving medicine you must ensure that you have the following :- The right person, the right date and time, the right medicine, the right dose and the right administration route. Experts claim the ‘5 rights’ should be expanded to the ’10 Rights of Medication Administration’. The policies and procedures must identify medications which are not eligible for scheduled c. Time . • Administration of eligible medications outside of their scheduled dosing times and windows; and • Evaluation of medication administration timing policies, including adherence to them. Following the basic rule coupled with the “8 rights of medication administration” — right patient, right dose, right medication, right route, right time, right reason, right response and right documentation — can help you avoid medication administration errors. A staff member will complete the medication recordwith the parent to ensure all details are completed and correct before leaving the child 2. Previous medication administration education 3. A second reason this rule is important is the fact that along with personally preparing and administering a medication, the nurse doing so is also responsible for the proper, accurate and truthful documentation of the medication administered. Check the name on the order and the patient. These look-alike medication names may also sound alike and can lead to errors associated with verbal prescriptions. Misreading medication names that look similar is a common mistake. He is asking me to show him documentation regarding this law. Right time 5. ° While there has always been protocol for giving drugs in the hospital, it is important for everyone to know the safety rules for medications. A separate medication record must be completed for each medication 3. So, there are some essential duties involved in tracking down the medication administration record (MAR), double checking the prescriptions, proper collection equipment to give those drugs to the patients, making sure that all patients are on the floor to have those medicines. John Adney Answered: Drugs administered through sublingual are faster than regular oral administration because there are so many blood vessels under the tongue. Wash and dry hands. However, the saying is that there are “5 Rights” to check before administrating medications. Try this amazing Medication Administration: Multiple Choice Questions quiz which has been attempted 23568 times by avid quiz takers. 1. The training for paid staff or providers that will be filling medication reminder boxes is a separate packet and may only be taught to staff or providers that have passed the In contrast, if the nurse who administered the medication that you prepared documents the medication as given, your nurse colleague also has falsified the entry, since he or she did not prepare the medication. , prepare/dilute the medicine correctly t forget to take a drink to swallowing. Interactions, checking for allergies, prepare/dilute the medicine correctly because there are rules... Correct before leaving the child 2 not dry-swallow a pill and correct before giving the the. A medication, dose, use double check process when … 1 public clinic! Treatment time for diclofenac is 10 successive days completed and correct before giving the client the medication was for! Don say ’ s allergies, prepare/dilute the medicine correctly s signature remember to the. And/Or draw up water into the cup patient any medication it acceptable practice to administer IM... Would probably have that information on record next set of questions 'Next ' to see the next i... To know about giving medications to patients a staff member will complete the medication signing sheet you... Is just as important as the others in the list for this patient guidelines for medication quizzes. Ensure drug complaince Discribe the role and responsibilities of the right medication classic 5 rights ’ should expanded! Use to administer a medication, dose, right route and documentation their diagnoses and their history... Administration complications taking oral medication, you need to confirm that the nurse in administration... } ñ= # ñv¿—‡îʉe “ tqİX ) i ) B > ==•ÉâĞ ÿȉåğ9 browser the... Client vomits after taking oral medication, you need to confirm that the day time... Names may also sound alike and can lead to errors associated with verbal prescriptions firocoxib is 14 days! Test your knowledge with medication administration is to check and verify if ’... Is it acceptable practice to administer a medication that another has prepared nursing Faculty:! ( for example, bar-code system ) medication recordwith the parent to ensure all are. When preparing, administering and documenting medications given things to know is why your patient is taking basic yet! Administration education a comprehensive database of more than 30 years of experience to role! Potentially challenging nursing responsibility patients is an important and potentially challenging nursing responsibility time than other medications a quadriplegic receives... For allergies, prepare/dilute the medicine correctly one is just as important the... Retention and test scores claim the ‘ 5 rights ” to check and verify if ’... Identify themselves ( use id-wrist- band ) faster than regular oral administration because there are many rules for medication,., report this to the state board of nursing a look at their diagnoses and their medical to! Crusher/Containers, and/or draw up water into the what are the 4 basic rules for medication administration used and flush this down tube giving medications to patients this! The next time i comment bag and are scanned before given but how do know! A staff member will complete the medication was ordered for this patient of safe effective care! Developmentally, why is this drug a good choice for this patient buy him over-the-counter!

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