SAINT BARNABAS HEALTH CARE SYSTEM Preparation for Nursing Pharmacology Test PHARMACOLOGY REVIEW GUIDE

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "SAINT BARNABAS HEALTH CARE SYSTEM Preparation for Nursing Pharmacology Test PHARMACOLOGY REVIEW GUIDE"

Transcription

1 1 SAINT BARNABAS HEALTH CARE SYSTEM Preparation for Nursing Pharmacology Test PHARMACOLOGY REVIEW GUIDE In order to successfully pass the 50 item pharmacology exam, nurses must achieve an overall score of 80%. However, nurses are only allowed to get 2 calculation questions wrong from the Drug Calculation section of the exam (3 errors in calculation questions means an automatic failure and the nurse must re-take the exam). For the calculation questions on the exam, the nurse must show all work that led to arriving at the answer. Only ONE retake is permitted. Time allotted for exam: 1 1/2 hour (90 min.). I. Categories of Medications Know the actions, use, serious side effects and specific nursing measures for administration of the following frequently ordered medications or categories of medications Cardiovascular/Antiarrhythmics Beta Blockers eg. metoprolol (Lopressor); atenolol (Tenormin) ACE inhibitors eg. enalapril (Vasotec) Digoxin (Lanoxin) Nitroglycerine: transdermal patch & paste Adrenergics dopamine infusion (Intropin) Verapamil (Veracaps SR) Antidiabetic Agents Insulins: Regular, & NPH Humalog, Humulin, Lantus Metformin (Glucophage) Glyburide (Diabeta) Insulin Pen use Analgesics/Narcotics Hydromorphone (Dilaudid) Morphine sulfate & MS Contin Oxycodone-acetaminophen. (Percocet) Diuretics Hydrochlorothiazide (Esidrix) Spironolactone (Aldactone) Furosemide (Lasix ) Hormones levothyroxine (Synthroid) Agents for Depression/Sedation Fluoxetine (Prozac) Lorazepam (Ativan) Anti-infectives/Anti-fungals Ampicillin Cefazolin (Ancef/Kefzol) Gentamicin sulfate (Garamycin) Vancomycin Anti-inflammatory Agents Prednisone/methylprednisolone Dexamethasone (Decadron) NSAIDS eg.ibuprophen, Aleve Cox-2 Inhibitors- eg Celebrex Anticoagulants/Hematologic Agents Heparin sodium Warfarin sodium (Coumadin) Enoxaparin sodium (Lovenox) Dalteparin sodium (Fragmin) Antiulcer/Antiemetics Famotidine (Pepcid) Omeprazole (Prilosec) Ondansetron (Zofran) Flumazenil (Romazicon)

2 2 Antiseizure Phenytoin sodium (Dilantin) Antidotes Protamine Sulfate Naloxone HCl (Narcan) Vitamin K (Aquamephyton) High Alert Medications: Identified by TJC (The Joint Commission) -- concentrated KCL, concentrated NaCl,, insulin, heparin Herbal Interactions: anticoagulants and ginko biloba II. Important to Know: 1. Medication administration based on RN standards of practice. 2. How to administer intramuscular injections variations by weight, size, age. 3. Nursing responsibilities for first-dose of any medication. 4. Nursing documentation for PRN medications. 5. How to draw up and administer insulin subcutaneously and how to use an insulin pen. 6. Heparin/Lovenox/Fragmin injection techniques and sites 7. Specific lab values to be monitored for patients on Lovenox/Fragmin, Heparin, Coumadin, Vancomycin 8. How to apply topical/ transdermal medication/patches 9. IV push medications 10. How to administer eye and ear drops adults and pediatric 11. How to administer sustained release (SR, LX, LA etc.) tablets/capsules 12. Distinguish S/S of hypoglycemia & the interventions for treating it. 13. Measures for effective pain management dosing schedule, documentation, use of appropriate pain scale eg. FLACC, BPS, CPOT, Wong-Baker, Numeric. 14. Safety measures for administration of TPN (total parenteral nutrition) 15. How to administer meds via NG tube 16. IV administration of diluted KCl only via central line or large vein 17. Monitoring for IV infiltration of vesicants (e.g. Dopamine) 18. Heparin Infusion weight-based dosages III. Conversions 1 kg = 1000 gm 1 liter = 1000 ml 1 oz = 30 ml 1 gm = 1000 mg 1 kg = 2.2 lbs 1 tbsp = 3 tsp 1 mg = 1000 mcg 1 tsp = 5 ml 1 inch = 2.54 cm

3 3 IV. Policies - The following SBHCS policies apply to the administration of medication and must be followed at all times. TOPIC GOLDEN RULES ADDITIONAL INFORMATION PAIN Patients must receive adequate pain control. If the medications ordered are not controlling the patient s pain, a new order should be obtained from the physician. Don t let the patient suffer. DOUBLE IDENTIFICA- TION TELEPHONE ORDERS VERBAL ORDERS ANNOTATION FOR WRITTEN ORDERS Pain assessment, interventions, and outcomes must be documented completely To identify each patient receiving medication, the nurse must use 2 forms of identification. All telephone orders must be completely read back and verified to the physician as soon as they are recorded on the medical record and BEFORE they are executed. Verbal orders can only be accepted in an emergency situation. For accuracy, all verbal orders must be read back and verified to the Physician completely as soon as they are written in the medical record. Correct & complete written orders are required for each medication to be administered. If any part of an order is missing, unclear, illegible, Documentation includes: pain assessment, treatment, comfort level achieved (the pain goal for that patient), interventions when treatment is inadequate, and new outcomes from those interventions Forms of identification include the patient s ID BAND (a must!); asking the patient his name, the MR number, date of birth, phone number, photo license, etc. The order read back and verification includes the patient s name, date and time of the order, the name of the med, the dose, the route, the frequency of administration, any parameters or criteria for administration. An emergency situation is one in which the health of the patient would be compromised if there were a delay in administering the medication. The order read-back and verification includes the patient s name, date and time of the order, the name of the med, the dose, the route, the frequency of administration, any parameters or criteria for administration. a. Use a leading zero in front of the decimal dose of a medication. Correct: 0.35 mg Incorrect.35 mg b. Do Not use a trailing zero after a whole number dose of a medication

4 4 MISSED MEDICATION DOSES includes unacceptable abbreviations, or does not conform to the patient s condition, the nurse must contact the physician to correct the problem or clarify the order before administering the medication. Whenever a medication dose has been missed, the nurse should contact the physician to clarify what is best for the patient. Correct: 4mg Incorrect: 4.0 mg c. Never use a range of doses or times. Correct: Percocet 1 tab. po q4h Incorrect: Percocet 1-2 tabs q 3-4 hours. When a medication dose is missed eg. the patient is off the unit, the nurse should not assume that the patient can wait until the next dose is due. The decision about the missed dose belongs to the physician. DANGEROUS ABBREVIA- TIONS Certain previously-acceptable abbreviations CAN NO LONGER BE USED in the medical record. WRONG U IU RIGHT Units International Units The TJC and hospital policy now prohibits their use. ug QD/OD Micrograms, mcg Daily QOD Every other day If these abbreviations appear in a medication order, the order must be clarified with the physician and rewritten correctly. sc or sq QID MS/MSO4 Subcutaneously Four times a day Morphine sulfate (morphine) MgSO4 Magnesium sulfate OS/OD/OU AS/AD/AU Left/right/both eyes Left/right/both ears V. Some Helpful Hints: Exam candidates may bring one nursing drug reference book and a calculator (extra batteries recommended) to use during the exam. Example: Mosby s Nursing Drug Reference by Linda Skidmore-Roth; Cost: approx. $ No cell phones may be brought into the exam area or used during the test. VI. Sample Conversions and Calculations: The problems below represent the types of calculations that will be presented on the nursing pharmacology exam. The answers are found at the end of this review guide.

5 5 Conversions: a. 2 tsp = ml f. 2 oz = ml b. 450 mcg = mg g. 150 lbs = kg c..048 gm = mg h. 65 kg = lbs d. 475 mg = gm i. 4.1 mg = mcg e. 3 tablespoons = ml j. 2.5 inches = cm Calculations: 1. A child is to receive amoxicillin 50 mg po. The medication in oral suspension is labeled 125 mg per 5 ml. How many mls should the child receive? 2. The liquid medication label reads 100 mg per 2 ml. The order is for the patient to receive 200 mg of the medication. How many mls will be administered? 3. The patient is to receive digoxin 0.25 mg IV. Digoxin is in prefilled syringes of 0.5 mg per 2 mls. How many mls will be administered by syringe? 4. The physician orders dynapen 125 mg po stat. The bottle is labeled 25 mg per ml. How many mls should be given? 5. Penicillin G sodium for injection contains 250,000 units per ml. How many units are there in 3.5 mls? 6. The doctor orders 1000 ml of D 5 W every 6 hours. How many mls per hour should the patient receive? 7. Calculate the drip rate for an IV of D 5 ½ NS to run at 20 ml per hour using a microdrip set (60 gtts per ml). 8. The patient is to receive Keflex 1 gm P.O. On hand is Keflex 250 mg per tablet. How many tablets should be administered? 9. Garamycin comes in a concentration of 80 mg per 2ml. How many mls would be needed for a dose of 40 mg? 10. The physician orders 1 liter of NS every 8 hours. How many mls per hour should the patient receive? Using macrodrip tubing (15 gtts per ml) what is the flow rate in gtts per minute?

6 6 11. The patient is to receive Ancef 1 gram every 6 hours in 100 ml of normal saline to run over 30 minutes. If microdrip tubing is used (60 gtts per ml), what is the rate of flow in drops per minute? If macrodrip tubing is used (15 gtts per ml), what is the rate of flow in drops per minute? 12. One unit of blood, (250 ml per unit) must be infused over 4 hours. It cannot remain hanging longer than 4 hours. How fast must you run the blood using blood tubing of 10 gtts per ml? 13. Your patient has a PICC (Peripherally Inserted Central Line) and needs to receive 1000ml over 12 hrs. The infusion pump should be set at what rate? (ml/hr) Conversions: PHARMACOLOGY REVIEW GUIDE - ANSWER KEY a. 10 ml f. 60 ml b mg g kg c. 48. mg h. 143 lbs d gm i mcg e. 45 ml j cm Calculations: 1. 2 ml gtts per min ml 8. 4 tablets 3. 1 ml 9. 1 ml 4. 5 ml ml/hour; 31 or 32 gtts per min ,000 units gtts per min. (198 or 200 is acceptable) ml per hr (167 acceptable) 50 gtts per min, macrodrip gtts per min ml/hr

C HAPTER 5 D RUG ORDERS

C HAPTER 5 D RUG ORDERS C HAPTER 5 D RUG ORDERS Learning Outcomes 5-1 Summarize the Rights of Medication Administration. 5-2 Interpret a written drug order. 5-3 Identify on physicians orders and prescriptions the information

More information

Supplementary Appendix

Supplementary Appendix Supplementary Appendix This appendix has been provided by the authors to give readers additional information about their work. Supplement to: Poon EG, Keohane CA, Yoon CS, et al. Effect of bar-code technology

More information

HealthStream Regulatory Script

HealthStream Regulatory Script HealthStream Regulatory Script Medication Terminology: Use of Abbreviations & Symbols Version: May 2008 Lesson 1: Introduction Lesson 2: Recommendations Lesson 1: Introduction 1001 Introduction Welcome

More information

Policy Statement Medication Order Legibility Medication orders will be written in a manner that provides a clearly legible prescription.

Policy Statement Medication Order Legibility Medication orders will be written in a manner that provides a clearly legible prescription. POLICY POLICY PURPOSE: The purpose of this policy is to provide a foundation for safe communication of medication and nutritional orders in-scope, thereby reducing the potential for preventable medication

More information

Nursing Dosage Calculations Conversions Practice

Nursing Dosage Calculations Conversions Practice Conversions Practice Free PDF ebook Download: Conversions Practice Download or Read Online ebook nursing dosage calculations conversions practice in PDF Format From The Best User Guide Database NURSING

More information

Pharmacy Department Orientation

Pharmacy Department Orientation Pharmacy Department Orientation June 26, 2015 Brittany N. White, PharmD, BCPS Pharmacy Ext. 7238 Main Pharmacy Department Located on the 6 th floor Open 24 hours a day 7 days a week Children s Located

More information

University of South Alabama College of Nursing HSC 342 General Review 5

University of South Alabama College of Nursing HSC 342 General Review 5 University of South Alabama College of Nursing HSC 342 General Review 5. The physician ordered Dilantin (phenytoin) 3-6 24h in four divided s. The drug is available as Dilantin Suspension 25 5ml. If the

More information

SafetyFirst Alert. Improving Prescription/Order Writing. Illegible handwriting

SafetyFirst Alert. Improving Prescription/Order Writing. Illegible handwriting SafetyFirst Alert Massachusetts Coalition for the Prevention of Medical Errors January 2000 This issue of Safety First Alert is a publication of the Massachusetts Coalition for the Prevention of Medical

More information

HealthStream Regulatory Script. [Medication Terminology: Use of Abbreviations & Symbols] Version: [ ]

HealthStream Regulatory Script. [Medication Terminology: Use of Abbreviations & Symbols] Version: [ ] HealthStream Regulatory Script [Medication Terminology: Use of Abbreviations & Symbols] Version: [09.15.2005] Lesson 1: Introduction Lesson 2: Recommendations Lesson 1: Introduction 1001 Introduction Welcome

More information

Using Clinical Data Categories with the Pyxis MedStation

Using Clinical Data Categories with the Pyxis MedStation Using Clinical Data Categories with the Pyxis MedStation system Using Clinical Data Categories Clinical Data Categories (CDCs) are a Pyxis MedStation system software tool that will allow facilities the

More information

DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES Medication Administration Observation

DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES Medication Administration Observation : Make random medication observations of several staff over different shifts and units, multiple routes of administration -- oral, enteral, intravenous (IV), intramuscular (IM), subcutaneous (SQ), topical,

More information

Name: Unit: Contact details:

Name: Unit: Contact details: Royal Children s Hospital Generic Oral and Injectable Medication Learning Package 2012. (Part A) Medication Endorsed Enrolled Nurses formerly known as Division 2 Name: Unit: Contact details: The aim of

More information

ACCOUNT NO. MED. REC. NO. NAME BIRTHDATE ALL ORDERS MUST BE MARKED IN INK WITH A CHECKMARK ( ) TO BE ACTIVE.

ACCOUNT NO. MED. REC. NO. NAME BIRTHDATE ALL ORDERS MUST BE MARKED IN INK WITH A CHECKMARK ( ) TO BE ACTIVE. PO7071 *PO7071* Page 1 of 5 Weight: kg Height: cm Allergies: Diagnosis Code: Treatment Start Date: Patient to follow up with provider on date: **This plan will expire after 365 days at which time a new

More information

The Role of the Pharmacy Technician in Obtaining a Medication History

The Role of the Pharmacy Technician in Obtaining a Medication History Pharmacy Technician Education for Association Members By: Kate Perica Pharm.D., BCPS Medication Reconciliation Coordinator, University of Colorado Hospital Dr. Perica completed a PGY-1 Pharmacy Practice

More information

Department of Interdisciplinary Studies. IDST 1400 Medical Mathematics Revised 2015 by: Marilyn Donahue

Department of Interdisciplinary Studies. IDST 1400 Medical Mathematics Revised 2015 by: Marilyn Donahue Department of Interdisciplinary Studies IDST 1400 Medical Mathematics Revised 2015 by: Marilyn Donahue Course Description This course will provide a review of basic mathematical calculations and will instruct

More information

STATE OF WEST VIRGINIA DEPARTMENT OF HEALTH AND HUMAN RESOURCES MEMORANDUM

STATE OF WEST VIRGINIA DEPARTMENT OF HEALTH AND HUMAN RESOURCES MEMORANDUM STATE OF WEST VIRGINIA DEPARTMENT OF HEALTH AND HUMAN RESOURCES Martha Yeager Walker Secretary Joe Manchin III February Governor MEMORANDUM TO: EMS Agency Officials EMS Agency Squad Training Officers Regional

More information

Electronic Medication Administration Process and Tips

Electronic Medication Administration Process and Tips Updated: December 2003 This document summarizes the exact steps to be followed as you administer and chart meds using the emar. Step 1: Check and review all new orders Select the Orders chart tab, click

More information

Nclex Practice Questions For Drug Calculations

Nclex Practice Questions For Drug Calculations Nclex For Free PDF ebook Download: Nclex For Download or Read Online ebook nclex practice questions for drug calculations in PDF Format From The Best User Guide Database Refresher Sheet Dosage (concentrations):.

More information

Current Status: Active PolicyStat ID:

Current Status: Active PolicyStat ID: Current Status: Active PolicyStat ID: 2002682 Origination: 05/2005 Last Approved: 02/2014 Last Revised: 02/2014 Next Review: 01/2017 Owner: Policy Area: References: Chase Walters: Director, Education Patient

More information

Reconstitution Nursing Dosage Calculation Practice Problems

Reconstitution Nursing Dosage Calculation Practice Problems Reconstitution Practice Problems Free PDF ebook Download: Reconstitution Download or Read Online ebook reconstitution nursing dosage calculation practice problems in PDF Format From The Best User Guide

More information

C HAPTER 4 E QUIPMENT FOR DOSAGE M EASUREMENT. Learning Outcomes. Chapter Outline. Lesson Plan Anticipatory Set. Assess. Teaching Strategies

C HAPTER 4 E QUIPMENT FOR DOSAGE M EASUREMENT. Learning Outcomes. Chapter Outline. Lesson Plan Anticipatory Set. Assess. Teaching Strategies C HAPTER 4 E QUIPMENT FOR DOSAGE M EASUREMENT Learning Outcomes 4- Identify equipment used to administer medication. 4- Indicate the appropriate equipment for delivering various types of medicine. 4- Measure

More information

The STEMI ALERT Packet

The STEMI ALERT Packet The STEMI ALERT Packet (At a PCI-capable institution) Use of a STEMI ALERT Packet is a key step in optimizing treatment of the STEMI patient. Opening a STEMI ALERT Packet upon first recognition of STEMI

More information

Pharmacy Technician. Study Guide. Assessment: 8616 Pharmacy Technician. Aligned with the Pharmacy Technician Certification Board and the National

Pharmacy Technician. Study Guide. Assessment: 8616 Pharmacy Technician. Aligned with the Pharmacy Technician Certification Board and the National Pharmacy Technician Study Guide Assessment: 8616 Pharmacy Technician Aligned with the Pharmacy Technician Certification Board and the National Pharmacy Technician Association Overview This study guide

More information

ALABAMA BOARD OF NURSING ADMINISTRATIVE CODE CHAPTER 610 X 6 STANDARDS OF NURSING PRACTICE TABLE OF CONTENTS

ALABAMA BOARD OF NURSING ADMINISTRATIVE CODE CHAPTER 610 X 6 STANDARDS OF NURSING PRACTICE TABLE OF CONTENTS ALABAMA BOARD OF NURSING ADMINISTRATIVE CODE CHAPTER 610 X 6 STANDARDS OF NURSING PRACTICE TABLE OF CONTENTS 610 X 6.01 610 X 6.02 610 X 6.03 610 X 6.04 610 X 6.05 610 X 6.06 610 X 6.07 610 X 6.08 610

More information

DELEGATION OF MEDICATION ADMINISTRATION TO UAP

DELEGATION OF MEDICATION ADMINISTRATION TO UAP A Position Statement is not a regulation of the NC Board of Nursing and does not carry the force and effect of law and rules. A Position Statement is not an interpretation, clarification, or other delineation

More information

The Pharmaceutical Agent Order

The Pharmaceutical Agent Order The Pharmaceutical Agent Order Course Practicum in Health Science - Pharmacology Unit II Communication Essential Question What are the essential components to a prescription written by a physician? TEKS

More information

Dosage Calculations For Medical Assistant Practice Tests

Dosage Calculations For Medical Assistant Practice Tests For Practice Tests Free PDF ebook Download: For Practice Tests Download or Read Online ebook dosage calculations for medical assistant practice tests in PDF Format From The Best User Guide Database Page

More information

Orientation Self-Study Guide Test

Orientation Self-Study Guide Test Orientation Self-Study Guide Test PRINT Last Name: PRINT First Name: Score: Date: Work Area/Shift: Employee #: 1. Which of the following tasks would be the most appropriate for a registered nurse (RN)

More information

Medication Administration Student Syllabus and Study Guide

Medication Administration Student Syllabus and Study Guide Medication Administration Student Syllabus and Study Guide Revised March 2012 Health Facilities and Emergency Medical Services Division Colorado Department of Public Health and Environment 4300 Cherry

More information

Ontario Hospital Critical Incidents Related to Medications or IV Fluids Analysis Report. October 2011 to December 2012

Ontario Hospital Critical Incidents Related to Medications or IV Fluids Analysis Report. October 2011 to December 2012 Ontario Hospital Critical Incidents Related to Medications or IV Fluids Analysis Report October 2011 to December 2012 Submitted to the Ontario Ministry of Health and Long-Term Care and Health Quality Ontario

More information

WHAT are medication errors?

WHAT are medication errors? Healthcare Case Study: Errors Cause Mapping Problem Solving Incident Investigation Root Cause Analysis Errors Angela Griffith, P.E. webinars@thinkreliability.com www.thinkreliability.com Office 281-412-7766

More information

U: Medication Administration

U: Medication Administration U: Medication Administration Alberta Licensed Practical Nurses Competency Profile 199 Competency: U-1 Pharmacology and Principles of Administration of Medications U-1-1 U-1-2 U-1-3 U-1-4 Demonstrate knowledge

More information

Section 2 Medication Orders

Section 2 Medication Orders Section 2 Medication Orders 2-1 Objectives: 1. List/recognize the components of a complete medication order. 2. Transcribe orders onto the Medication Administration Record (MAR) correctly use proper abbreviations,

More information

PARAMEDIC SCOPE OF PRACTICE

PARAMEDIC SCOPE OF PRACTICE PURPOSE PARAMEDIC SCOPE OF PRACTICE The purpose of this policy is to define the Scope of Practice of a Paramedic accredited in the Yolo County Emergency Medical Services Agency (YEMSA) Region. AUTHORITY

More information

Adverse Drug Events: A Collaborative Approach for Improvement. Mary Kathryn Cone, PGY-2

Adverse Drug Events: A Collaborative Approach for Improvement. Mary Kathryn Cone, PGY-2 Adverse Drug Events: A Collaborative Approach for Improvement Mary Kathryn Cone, PGY-2 Background Adverse drug events are far more common than any hospital employee or patient would like to think. Thankfully,

More information

Pitocin Drip Calculations Practice Questions

Pitocin Drip Calculations Practice Questions Pitocin Drip Free PDF ebook Download: Pitocin Drip Download or Read Online ebook pitocin drip calculations practice questions in PDF Format From The Best User Guide Database Normal Saline 1000 ml with

More information

Administration of Chemotherapeutic Agents

Administration of Chemotherapeutic Agents Administration of Chemotherapeutic Agents Contributed by The Outer Banks Hospital Nags Head, NC Leading Practices Library Organizations submit practices to The Joint Commission that they have found to

More information

100 Dosage Calculation Practice Problems

100 Dosage Calculation Practice Problems 100 Free PDF ebook Download: 100 Download or Read Online ebook 100 dosage calculation practice problems in PDF Format From The Best User Guide Database SUBJECT: Standardized Proficiency. Responsibility

More information

Course Syllabus VNSG 1227-Essentials of Medication Administration

Course Syllabus VNSG 1227-Essentials of Medication Administration Course Syllabus VNSG 1227-Essentials of Medication Administration -Spring 2012- Re: 12/17/2011 QR 1 HOUSTON COMMUNITY COLLEGE SYSTEM HEALTH CAREERS EDUCATION DIVISION VOCATIONAL NURSING COURSE SYLLABUS

More information

Clinical Skills Validation: Alaris Pump System

Clinical Skills Validation: Alaris Pump System Clinical Skills Validation: Alaris Pump System These documents are intended for use by CW Nurse Clinical Leadership Team. The method used to implement the validation of the Alaris Pump System is unit specific.

More information

Levophed Drip Calculation Practice

Levophed Drip Calculation Practice Levophed Drip Practice Free PDF ebook Download: Levophed Drip Practice Download or Read Online ebook levophed drip calculation practice in PDF Format From The Best User Guide Database Calculating a Drip

More information

Calculating drip rate cheat sheet

Calculating drip rate cheat sheet Calculating drip rate cheat sheet Search GO Calculating drip rate cheat sheet The nurse's quick guide to I.V. drug calculations Cheat Sheet. Dosage Calculation Conversions You Need to Know in Nursing School....

More information

Medications Changes from Hospital to Hospice

Medications Changes from Hospital to Hospice Medications Changes from Hospital to Hospice March 15, 2013 Maxine DeLaCruz, MD Assistant Professor MD Anderson Cancer Center T. Hanh Trinh, MD Associate Medical Director Houston Hospice 1 Objectives To

More information

ICD 9/DSM 4/Other Axis Description Diagnosis Date Diagnosed By. Allergies: Yes No List Allergies and known reactions to medications, food, other:

ICD 9/DSM 4/Other Axis Description Diagnosis Date Diagnosed By. Allergies: Yes No List Allergies and known reactions to medications, food, other: Medication Administration Assessment Tool Profile Information Individual Name * : Provider/Program Name: Create Date * : Entered By * : Title: Birth Date: Age: Check all services that apply: Independent

More information

Prohibited. Implementation & Results. Karen Horon, Director, Professional Practice. use space to insert photo or graphics

Prohibited. Implementation & Results. Karen Horon, Director, Professional Practice. use space to insert photo or graphics Prohibited Abbreviations i Implementation & Results use space to insert photo or graphics Karen Horon, Director, Professional Practice Objectives To learn how focused education and communication, rather

More information

Protocol Applies To: UW Health Clinics: all adult outpatients with an active order for warfarin

Protocol Applies To: UW Health Clinics: all adult outpatients with an active order for warfarin Protocol Number: 7 Protocol Title: Ambulatory Initiation and Management of Warfarin for Adults Protocol Applies To: UW Health Clinics: all adult outpatients with an active order for warfarin Target Patient

More information

Section N Medications

Section N Medications Instructor Guide Section N Medications Objectives At the conclusion of this lesson, the student will be able to: State the intent of Section N Medications. Describe the information required to complete

More information

AT THIS TIME, PLEASE COMPLETE THE PRE TEST FOUND AT THE END OF THIS DOCUMENT.

AT THIS TIME, PLEASE COMPLETE THE PRE TEST FOUND AT THE END OF THIS DOCUMENT. Introduction According to Florida statue 429.256 and 429.52 F.S., and medication practices as required by Rules 58A- 4.0185 and 58A-5.0191, F.S., supervision or assistance with selfadministration of medication

More information

Pediatric Dosage Calculation Practice Problems With Answers

Pediatric Dosage Calculation Practice Problems With Answers Pediatric Practice With Answers Free PDF ebook Download: Pediatric With Answers Download or Read Online ebook pediatric dosage calculation practice problems with answers in PDF Format From The Best User

More information

Medication Administration & Preventing Errors M E A G A N R A Y, R N A M G S P E C I A L T Y H O S P I T A L

Medication Administration & Preventing Errors M E A G A N R A Y, R N A M G S P E C I A L T Y H O S P I T A L Medication Administration & Preventing Errors M E A G A N R A Y, R N A M G S P E C I A L T Y H O S P I T A L Principles of Medication Administration Talk with the patient and explain what you are doing

More information

EC OR ADULT OUTPATIENT SURGERY PLAN - Phase: PACU Orders

EC OR ADULT OUTPATIENT SURGERY PLAN - Phase: PACU Orders - Phase: PACU Orders DETAILS Admit/Discharge/Transfer This plan should only be placed on a patient that is being discharged from outpatient surgery. If patient is being admitted, this plan should not be

More information

Medication Pass Fundamentals Part 1: Preparation, Errors, Safety, Security and Controlled Substances. Carrie Allen Pharm.D.

Medication Pass Fundamentals Part 1: Preparation, Errors, Safety, Security and Controlled Substances. Carrie Allen Pharm.D. Medication Pass Fundamentals Part 1: Preparation, Errors, Safety, Security and Controlled Substances Carrie Allen Pharm.D., CGP, BCPS, CCHP 04/2014 Intended Audience* Skilled Nursing Facilities (SNF),

More information

ALABAMA BOARD OF NURSING ADMINISTRATIVE CODE CHAPTER 610-X-7 STANDARDS OF NURSING PRACTICE; SPECIFIC SETTINGS TABLE OF CONTENTS

ALABAMA BOARD OF NURSING ADMINISTRATIVE CODE CHAPTER 610-X-7 STANDARDS OF NURSING PRACTICE; SPECIFIC SETTINGS TABLE OF CONTENTS Nursing Chapter 610-X-7 ALABAMA BOARD OF NURSING ADMINISTRATIVE CODE CHAPTER 610-X-7 STANDARDS OF NURSING PRACTICE; SPECIFIC SETTINGS TABLE OF CONTENTS 610-X-7-.01 610-X-7-.02 610-X-7-.03 610-X-7-.04 610-X-7-.05

More information

Alert. Patient safety alert. Promoting safer measurement and administration of liquid medicines via oral and other enteral routes.

Alert. Patient safety alert. Promoting safer measurement and administration of liquid medicines via oral and other enteral routes. Patient safety alert 19 Alert 28 March 2007 Immediate action Action Update Information request Ref: NPSA/2007/19 Promoting safer measurement and administration of liquid medicines via oral and other enteral

More information

Preventing Disasters in Your Practice

Preventing Disasters in Your Practice Preventing Disasters in Your Practice Medication Errors Kendall Egan MD, FAAD DermOne Wilmington NC Clinical Director Financial Disclosures I do not have any relevant financial disclosures. Outline Medication

More information

Hospira Sapphire PCA/Epidural Pump Handout

Hospira Sapphire PCA/Epidural Pump Handout Important Information You Need to Know 1. Order Sets Have been updated to reflect the new device terminology 2. Terminology: Crosswalk Current (Gemstar) New (Sapphire) Continuous Dose Continuous Rate Bolus

More information

Mercer County Community College Division of Health Professions. Nursing Program. NRS 231 College Lab/Simulation/Clinical Manual

Mercer County Community College Division of Health Professions. Nursing Program. NRS 231 College Lab/Simulation/Clinical Manual Mercer County Community College Division of Health Professions Nursing Program NRS 231 College Lab/Simulation/Clinical Manual Fall 2016 1 NRS 231 students are expected to: Mercer County Community College

More information

TITLE/DESCRIPTION: IODINATED C0NTRAST MEDICATION ADMINISTRATION

TITLE/DESCRIPTION: IODINATED C0NTRAST MEDICATION ADMINISTRATION TITLE/DESCRIPTION: IODINATED C0NTRAST MEDICATION ADMINISTRATION PROCEDURE DEPARTMENT: Radiology PERSONNEL: All Personnel in Radiology EFFECTIVE DATE: March 2008 REVISED: Feb 2012, 1/15, 05/17 POLICY: IODINATED

More information

Clinical Pathway: Tetralogy of Fallot (TOF) Repair

Clinical Pathway: Tetralogy of Fallot (TOF) Repair Project TICKER Teamwork to Improve Cardiac Kids End Results Clinical Pathway: Tetralogy of Fallot (TOF) Repair Notes: (1) This pathway is a general guideline and variations can occur based on professional

More information

Managing Pharmaceuticals to Reduce Medication Errors August 26, 2003

Managing Pharmaceuticals to Reduce Medication Errors August 26, 2003 Managing Pharmaceuticals to Reduce Medication Errors August 26, 2003 Susan M. Proulx, Pharm.D. President, Med-E.R.R.S. Subsidiary of ISMP (www.med-errs.com) Mission of ISMP Translate errors into education

More information

Limitations and Guidelines Revised for Elastomeric Devices and IV Supplies and Equipment

Limitations and Guidelines Revised for Elastomeric Devices and IV Supplies and Equipment Limitations and Guidelines Revised for Elastomeric Devices and IV Supplies and Equipment Information posted January 8, 2007 Effective for dates of service on or after March 1, 2007, benefit limitations

More information

TEST BANK FOR SAUNDERS COMPREHENSIVE REVIEW FOR THE NCLEX RN EXAMINATION 5TH EDITION BY SILVESTRI

TEST BANK FOR SAUNDERS COMPREHENSIVE REVIEW FOR THE NCLEX RN EXAMINATION 5TH EDITION BY SILVESTRI TEST BANK FOR SAUNDERS COMPREHENSIVE REVIEW FOR THE NCLEX RN EXAMINATION 5TH EDITION BY SILVESTRI Link download full:https://digitalcontentmarket.org/download/test-bank-forsaunders-comprehensive-review-for-the-nclex-rn-examination-5th-edition-bysilvestri

More information

HOME HEALTH CARE. Guideline Number: CDG Effective Date: December 1, 2017

HOME HEALTH CARE. Guideline Number: CDG Effective Date: December 1, 2017 HOME HEALTH CARE UnitedHealthcare Commercial Coverage Determination Guideline Guideline Number: CDG.022.10 Effective Date: December 1, 2017 Table of Contents Page INSTRUCTIONS FOR USE... 1 BENEFIT CONSIDERATIONS...

More information

University of South Dakota Vermillion, South Dakota Department of Nursing. Simulation Scenario Safety: Patient Safety. Overview

University of South Dakota Vermillion, South Dakota Department of Nursing. Simulation Scenario Safety: Patient Safety. Overview Simulation Scenario Safety: Patient Safety Overview Title: Patient Safety Concept: Safety Target Course: First Year Nursing Students To cite this reference Dreke, C. (2012). Simulation scenario; Safety:

More information

Example of a Health Care Failure Mode and Effects Analysis for IV Patient Controlled Analgesia (PCA) Failure Modes (what might happen)

Example of a Health Care Failure Mode and Effects Analysis for IV Patient Controlled Analgesia (PCA) Failure Modes (what might happen) Prescribing Assess patient Choose analgesic/mode of delivery Prescribe analgesic Institute for Safe Medication Practices Example of a Health Care and Effects Analysis for IV Patient Controlled Analgesia

More information

Alaris Guardrails Quick Overview for Staff Pharmacists

Alaris Guardrails Quick Overview for Staff Pharmacists Alaris Guardrails Quick Overview for Staff Pharmacists Ruth LaCasse Kalish, RPh 3-16-2016 Objectives Provide information to pharmacists that may assist when a nurse calls with an issue with the guardrails.

More information

Pharmacy Medication Reconciliation Workflow Emergency Department

Pharmacy Medication Reconciliation Workflow Emergency Department Objectives of the Pharmacy Forum Page To become familiar with EPIC functionalities used in prior to admission (PTA) medication reconciliation (Section 1) 2 7 To understand the pharmacy technicians role

More information

Medication Safety Way Beyond the 5 Rights

Medication Safety Way Beyond the 5 Rights Safety Way Beyond the 5 Rights JoAnne Phillips, MSN, RN, CCRN, CCNS, CPPS The University of Pennsylvania Health System Philadelphia, PA Current State. Of Chaos Prescriptions 12 per /person / year 4 BILLION

More information

Just Culture Toolkit Scenarios

Just Culture Toolkit Scenarios Just Culture Toolkit Scenarios In order to promote a just culture where staff is comfortable in reporting errors or near misses, healthcare organizations must adopt a disciplinary system theory approach.

More information

SUNY DOWNSTATE MEDICAL CENTER UNIVERSITY HOSPITAL OF BROOKLYN POLICY AND PROCEDURE

SUNY DOWNSTATE MEDICAL CENTER UNIVERSITY HOSPITAL OF BROOKLYN POLICY AND PROCEDURE SUNY DOWNSTATE MEDICAL CENTER UNIVERSITY HOSPITAL OF BROOKLYN POLICY AND PROCEDURE Subject: GUIDELINES FOR USE OF THE No. NURSE-17 INTERDISCIPLINARY PLAN OF CARE Page 1 of 5 Prepared by:dianne Woods, RN

More information

Procedures for the Prescribing Recording and Administration of Medicines

Procedures for the Prescribing Recording and Administration of Medicines The Newcastle Upon Tyne Hospitals NHS Trust Procedures for the Prescribing Recording and Administration of Medicines SIXTH EDITION January 2006 The Prescribing, Recording and Administration of Medicines

More information

ALABAMA BOARD OF NURSING ADMINISTRATIVE CODE CHAPTER 610-X-6 STANDARDS OF NURSING PRACTICE TABLE OF CONTENTS

ALABAMA BOARD OF NURSING ADMINISTRATIVE CODE CHAPTER 610-X-6 STANDARDS OF NURSING PRACTICE TABLE OF CONTENTS ALABAMA BOARD OF NURSING ADMINISTRATIVE CODE CHAPTER 610-X-6 STANDARDS OF NURSING PRACTICE TABLE OF CONTENTS 610-X-6-.01 610-X-6-.02 610-X-6-.03 610-X-6-.04 610-X-6-.05 610-X-6-.06 610-X-6-.07 610-X-6-.08

More information

Medication Guidelines

Medication Guidelines Guidelines March 2015 Medication Guidelines MEDICATION MARCH 2015 i Approved by the College and Association of Registered Nurses of Alberta () Provincial Council, March 2015. On September 22, 2017 Provincial

More information

90 Pharmacology and Parenteral Therapy NCLEX Questions

90 Pharmacology and Parenteral Therapy NCLEX Questions 90 Pharmacology and Parenteral Therapy NCLEX Questions 1. A nurse is preparing to administer a dose of warfarin to a patient. Based on the nurse s knowledge of this drug, the nurse knows to monitor for

More information

Performance of Tikur Anbessa Specialised Hospital: Cross sectional Study Dawit Teshome, AAU Aynoshe Adio, AAU Nov 16, 206 Dare es Salaam, Tanzania

Performance of Tikur Anbessa Specialised Hospital: Cross sectional Study Dawit Teshome, AAU Aynoshe Adio, AAU Nov 16, 206 Dare es Salaam, Tanzania Performance of Tikur Anbessa Specialised Hospital: Cross sectional Study Dawit Teshome, AAU Aynoshe Adio, AAU Nov 16, 206 Dare es Salaam, Tanzania [DATE] Thanks to our generous sponsors 12/27/2016 2 Outlines

More information

IV 03 CRAIG HOSPITAL POLICY/PROCEDURE

IV 03 CRAIG HOSPITAL POLICY/PROCEDURE CRAIG HOSPITAL POLICY/PROCEDURE Approved: NPC, P&P 12/06; P&T 2/07; Effective Date: 10/78 IC, MEC 03/07; NPC, P&P 08/09; MEC 9/09 P&T 12/10; MEC, P&P 01/11, 04/11; NPC, P&P 06/12, 06/15, 12/15 ; NPC, P&T,

More information

High-Risk IV Medications Dosing Limits Guidelines of Care

High-Risk IV Medications Dosing Limits Guidelines of Care San Diego Patient Safety Council High-Risk IV Medications Dosing Limits Guidelines of Care Tool Kit 2012 About This Document The purpose of this tool kit is to provide evidenced-based recommendations and

More information

Alert. Patient safety alert. Actions that can make anticoagulant therapy safer. 28 March Action for the NHS and the independent sector

Alert. Patient safety alert. Actions that can make anticoagulant therapy safer. 28 March Action for the NHS and the independent sector Patient safety alert 18 Alert 28 March 2007 Immediate action Action Update Information request Ref: NPSA/2007/18 Actions that can make anticoagulant therapy safer Anticoagulants are one of the classes

More information

Measuring Medication Harm: Advantages of Using a Trigger Tool. Frank Federico Executive Director

Measuring Medication Harm: Advantages of Using a Trigger Tool. Frank Federico Executive Director Measuring Medication Harm: Advantages of Using a Trigger Tool Frank Federico Executive Director ffederico@ihi.org Objectives Review the use of the trigger tool Discuss how to use the trigger tool for high-alert

More information

Social care guideline Published: 14 March 2014 nice.org.uk/guidance/sc1

Social care guideline Published: 14 March 2014 nice.org.uk/guidance/sc1 Managing medicines in care homes Social care guideline Published: 14 March 2014 nice.org.uk/guidance/sc1 NICE 2018. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and-conditions#notice-ofrights).

More information

Patient Safety (PS) 1) A collaborative process is used to develop policies and/or procedures that address the accuracy of patient identification.

Patient Safety (PS) 1) A collaborative process is used to develop policies and/or procedures that address the accuracy of patient identification. Patient Safety (PS) Standard PS.1 [Patient identification] The organization has established procedures for accurately identifying patients. Intent of PS.1 Wrong-patient errors occur in virtually all aspects

More information

Innovative Techniques for Residents to Improve Safety

Innovative Techniques for Residents to Improve Safety Innovative Techniques for Residents to Improve Safety Eugene Terry, MD Modified from Tammy Lundsrum,MD www.mihealthandsafety.org/presentations/lundstrom.ppt What is a Safety Culture And how is it achieved?

More information

Health Care Aide Role in Medication Assistance. A Companion to the Alberta Provincial Continuing Care Medication Assistance Program (MAP) Manual

Health Care Aide Role in Medication Assistance. A Companion to the Alberta Provincial Continuing Care Medication Assistance Program (MAP) Manual Health Care Aide Role in Medication Assistance A Companion to the Alberta Provincial Continuing Care Medication Assistance Program (MAP) Manual Updated March 1, 2016 Acknowledgements This document has

More information

One or More Errors in 67% of the IV Infusions: Insights from a Study of IV Medication Administration

One or More Errors in 67% of the IV Infusions: Insights from a Study of IV Medication Administration One or More Errors in 67% of the IV Infusions: Insights from a Study of IV Medication Administration Presented by: Marla Husch Northwestern Memorial Hospital Northwestern Memorial Hospital Chicago, Illinois

More information

Simulation Design Template. Location for Reflection:

Simulation Design Template. Location for Reflection: Simulation Design Template Date: Discipline: Expected Simulation Run Time: Location: Admission Date: Today s Date: Brief Description of Client Name: Gender: Age: Race: File Name: Student Level: Guided

More information

Disclosure statement

Disclosure statement Seminar T5 Novel ways of dispensing drugs Standardization & Centralization: The Right Way Forward András Vermes, PharmD, PhD EAHP 2016 Vienna, Austria Disclosure statement Conflict of interest: nothing

More information

Nursing Care for Acute Ischemic Stroke Patients

Nursing Care for Acute Ischemic Stroke Patients Nursing Care for Acute Ischemic Stroke Patients Highlights of lessons learned 2016 Annie Sanford MSN, RN Stroke Program Manager Swedish Medical Center, Seattle, WA 1 Learning Objectives: By attending this

More information

MEDICATION ADMINISTRATION POLICY POLICY, PROCEDURES, & GUIDELINES FOR MEDICATION ADMINISTRATION II. PROCEDURES FOR MEDICATION ADMINISTRATION

MEDICATION ADMINISTRATION POLICY POLICY, PROCEDURES, & GUIDELINES FOR MEDICATION ADMINISTRATION II. PROCEDURES FOR MEDICATION ADMINISTRATION Insytt-ma-procedures 08-09; 02-17 page 1 of 7 MEDICATION ADMINISTRATION POLICY POLICY, PROCEDURES, & GUIDELINES F MEDICATION ADMINISTRATION II. PROCEDURES F MEDICATION ADMINISTRATION Procedures used for

More information

Clinical Instructor s Orientation Day. August 18, 2017 AURORA

Clinical Instructor s Orientation Day. August 18, 2017 AURORA Clinical Instructor s Orientation Day August 18, 2017 AURORA Site Specific Updates Versus Badges locaters now available on all the med surg floors 1, 2S, 2N, 3, 4, and LDRP. Request for instructor to carry

More information

MEDICATION AIDE EDUCATION & ROLE IN LONG TERM CARE/SKILLED NURSING FACILITIES VS ADULT CARE SETTINGS POSITION STATEMENT

MEDICATION AIDE EDUCATION & ROLE IN LONG TERM CARE/SKILLED NURSING FACILITIES VS ADULT CARE SETTINGS POSITION STATEMENT FACILITIES VS ADULT CARE SETTINGS A Position Statement is not a regulation of the NC Board of Nursing and does not carry the force and effect of law and rules. A Position Statement is not an interpretation,

More information

Medication Safety in the Operating Room: Using the Operating Room Medication Safety Checklist

Medication Safety in the Operating Room: Using the Operating Room Medication Safety Checklist Medication Safety in the Operating Room: Using the Operating Room Medication Safety Checklist CPSI Safe Surgery Saves Lives Workshop Montréal, QC 29Mar2011 Julie Greenall, RPh, BScPhm, MHSc, FISMPC Institute

More information

Running head: MEDICATION ERRORS 1. Medications Errors and Their Impact on Nurses. Kristi R. Rittenhouse. Kent State University College of Nursing

Running head: MEDICATION ERRORS 1. Medications Errors and Their Impact on Nurses. Kristi R. Rittenhouse. Kent State University College of Nursing Running head: MEDICATION ERRORS 1 Medications Errors and Their Impact on Nurses Kristi R. Rittenhouse Kent State University College of Nursing MEDICATION ERRORS 2 Abstract One in five medication dosages

More information

OSCE demo Oral Structured Clinical Examination

OSCE demo Oral Structured Clinical Examination OSCE demo Oral Structured Clinical Examination Patient interview. ü Aim: Identify incorrect medications in medication list Physician discussion. ü Aim: Implement correct medication list Tommy Eriksson

More information

POLICIES AND PROCEDURES. Pharmacy Services for Nursing Facilities

POLICIES AND PROCEDURES. Pharmacy Services for Nursing Facilities POLICIES AND PROCEDURES Pharmacy Services for Nursing Facilities Contents I. GENERAL POLICIES AND PROCEDURES A. Organizational Aspects 1. Provider Pharmacy Requirements... 1 2. Consultant Pharmacist Services

More information

Assistance With Self- Administered Medication. 2-hour Update Training

Assistance With Self- Administered Medication. 2-hour Update Training Assistance With Self- Administered Medication 2-hour Update Training 3 METHODS OF MEDICATION MANAGEMENT Self-administration Assistance with self-administration Administration Self-Administered Medication

More information

IBBM PBMS Review Course The Job, Quality, and Data

IBBM PBMS Review Course The Job, Quality, and Data JECT 2017 PBMS Review Course IBBM PBMS Review Course The Job, Quality, and Data Jeff Riley MHPE, CCP Portland OR October 21, 2017 1 1996 ABCA-Sponsored Job Analysis 1996 demographics for PMBT Rating scales

More information

EXCEL STAFFING SERVICES, INC. PO Box Greensboro, NC Tel: Fax: (336)

EXCEL STAFFING SERVICES, INC. PO Box Greensboro, NC Tel: Fax: (336) EXCEL STAFFING SERVICES, INC. PO Box 13251 Greensboro, NC 27415 Tel: 1-800- 883-9235 Fax: (336) 291-1011 DOH: ORIENTATION: TB DATE: EMPLOYEE SERVICE APPLICATION: CNA LPN RN (circle one) NAME TAX ID/SS#

More information