Pharmacology Safety & Considerations #3

Question

Which of the 6 rights of medication administration is most assessed when the nurse requests 2 verbal identifiers prior to medication administration?

Answers

  1. Correct dosage
    • Rationale:

      This answer is not correct because the correct dosage is confirmed through comparing the prescription to the medication on hand. Although electronic medical records provide bar code identification of the medication, the nurse should always look and confirm the right drug is being administered.

  2. Correct time
    • Rationale:

      This answer is not correct because the right time is not identified directly through the two client identifiers. Indirectly, all rights are confirmed through the use of the electronic medical record, nevertheless, verbal confirmation of the client identifiers is extremely important.

  3. Correct client
    • Rationale:

      This answer is correct because the correct client is assured through two client identifiers. The most common client identifiers include the client’s name, date of birth, or account number. All rights must be assured, but especially the correct client. This should be the first thing the nurse assures during medication administration. If an electronic medical record is utilized, a barcode is scanned in addition to the other client identifiers. This barcode is extremely helpful in checking the other rights, such as correct drug, time, dosage, route, and provides documentation of the medication administration.

  4. Correct documentation
    • Rationale:

      This answer is not correct because the right documentation is provided during and after medication administration. If an electronic medical record is utilized, a barcode can be scanned in addition to the other client identifiers. This barcode is extremely helpful in checking the other rights, such as correct drug, time, dosage, route, and helps provide documentation of the medication administration.

Overview

The 6 rights of client medication administration provide an organized safety net to assure client medication safety. Consistently adhering to those safety checks is imperative to safe, prudent nursing care.

Explanation

Learning Outcomes

Safe medication administration is supported by the practice of providing the 6 rights of medication administration every time, for every medication. Those rights include the nurse checking the correct client, drug, time, dosage, route, and documentation. The first right is assuring the right client is being given the medication. This is done through utilizing two client identifiers, which is commonly checked by asking the client to state their name and date of birth. The client armband can provide this information, as well as the client’s account number. If an electronic medical record is utilized, a barcode is scanned in addition to the other client identifiers. This barcode is extremely helpful in checking the other rights, such as correct drug, time, dosage, route, and provides documentation of the medication administration.

Test Taking Tip

Think positive during the test. Tell yourself, the test writer is not trying to trick me, but is giving me all the information I need to figure out the correct answer. Look for those clues the writers are trying to give you to point you in the right direction.

Video Rationale