According to Agency for Healthcare Research and Quality, adverse drug events (ADEs) account for 700,000 emergency department visits and 100,000 hospitalizations each year. In addition, approximately 5% of hospitalized patients experience an ADE each year. Simulation offers a wonderful opportunity for hospital staff and students to practice the essential skills involved in medication administration. Nursing schools and hospitals typically use a standardized sequence of checks to guide staff and students through the complex process of medication administration. Initially five considerations or rights were identified. Over the years however, additional steps have been added. Some institutions combine one or more of the steps. Show 5+ Hour Nursing CE Instant Access Online Course: Perhaps the “right reason” should be the place to start. After all, why go through the other rights only to discover that a prescribed medication does not make any sense for a particular patient and the prescriber needs to be contacted to confirm that the drug is appropriate. Sponsored Content: The original five were:
Additional 5 rights:
Simulation for novice learners should follow a standard pattern until they become comfortable with the basics of medication administration. If you are offering simulation for multiple groups, repeating the same scenario with the same group or challenging more advanced learners there are a myriad of ways to add changes to a standard scenario. The list below offers some suggestions.
Simulation provides a unique opportunity for learners to improve their clinical judgement and prevent patient harm. Sponsored Content: Today’s article was guest authored by Kim Baily PhD, MSN, RN, CNE, Simulation Coordinator for Los Angeles Harbor College. Over the past 15 years Kim has developed and implemented several college simulation programs and currently chairs the Southern California Simulation Collaborative. Have a story to share with the global healthcare simulation community? Submit your simulation news and resources here! Learn more about The 5, 6, 7, 8, 9 Rights for Medication Administration!About the Author: Dr. Kim Baily - Dr. Kim Baily, MSN, PhD, RN, CNE has had a passion for healthcare simulation since she pulled her first sim man out of the closet and into the light in 2002. She has been a full-time educator and director of nursing and was responsible for building and implementing two nursing simulation programs at El Camino College and Pasadena City College in Southern California. Dr. Baily is a member of both INACSL and SSH. She serves as a consultant for emerging clinical simulation programs and has previously chaired Southern California Simulation Collaborative, which supports healthcare professionals working in healthcare simulation in both hospitals and academic institutions throughout Southern California. Dr. Baily has taught a variety of nursing and medical simulation-related courses in a variety of forums, such as on-site simulation in healthcare debriefing workshops and online courses. Since retiring from full time teaching, she has written over 100 healthcare simulation educational articles for HealthySimulation.com while traveling around the country via her RV out of California. What are the 7 routes of medication administration?Technique. Intravenous Route.. Intramuscular Route.. Subcutaneous Route.. Rectal Route.. Vaginal Route.. Inhaled Route.. What is included in the 7 rights?To ensure safe medication preparation and administration, nurses are trained to practice the “7 rights” of medication administration: right patient, right drug, right dose, right time, right route, right reason and right documentation [12, 13].
Why is it important to know the 7 rights of medication administration?Knowing about medications and how to assist individuals in using them is vital to the health and well- being of those you support. Following the Seven Rights each time you assist an individual with self-administration of medication is the best way for the Direct Support Professional (DSP) to prevent medication errors.
What are the 8 rights of medication administration?Eight Rights of. Medication Administration. The Right Person.. The Right Medication.. The Right Time.. The Right Dose.. The Right Route.. The Right Position.. The Right Documentation.. The Right to Refuse.. |