10 RIGHTS OF MEDICINE ADMINISTRATION
There are some aspects of medicine administration, which arc important for the nurse to check each time a medication is administered. These are referred as 10 rights of medicine administration.
1. RIGHT MEDICATION:
Read physician's order to study the name of the drug, if the order is not clear consult with the doctor.
Be meticulous of the drugs whose names sound alike.
Select thc right drug from the cupboard, read the label of the container and name of the medicine thrice.
Check 3 times-
1 ) before removing the container from drawer.
2) As medication is removed from container
3) Patient’s bedside before administering the Medication
Administer medicine from a clearly labelled container.
Avoid conversation or anything that distracts the mind during preparation.
Make sure that the doctor has not discontinued the drug.
two people should check before giving medications.
Administer only mcdications prepared by yourself
2. RIGHT DOSE
Read the doctor's order carefully to know the accurate dosage.
Consider the age and weight of the client, thus find out the error in dosage. If any.
Use standard measurement devices to measure dose
Should know the minimum and maximum dose of a medicine.
Measure and calculate accuracy.
Have the medicine card or written order in hand before you prepare the medicine.
Know the abbreviations and symbols in medication card. Avoid spillage of liquid medication.
Clean crushing device to avoid previous remaining dose.
3. RIGHT TIME
Give the medication at right frequency and at time ordered according to the agency.
Give medication as ordered in relation to food intake.
Give the medication according to the action expected.
Nurses clinical judgment- e.g. Sleeping pill
Q8h-every 8 hours- to maintain blood levels
Tid-3 times a day
Stat - give immediately
PC- after meals
Insulin -before meals
4. RIGHT ROUTE
Give the medication through ordered route.
Make sure that the route is safe and appropriate for client.
Stay with the patient until he or she has taken the medicine.
Never leave any medication with the patient.
When oral medication is prepared in syringe label it
5. RIGHT CLIENT
Read the physician's order for whom the Indication is prescribed.
Read the name on the chart and prescription.
By asking the client, to state their name
Check the patient's identification band with each administration.
6. RIGHT DOCUMENTATION
Document the given medication, after the procedure.
If the time of administration differs from the prescribed time, note the time and specify the reason.
If the medication is not given, follow the hospital policy for documenting the reason.
Document site of injection and patient's response to medication.
Indicate which medication was given.
Document name of drug, dose, and time of administration.
7 Right assessment
Some medication require specific assessment prior to administration of medication.
E.g. Observation of apical pulse, BP, lab results
8. Right evaluation
Evaluating for achieving appropriate effect of medication e.g.Occurrences of any side effects
9 Right patient education
Explain information about medication, its purpose, side effects
What are the precautions to be kept in mind with regard to the medication taken?
10 Right to Refuse Medication