4. Right Route. Check the MD order and check the medication label. Make sure the route is accessible. If it's p.o., can the patient swallow meds? If not, can it be crushed? Is the IV site appropriate? Can it be given via a peripheral line or does it need to be a central line and vice versa?
5. Right Patient. Check the MD order and check the medication label. Now check the patient. Can you identify this patient? Don't assume you know who the patient is, and NEVER go to room and bed number alone. Simple ways to ensure your patient's identity are to ask him for his name, date of birth, MD name.
6. Follow any manufacturer’s instructions. Follow your facility's protocols.
7. Observe the patient taking oral meds to be sure he has swallowed them.
8. Observe the patient for how well the medication and the procedure (especially if invasive such as an injection) is tolerated.
9. DOCUMENT medication, dose, time, route, and immediate response.
10. Notify the MD immediately of any adverse situations, including errors.
The Queensland Health Department is committed to improving the quality and safety of patient care and it is hoped that these guidelines will assist healthcare workers to achieve a safer health service delivery environment. . How to Avoid Medication Errors.
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