UNIT TWO

1
UNIT TWO

• Legal and Ethical Considerations
• Nurse Practice Act
• Standards of care

2
Patient Charts

• CONTENTS OF CHART
• Summary sheet (demographic)
• Consent forms
• Physicians order form
• HP
• Progress notes
• Nurses notes
• Nursing care plans
• Labs
• Graphic record
• Flow sheet
• Consultation reports
• Patient Education Record
• Kardex

3
Medication Administration Record

• Known as MAR
• computerized
• Medications
• PRN

4
Drug Distribution Systems

• Floor stock/ward stock
• Individual prescription order system
• Computer-controlled dispensing system
• Unit dose drug distribution system
• Long-term unit dose system

5
Drug orders

• Stat
• Single
• Standing orders
• Renewal
• PRN
• Verbal orders
• Read back to MD

6
MEDICATION ORDERS

• Adverse Drug events ADEs
• Nurses responsibilities
• Verification
• Transcription
• Six rights of drug administration
• Right drug
• Right time
• Right dose
• Right pt
• Right route
• Right documentation

7
Percutaneous Administration

• Refers to the application of medications to the
  skin or mucous membranes for absorption
• Primary advantage
• Dose Forms
• Creams
• Lotions
• ointments
• Dressings
• always do the 6 patient rights

8

• Patch testing-method used to identify a pts
  sensitivity to contact materials
• Allergens(antigens)
• NITROGLYCERIN OINTMENT
• How to apply
• TRANSDERMAL DRUG DELIVERY SYSTEM
• Disk or patch provides controlled release of
  prescribed medications(NTG, clonidine, estrogen,
  nicotine, scopolamine, fentanyl, ocs

9
Administration Techniques

• Sublingual/buccal
• Eye drops/ointment/disk (ophthalmic)
• Ear drops
• Pediatric/adult
• Nose drops