Every nurse in every nursing program in every state in every country has been taught and drilled “The 5 Rights of Medication Administration”.
It is a standardized protocol to teach nurses to VERIFY WHO, WHAT, WHERE, WHEN AND HOW they are giving medications:
1. Right drug
2. Right patient
3. Right dose
4. Right route
5. Right time
By the end of nursing school, students can recite the 5 Rights just as easily as they can the 5 Language descriptors.
Yet, medication errors are still the most common type of adverse effect and error. A medication error can trigger preventable multiple adverse events that can cause harm and prolong hospitalization.
Over the years, with more attention given to medication errors, including causes, preventable issues, accountability and responsibility, these 5 Rights are being recognized as not being enough.
Nursing schools, educators, providers and the FDA are evaluating other factors that are BOTH WITHIN AND OUTSIDE the scope of nursing.
In response to these questions, depending on the facility policy and procedure or, study reviewed, the 5 Rights have been expanded to 7, 8 or 9 Rights in order to broaden the questions nurses need to ask as they review, prepare and administer medications.
New medication rights with the additional recommendations can include:
1. RIGHT PATIENT
2. RIGHT MEDICATION
3. RIGHT DOSE
4. RIGHT ROUTE
5. RIGHT TIME
6. *NEW: RIGHT FORM
7. *NEW: RIGHT DOCUMENTATION
8. *NEW: RIGHT REASON
9. *NEW: RIGHT RESPONSE
Each facility or institution will have a Policy and Procedure regarding medication administration.It details the Rights of Medication of Administration that the facility requires each nurse to follow before, during and after administration of medication.
Understanding any of the evidence-based research guidelines on REVISED RIGHTS OF MEDICATION ADMINISTRATION should not simply be a checklist.
It should be part of the trained innate ability of nurses to use the Nursing process to go beyond simply task completion and use their advanced critical thinking to put multiple pieces of care information together.
As your Legal Nurse Consultant working with you on your case, I can help you understand these Rights of Medication and,
• what nurses do know about medications
• how nurses assess physician orders
• how nurses reconcile medication orders with pharmacy
• how nurses assess physician orders with patient status and treatment needs
• steps nurses can take to correct deficiencies found in medication orders, labeling and dispensing
• how nurses evaluate patient status including physical assessment, vital signs and laboratory values before, during and after medication administrations
• how nurses evaluate responsiveness and effectiveness of medications
• how nurses can communicate with providers regarding medication orders, dosing, administration, responsiveness and effectiveness
• actions nurses can take when errors are identified
Helping You Find The Answers
[Original Post 05/04/2015]