The Nurse/Midwife's Guide to...

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Medication Administration:
Always remember your 3 checks & 8 rights

Right:
1. Patient
2. Medication
3. Time
4. Dose
5. Route
6. Expiration
7. to Decline
8. Documentation

Checking:
1. Patient
2. Strength and dosage
3. Frequency
... against the med order

Medication checks done by a second nurse are always "independent."

Always check your medication the same way each time, and have a routine for you.

Example, follow the medication chart:

Stop, breathe, check:
patient, dug, allergies
route, dose, time.
dr signed, allergies, IV stickers, etc.

Check first, the medication and the patient on the first line, as well as their allergies

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Check first, the medication and the patient on the first line, as well as their allergies.

Then move to the next line, route, dose, and time.

Then ensure the doctor's signature is there.

Then check the medication's expiry and correct preparation.

Do not:
☞ Ask a checker, 'can you please check my (insert medication, ie., heparin)?'
Instead, ask, 'can you pease check my medication,' to avoid influencing them in any way.

Do not leave medications laying around.

Do not do more than one patient's medications at once.

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