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10 Rights in Drug Administration

The document outlines the 10 R's of drug administration which are: right patient, right drug, right dose, right time, right route, right education, right to refuse, right assessment, right evaluation, and right documentation. It provides guidance on verifying each of these steps such as checking the patient's identification, comparing the drug and dose to the order, educating the patient, documenting properly, and evaluating the effects of the drug. Following the 10 R's helps ensure safe and effective drug administration for patients.

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Nathaniel Pulido
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843 views25 pages

10 Rights in Drug Administration

The document outlines the 10 R's of drug administration which are: right patient, right drug, right dose, right time, right route, right education, right to refuse, right assessment, right evaluation, and right documentation. It provides guidance on verifying each of these steps such as checking the patient's identification, comparing the drug and dose to the order, educating the patient, documenting properly, and evaluating the effects of the drug. Following the 10 R's helps ensure safe and effective drug administration for patients.

Uploaded by

Nathaniel Pulido
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Belen G.

De los Trinos, RN, RM, USRN, MAN


10 R’s IN DRUG ADMINISTRATION

1. RIGHT PATIENT
2. RIGHT MEDICATION/DRUG
3. RIGHT DOSE
4. RIGHT TIME & FREQUENCY
5. RIGHT ROUTE
6. RIGHT EDUCATION
7. RIGHT TO REFUSE
8. RIGHT ASSESSMENT
9. RIGHT EVALUATION
10.RIGHT DOCUMENTION
#1
• Always check patient’s identification bracelet
• Ask patient to state their name and birth date
• Compare medication order to identification
bracelet and patient’s stated name and birth
date
• Verify patient’s identification with patient’s chart
or from significant others
• Know the agency’s name alert procedure when
client’s with the same or similar names are in the
nursing unit
RIGHT DRUG
#2
• This means that the client receives the drug that
was prescribed
• Prescriptions may be written in a prescription
pad and filled by a pharmacist at a drug store or
hospital pharmacy
• For institutionalized clients, the drug orders may
be written on “order sheets” and signed by the
doctor
• A telephone order (TO) or verbal order (VO) for
medication must be cosigned by the health care
provider within 24 hours. Refer to institutional
policy
#2
• Perform a triple check of medication’s label
– When retrieving the medication
– When preparing the medication
– Before administering medication to patient
• Always check the medication label with
physician’s orders
• Never administer medication prepared by
another person
• Never administer medication that is not labeled
#3
RIGHT DOSE
#3

• Check label for medication concentration


• Compare prepared dose with medication order
• Triple check all medication calculations
• Check all medication calculations with another
• Verify that dosage is within appropriate dose for
patient and medication
• Know the usual dosage range of the medication
#4
#4
• Verify schedule of medication with order
– Date
– Time
– Specified period of time
• Check last dose of medication given to
patient
• Administer medication within 30 minutes of
schedule
#5
• Verify medication route with medication
order before administering
– Parenteral
– Enteral
– Topical/percutaneous
• Medication may only be administered via
route specified in order
• Make certain that the route is safe and
appropriate for the client
#6

• Inform client of medication being


administered
• Inform client of desired effects of
medication
• Inform client of side effects of medication
• Ask client if they have any known allergies
to medication
#7
• The legally responsible party (patient, parent,
family member, guardian, etc.) for patient’s care
has the right to refuse any medication
• Inform responsible party of consequences of
refusing medication
• Verify that responsible party understands all of
these consequences
• Notify physician and document notification
• Document refusal of medication and that
responsible party understands consequences
#8

• Properly assess patient and tests to


determine if medication is safe and
appropriate
• If deemed unsafe or inappropriate, notify
ordering physician and document
notification
• Document that medication was not
administered and reason that dose was
skipped
#8
• Some medications may require specific
assessments prior to administration (apical pulse,
BP, lab results
• Assess for:
– Drug allergy – medication, food, environmental
allergens
– Drug history – use of prescription and OTC drugs
– Drug interaction – drug-drug and drug-food
interactions
– Vital signs – prior to administration of medication
#8
–HR when giving cardiac glycoside,
beta blockers
–RR when giving analgesics,
anesthesia, MgSO4, muscle
relaxants
–BP for antihypertensive agents
–Temp for antipyretics
#9

• AFTER MEDICATION HAS BEEN


ADMINISTERED:
– Assess patient for any adverse side effects
– Assess patient for effectiveness of medication
– Compare patient’s prior status with post
medication status
– Document patient’s response to medication
#10
• Document administration of medication
IMMEDIATELY after giving medication
• NEVER document before medication is
administered
• Chart the time, route, and any other specific
information as necessary
• Site of an injection or lab value or VS that
needed to be checked before giving the
medication
• Countersign in the medication sheet with your
initials (not signature)

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