The Joint Commission's (TJC's) National Patient Safety Goals (NPSGs) address specific patient safety concerns. Show TJC requires the authorized individual receiving a verbal or telephone order to use these steps: A. Write down the order in the patient's chart or enter it into the electronic medical record. B. Read back the order to the HCP. C. Receive confirmation from the HCP that the order is correct. The authorized individual should also follow these safety tips: During the conversation, clarify any questions or concerns about the order with the HCP. If unsure about a medication's name or spelling, spell it back to the HCP and get confirmation. Never assume. Ensure that the verbal order contains the same essential components as a written order: the patient's full name, date and time of the order, medication's name, dosage, administration route, and frequency. Verify that the correct patient chart, or eMAR, is accessed in order to write the verbal order. Also, note any special instructions. In addition, note that this was an oral or telephone order and sign as the nurse who took the order. Many facilities require the HCP to sign the order within 24 hours. Some require designated personnel to countersign medication orders written by HCPs, who are not physicians. Which is the appropriate sequence for a medication order? a. Name of the medication, route, frequency, dosage b. Name of the medication, dosage, route, frequency c. Dosage, frequency, route, name of the medication d. Name of the medication, route, dosage, frequency Which is the appropriate sequence for a medication order? The nurse receives an order for "docusate 100 mg PO b.i.d." What is the correct dosage, route, and frequency of the
medication? A, E The abbreviation "AD" represents "right ear." It can be mistaken for "right eye," "left eye," or "each eye." Therefore, the Institute for Safe Medication Practices recommends against using "AD" and to instead spell out "right ear." QD has been placed on The Joint Commission (TJC) official "Do Not Use" List, as it is mistaken for similar abbreviations including Q.D., qd, q.d. "IV" represents "intravenous," "PO" represents "by mouth," and "SL" represents "sublingual," none of which is considered an error-prone abbreviation. Scheduled maintenance: Thursday, December 22 from 3PM to 4PM PST
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Terms in this set (25)The first responsibility of the health care professional when preparing a medication for administration is _____________________ of the medication order. interpretation Medication orders must always be written and signed by an _________ physician When in doubt about the interpretation of a medication order, always question the meaning, never __________. guess During an emergency, the health care professional may be given an ____________ order by the physician, which will be signed by the physician after the emergency. verbal When receiving a verbal order, the health professionals responsibility is to ________ _______ the name of the medication and the amount to the physician before administration read back When a verbal order is followed and the medication is administered, it is the responsibility of the health care professional to document the medication, amount and ____________ of administration time The medical assistant or nurse who will be calling in a prescription for the physician should repeat the name of the drug, ____________, frequency, and the route to the physician as the order is written down dosage The acronym CPOE refers to computerized physician order entry A written prescription for a controlled substance reads "2 tabs q4h" This is translated as 2 ________ every 4 _______ tablets, hours The abbreviation "LR" represents the term lactated ringers The original system of weights and measures for writing medications orders was the ________ system apothecary One gram is equal to _____ mg 1000 mg The abbreviation for twice a day is BID A normal saline solution is __________ % sodium chloride 0.9 ____________ are not commonly used in measurement ringers lactate In most states the physician must sign all verbal and telephone orders within how many hours? 24 Which instruction is the correct documentation when receiving a telephone order? Lasix 40 mg PO this a.m. for Mr. Cavis, room 6240, TO Dr. S. Jones, per Pat White CMA @ 1600, Hope CMA What is an appropriate abbreviation for drops? GTT Which interpretation of D5W with 20 mEq of KCL/L is correct? Dextrose five percent in water with twenty milliequivalents of potassium chloride per liter When the physician orders a medication "by NEB", the health care professional knows that this refers to? administer by nebulizer Which measurements are used for calibrating solid weights in the metric system? grams and milligram What is the metric equivalent of 1 ounce? 30 mL Two kilograms is equal to? 4.4 pounds One teaspoon of a medication is equivalent to how many milliliters? 5 mL One thousand milliliters is equal to how many ounces? 32 Students also viewed
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What is the responsibility of a nurse with regards to the telephone order?Nurses may accept physician orders via telephone from office personnel designated by the physician. In receiving orders from physician offices, nurses are responsible for recognizing the appropriateness of the order with respect to the plan of care, and for implementing the order or obtaining clarification.
What information must the nurse include when taking a telephone order quizlet?Medication name.. Medication dose.. Route of administration.. Frequency of administration.. Health care provider's signature.. Which action or step would occur after a nurse has read back a telephone order?Sign the order. After a nurse receives the verification following read back of a telephone order, a nurse must sign the order. Additionally, a nurse should also document the prescriber's name and make a notation that this was a verbal order.
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