Principle 1 - nurses are allowed to perform medication activities as directed by 1) the provincial, federal legislation; 2) BCCNM Standards, limits, and conditions; 3) employer or organizational polices; 4) nurse's own ____________.
Principle 21 - Anything that contributes to medication errors must be identified by the nurse - these may include human or systemic factors. The nurse must then act to ensure that the same _____ does not occur again.
Principle 7 - the nurse must also assess factors that _______ the client or substitute decision maker's ability to make informed consent about taking the prescribed medication (ex. values, beliefs, preferences, language, mental state, knowledge).
Principle 6 - the nurse must ______ their client & the medication before administering or preparing the medication.
Principle 16 - medication that have not been prepared by the nurse themselves or a pharmacist should ___ be administered to a client - unless there is an emergency situation that requires urgent med admin.
Principle 17 - once the medication has been administered the nurse must ______ each time.
Principle 11 - nurses use an __________ decision-making approach in med admin.
Principle 19 - nurses document the following dispensing _______ on the client’s medication profile or record:
Client name & second identifier.
Allergies & adverse medication reasons.
Date of dispense.
Medication name, dose, & strength.
Quantity of medication dispensed.
Duration of therapy.
Direction/instructions given to the client.
Name of the prescriber practitioner.
Signature & title of person who dispensed/prepared the medication.
Principle 15 - prior to administration of the medication the nurse must have the _____ to:
Assess and monitor client’s reaction to med.
Identify and intervene if an adverse reaction occurs.
Principle 18 - as the nurse is ________ medications, they must check the following:
Expiry Date
Client name & second identifier.
Medication name, dose, route, & strength
Instructions of the medication.
Quantity to be dispensed.
Date of dispense.
Initials of the dispensing nurse.
Name, address, phone number of medication dispensary agency.
Information that may be relevant re: meds.
the nurse must also hand the meds directly to the client.
Principle 23 - ________ of medications is the responsibility of the nurse according to organization policies and procedures and include:
Handling
Storage
Organization
Security
Transport
Disposal
Documentation
Principle 8 - the nurse must ______ the client about the medication given to them including: the reason, action, duration, precautions/instructions, side effects/adverse reactions, interactions, storage requirements, and follow up regarding the medication.
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