Ten Rights of Medication Administration With Nursingimplications

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1.

Right drug

2. Right patient

3. Right dose

4. Right route

5. Right time & frequency

6. Right documentation

7. Right Hx
(Complete patient drug/relevant history)

8. Drug approach

9. Right Drug-Drug Interaction


(drug-food incompatibilities/interaction)

10. Right Education and Information


(Teach pt about the drug he is taking)

Ten Rights of Medication Administration with NursingImplications


 
1.
Right Medication.
The medication given was the medication ordered.
Nursing Responsibility: Check three times for safe administration. Read the medication administration record (MAR)  and compare
thelabel of the medication against it. Check the expiration date of the medication. If the dosage does not match the MAR, determine if
youneed to do a math calculation. While preparing the medication, look at the medication label and check against the MAR. Recheck
the label on the container before returning to its storage place.
 
 
2
.    Right Amount / Dose.
The dose ordered is appropriate for the client.
 
Nursing Responsibility: Give special attention if the calculation indicates multiple pills/tablets or a large quantity of a liquid
medication.This can be a cue that the math calculation may be incorrect. Double check calculations that appear questionable.
 
Know the usual dosagerange of the medication. Question a dose outside of the usual dosage range.
 
 
3.    Right Patient/Client.
Medication is given to the intended client.
 
Nursing Responsibility: The Joint Commissions National Patient Safety Goal requires a nurse to use at least two client identifiers
whenever administering medications. Neither identifier can be the clients room number. Acceptable identifiers may be the
persons name, assigned identification number, photograph, or other person-specific identifier. Check the clients identification band
with each administration of medication.
 
Know the agencys name alert procedure when clients with the same or similar last names are on the nursing unit.
 
 
4
.    Right Route.
Give the medication by the ordered route.
 
Nursing Responsibility: Make certain that the route is safe and appropriate for the client. Clients may require physical assistance
inassuming positions for intramuscular injections.
 
5
.    Right Time and Manner.
Give the medication at the right frequency and at the time ordered according to agency policy.
 
Nursing Responsibility:
Medication given within 30 minutes before or after the scheduled time are considered to meet the right timestandard. The nurse should
also check institutional policy concerning administration of medications. Hospitals often have standardized interpretations for
abbreviations. The nurse must memorize and utilize standard abbreviations in interpreting, transcribing, and 

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