Medication Safety Jeopardy

4 Categories 12 Questions

What are the rights of medication administration? How can a nurse ensure proper patient identification before administering medications to prevent errors?

Kayla Martin

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Category 1

What are the rights of medication administration?

Right Dose, Right Patient, Right Route, Right Time, Right Medication, Right to Refuse

How can a nurse ensure proper patient identification before administering medications to prevent errors?

Ask the patients name and date of birth

What steps should a nurse take to ensure the accuracy of medication administration, especially when handling high-risk medications?

Verify medication with order, Verify any allergy, Verify dosage, Verify expiration date, Independent double verification(when necessary)

Category 2

Ordered: Acetaminophen 15mg/kg, available is 160mg/5 ml. Patient weight is 19.2 kg, what is the dose in ml?

9 ml

Ordered: Midazolam nasal 0.2mg/kg, available is midazolam 5mg/ml. Patient weight is 16.45 kg, what is the dose in ml?

0.66 ml

Ordered: Morphine inj 0.1mg/kg, available is morphine 2mg/ml. Patient weight is 18.65kg, what is the dose in ml?

0.93 ml

Category 3

A nurse notices that there is an order for a blood transfusion, but the patient’s haemoglobin is within the normal range. She notifies the doctor. The doctor claimed that they ordered it for the wrong patient. Is this a near miss or a good catch?

good catch

One nurse has a heavy load of medications to give 5 of her patients between 9 and 10 am. One patient requires half a tab of Keppra rather than a full one. Overwhelmed, the nurse is not alerted to this and gives the patient a whole tab of Keppra. It is not until after she gives the med that she realises but it never resulted in patient harm. Near miss or a good catch?

near miss

A nurse gathers medication for 2 of her patients, a 2 year old and a 15 year old, with the same antibiotic. While in the 15 year old patient’s room, she administer the antibiotic dose designated for the 2 year old. Is this a near miss or a good catch?

near miss

Category 4

When administering nasal midazolam rescue, this amount of extra medication needs to be drawn up.

0.1 ml

A patient has ordered clobazam 5mg to be given BID as well as clobazam 10mg to be given Q24H. What is this an example of?

Staggering dosing times

These IV drugs can be given orally.

Dexamethasone and Ativan

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