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10 Rights of Medication Administration

Matt B

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Rights of Medications Administration

You’ve heard of the ‘5 Rights of Medication Administration’, some experts claim this should be expanded to the ’10 Rights of Medication Administration’.

When it comes to the safe administration of medications you can never be too careful, especially as up to 10% of patients experience unwanted side-effects or reactions and research shows that administration errors make up 60% of all drug errors. The rights of medications administration are there not only to reduce

The rights of medications administration are there not only to reduce harm caused by medications errors but also protect the interests of the patient and the Nurse administering.

The 10 Rights of Medications Administration

1. Right patient

  • Check the name on the prescription and wristband.
  • Ideally, use 2 or more identifiers and ask patient to identify themselves.

2. Right medication

  • Check the name of the medication, brand names should be avoided.
  • Check the expiry date.
  • Check the prescription.
  • Make sure medications, especially antibiotics, are reviewed regularly.

3. Right dose

  • Check the prescription.
  • Confirm appropriateness of the dose using the BNF or local guidelines.
  • If necessary, calculate the dose and have another nurse calculate the dose as well.

4. Right route

  • Again, check the order and appropriateness of the route prescribed.
  • Confirm that the patient can take or receive the medication by the ordered route.

5. Right time

  • Check the frequency of the prescribed medication.
  • Double-check that you are giving the prescribed at the correct time.
  • Confirm when the last dose was given.

6. Right patient education

  • Check if the patient understands what the medication is for.
  • Make them aware they should contact a healthcare professional if they experience side-effects or reactions.

7. Right documentation

  • Ensure you have signed for the medication AFTER it has been administered.
  • Ensure the medication is prescribed correctly with a start and end date if appropriate.

8. Right to refuse

  • Ensure you have the patient consent to administer medications.
  • Be aware that patients do have a right to refuse medication if they have the capacity to do so.

9. Right assessment

  • Check your patient actually needs the medication.
  • Check for contraindications.
  • Baseline observations if required.

10. Right evaluation

  • Ensure the medication is working the way it should.
  • Ensure medications are reviewed regularly.
  • Ongoing observations if required.

Points 1 to 5 are the ‘5 Rights of Medication Administration’ as per the NMC and Nice Guidelines in the UK. Points 6-10 are unratified checks that have been suggested by multiple US nursing boards and research panels to enhance patient safety. 

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3 Comments

3 Comments

  1. Kelly Marie Hurst

    15th November 2015 at 3:48 pm

    I would of thought the assessment would of been carried out while preparing the medication and before administering it anyway?? But I do believe the additional “rights” are good guidelines on parr with good medication administration practice.

    • Matt

      15th November 2015 at 4:26 pm

      Hi @kellymariehurst:disqus, this post isn’t in the order in which you would complete the tasks – although that would be helpful I wanted to keep the frequently known 5 Rights separate! 😀

    • Matt

      15th November 2015 at 4:26 pm

      Hi @kellymariehurst:disqus, this post isn’t in the order in which you would complete the tasks – although that would be helpful I wanted to keep the frequently known 5 Rights separate! 😀

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Education

Lucozade is no longer as effective at treating hypoglycemia

James M

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Lucozade is no longer as effective at treating hypoglycemia

Due to changes in its recipe and a significant reduction in glucose, Lucozade will not be as effective as a treatment for hypoglycemic patients.

Recipe changes to Lucozade Original Energy product line mean it will no longer be as effective at treating hypoglycemic patients – this is due to a 50% reduction in glucose based carbohydrates. Healthcare Professionals should seek guidance from their local specialist team on alternative treatment protocols.

This change applies to all Lucozade Energy Flavours. New products started appearing on shelves in April 2017. However, for a short time, both the new and old recipe will be available.

Previously, 100ml of Lucozade Original contained 17g of carbohydrate; this was reduced to 8.9g in April 2017.

Lucozade is no longer as effective at treating hypoglycemia

According to Diabietes.co.uk, patients who experience a hypoglycemic episode are advised to consume 15-20g of sugar when treating low blood sugar, but this will no longer be equivalent to 100ml of Lucozade.

Lucozade Ribena Suntory, which also makes Ribena and Orangina, among other drinks, is lowering its sugar content by replacing these sugars with low-calorie sweeteners, such as aspartame.

You can also visit www.lrsuntory.com/health for more information on Lucozade’s changing nutritional values or speak to your local diabetes specialist team.

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Education

Shift Planner for Nurses, Students & Support Staff

Matt B

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Shift Planner for Nurses, Students & Support Staff

Shift planning is essential for safe care, some people using a piece of paper others have their thoughts well arranged in their head, either way everybody does it.

This shift planner has been designed with newly qualified nurses and student nurses in mind but would be suitable for anybody to use.

You can download our Shift Planner for FREE. You are free to download, print and distribute our shift planner as you wish. You will need a PDF reader on your PC to download. 

The planner has been created with two primary columns, one for your main nursing priorities and one to remind you to hand over jobs to the next shift. It also features a small key and area for general notes. Due to limited space we have only included enough room to plan up to eight patients, if you need more we encourage you print doublesided.

We encourage you to make comments or suggestions in the comments section below. The most popular will be implemented in a version 2.

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