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The 10 Rights of Medication Administration

Our 10 ‘rights’ not only protect the interests of the patient but also the nurse administering.

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Experts claim the ‘5 rights’ 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 harm caused by medications errors but also protect the interests of the patient and the nurse administering.

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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 the 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’. 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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Former student nurses share their top money-saving tips

“A nursing degree is very different to most undergraduate courses.”

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Student money saving tips

Direct from former student nurses, the Student Money Guide is packed with useful tips.

New nursing students should claim fuel reimbursements, car share, compare markets and supermarkets and seek second-hand textbooks to make their student funding, and part-time wages go as far as possible, updated advice from the Royal College of Nursing (RCN) says.

The College’s latest Student Money Guide for nursing is packed with useful information on childcare, travel expenses, charitable funding and tips for those moving into private rented accommodation.

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The top money-saving tips.

Direct from former student nurses, the guide offers some top money-saving tips, which include;

  1. Develop a good relationship with your bank – meet and go through all the options and accounts which will save you most money and give you the best interest rates
  2. Use online materials, the RCN Library for example, instead of buying textbooks – If you do buy them, try advertising on university notice boards for second-hand copies, or, have a look at www.abebooks.co.uk. Use cashback websites, such as Quidco, when making purchases.
  3. Get a Young Persons Rail Card if you spend over £72 a year on rail travel – all full-time students are eligible, regardless of age.
  4. Claim fuel reimbursement if you drive further to placement than to university – it is offered, so you might as well.
  5. Be penny-wise, seek out free pickings – go to sites like Freecycle for free furniture, kitchenware and bicycles.
  6. Check out your local discount warehouses for basics, cleaning products, toilet rolls, washing powder and buy these as a household to split the cost of a bulk buy – it is well worth it.
  7. Share lifts to placement and do food shops with fellow students.
  8. Make sure your supermarket shop is cheapest – check online comparison sites like mysupermarket.com ahead of your shop.
  9. Use your local butchers and market.
  10. Take a packed lunch and flask to university – you will save a small fortune and probably eat better.

Nursing is different to other degree courses.

Claire Cannings, Senior Welfare Adviser commented: “A nursing degree is very different to most undergraduate courses. The placement element means there is less time for part-time work, and the long shifts mean childcare and travel is often more expensive.

“Fluency with finances, brilliance with budgeting and keeping clued-up on things complimentary can pay dividends. This can, in turn, impact positively on study and well-being through a student’s learning years and beyond. It’s amazing how many grants and funds students are entirely unaware of which is why we’ve collated all the information they need in one place.

“While the RCN will still be making the case to Government to invest in nursing education, we hope the guide will continue to be a valuable resource to our current and potential members.”

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Clinical Updates

Induction framework for General Practice Nurses launched

It also provides guidance for practices employing General Practice Nurses.

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The document provides a framework for both new and experienced general practice nurses.

NHS England, in collaboration with The QNI, has launched a new Induction Template for General Practice Nursing.

The Induction Template is has been designed to enable employers to ensure that nurses in a first career destination role in General Practice are well supported when taking their first career step in primary care.

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Not just useful for newly qualified nurses, the 51-page document provides an induction framework for all new general practice nurses, enabling them to develop key skills required for the role.

It also provides guidance for practices employing General Practice Nurses.

Nursing associates, health care assistants and student nurses preparing for a primary care placement may also find the template useful.

A great start to a long and exciting career’.

The author of the document, Queen’s Nurse and experienced nursing mentor and educator, Sharon Aldridge-Bent said; “Developing this template highlighted the urgent need for a comprehensive induction and orientation programme for all nurses new to general practice.

“This most certainly will assist with recruitment and retention of nurses in the primary care setting.”

Paul Vaughan, Head of Nursing Now England, responsible for the delivery of the GPN Ten Point Plan, said: “this new resource will enable employers to ensure they provide nurses new to general practice with a really good experience of working in the sector and ensure they have a great start to their long and exciting career working general practice.”

The resource underpinned by General Practice – developing confidence, capability and capacity – A ten-point action plan for General Practice Nursing (2017) contributes towards the overall strategic goals outlined in the General Practice Five Year Forward View.

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