Nurse’s Notes: Ten R’s in Drug Administration (and in Intravenous Fluid Therapy)

Posted: February 7, 2015 in Nurse
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Ten Rights of Medication AdministrationTo make sure, nurses must be reminded of the Ten Golden Rules in medication administration  (and in intravenous fluid therapy).

Right Client
Always check for the patient’s name or identity before giving the medication. Check the client’s identification band and/or check with significant other if he is your intended client with each administration of a medication.

Right Assessment

Before giving any medication, make a thorough assessment. Check vital signs of the client and observe any pain or untoward observations.

Right Client Education

Provide client information about the medication you are going to give. The nurse must include in her teaching the route, dosage, timing and frequency, importance of the medication and the side effects of the medication.

Right Medication
Nurses must make sure that the medication given was the medication ordered by the physician.

Right Dose
The dose to be given is the same to ordered dose of the physician and that it is appropriate for the client. Nurses must calculate the dose properly especially for multiple pills/ tablets or a large quantity of a liquid medication. It is always recommended to counter- check calculations that appear questionable. As a nurse you must know the usual dosage range of the usual dosage range.

Right Time and Frequency
Giving the medication at the right frequency and at the time is one of the essential tasks of a nurse when administering medications. This must be followed accordingly to prevent untoward effects to the patient. Take note that medications given within 30 minutes before or after the scheduled time are considered to meet the right time standard.

Right Route
Do not give medications that aren’t by their ordered route. Ensure that the route is safe and appropriate for the client.

Right to Refuse
A patient can refuse the medication. If this happens, secure a consent and document the reason of refusal in the nurse’s notes.

 Right Evaluation

After each administration, wait for 5 to 15 minutes to check for any adverse reaction.

Right Documentation
Always document the medication given, route, time and frequency, and other necessary information. If you are unable to give the medication on the prescribe time, place the reason on the nurse’s note and follow-through activities. Take note to follow the agency’s policy for documenting the reason why medication is not given.


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