Bcma Bi-annual Review Quiz 3n,3s,3E,4s,71,72,73 June 2014

The correct answer is true because after a medication is scanned, the monitor screen should be checked to ensure that a "G" has been placed in the status column. This indicates that the medication has been successfully administered or given to the patient.

To prevent patients from having more than 1 patch on at a time. To ensure the previous patch has been removed

Responsibility of the nurse to monitor effects of medications administered and to educate the patient.

Some medications are not to be crushed as it affects their action

Medications are never to be prepped and scanned when not at POC[point of care}. Patient is to be present.

Scanning the wristband is a crucial step in ensuring that the medication is given to the correct patient. If the wristband cannot be scanned, there is a risk of administering the medication to the wrong patient. Therefore, it is not okay to skip this step and proceed with scanning the medication and giving it to the patient.

2nd check to ensure order is correct. Chart review can be done by any shift.

The statement suggests that missed medication and PRN (as needed) reports should be printed and reviewed twice per shift. This indicates that it is important to track and monitor missed medications and PRN medications that are given to patients. By reviewing these reports, healthcare professionals can ensure that all medications are being administered correctly and address any issues or concerns that may arise.

Once medications have been scanned and opened/prepped they may not be stored if they are unable to be given.

Unable to scan action is to be used for patient safety.

If you have a dual monitor this can be done. If not, the doctors order sheet is to be compared to the actual mar's at the smae time.

Pharmacy can make errors when finishing an order resulting in the wrong dose being given if this is not checked

1. Pending orders have not been finished by pharmacy and could therefore contain errors.
2. They are not visible on the MAR's and cannot be compared to the orders sheet.

By the end of your tour it should be changed to "given", "held" or if the next tour can give it, pass on the information.

If you hold the dose it will be removed from BCMA, not show on the missed med report and will not be given.

If IV's are not completed they remain in BCMA as infusing.

Limited access is to be used for documenting prn effectiveness if not with patient. Wristband is to be scanned and IV completed in BCMA before removal from patient. Wristband is to be scanned when documenting accucheck

To prevent errors with incorrect values and patients.

Un-scored tablets are only to be cut by a pharmacist, never by nursing. do not give but check with provider for direction, or to change to a liquid form if possible for the fist dose.

scan WB to verify right patient, 2nd identifier, meds are not to be opened/prepped prior to scanning. always check 5 rights for dose, route, time etc. Always check theat the given is entered.

Limited access allows you to hold a dose, enter a missing dose, add a comment, complete a PRN without having to scan a wrist band or be with the patient.

Providers do not have the authority to place a medication order on hold. It is the responsibility of the pharmacist or the healthcare professional in charge of medication administration to place an order on hold if necessary. Therefore, the statement is false.

Lab orders have a status of pending until drawn then status changes to completed.
When verifying/chart reviewing check that the type of collection is correct [eg LC for lab collect, WC for ward collect, I for immediate.] It should never be SP

If there is a Togus bar code you are to use the IEN number and not the 5 rights.

statements need to be objective on what you see to validate your response or a patient statement