{"id":519,"date":"2022-12-06T19:22:02","date_gmt":"2022-12-06T19:22:02","guid":{"rendered":"https:\/\/perioperative1001.slc-courses.ca\/?p=519"},"modified":"2022-12-19T12:44:32","modified_gmt":"2022-12-19T12:44:32","slug":"module-9-a-reviewing-the-10-rights-of-medication-administration","status":"publish","type":"post","link":"https:\/\/perioperative1001.slc-courses.ca\/?p=519","title":{"rendered":"Module 9: A. Reviewing the 10 Rights of Medication Administration"},"content":{"rendered":"\n<h2>Reviewing the 10 Rights of Medication Administration<\/h2>\n\n\n\n<p>There are currently ten rights of administration that nurses need to consider before giving any medication to a patient. In the perioperative environment, ORNAC standards require that circulating and scrub nurses follow seven of these rights:<\/p>\n\n\n\n<div class=\"slider\">\n    <div class=\"slide\">\n        <div class=\"slide-content\">\n            <img src=\"https:\/\/perioperative1001.slc-courses.ca\/wp-content\/uploads\/2022\/12\/word-image-519-2.png\" width=\"25%\">\n            <p class=\"slide-description\">The right Patient Client<\/p>\n        <\/div>\n    <\/div>\n    <div class=\"slide\">\n        <div class=\"slide-content\">\n            <img src=\"https:\/\/perioperative1001.slc-courses.ca\/wp-content\/uploads\/2022\/12\/word-image-519-3.png\" width=\"25%\">\n            <p class=\"slide-description\">The right Medication<\/p>\n        <\/div>\n    <\/div>\n    <div class=\"slide\">\n        <div class=\"slide-content\">\n            <img src=\"https:\/\/perioperative1001.slc-courses.ca\/wp-content\/uploads\/2022\/12\/word-image-519-4.png\" width=\"25%\">\n            <p class=\"slide-description\">The right Dose<\/p>\n        <\/div>\n    <\/div>\n    <div class=\"slide\">\n        <div class=\"slide-content\">\n            <img src=\"https:\/\/perioperative1001.slc-courses.ca\/wp-content\/uploads\/2022\/12\/word-image-519-5.png\" width=\"25%\">\n            <p class=\"slide-description\">The right Route<\/p>\n        <\/div>\n    <\/div>\n    <div class=\"slide\">\n        <div class=\"slide-content\">\n            <img src=\"https:\/\/perioperative1001.slc-courses.ca\/wp-content\/uploads\/2022\/12\/word-image-519-6.png\" width=\"25%\">\n            <p class=\"slide-description\">The right Time<\/p>\n        <\/div>\n    <\/div>\n    <div class=\"slide\">\n        <div class=\"slide-content\">\n            <img src=\"https:\/\/perioperative1001.slc-courses.ca\/wp-content\/uploads\/2022\/12\/word-image-519-8.png\" width=\"25%\">\n            <p class=\"slide-description\">The right Reason\/Indication<\/p>\n        <\/div>\n    <\/div>\n    <div class=\"slide\">\n        <div class=\"slide-content\">\n            <img src=\"https:\/\/perioperative1001.slc-courses.ca\/wp-content\/uploads\/2022\/12\/word-image-519-7.png\" width=\"25%\">\n            <p class=\"slide-description\">The right Documentation<\/p>\n        <\/div>\n    <\/div>\n    <div class=\"slide\">\n        <div class=\"slide-content\">\n            <img src=\"https:\/\/perioperative1001.slc-courses.ca\/wp-content\/uploads\/2022\/12\/no-entry.png\" width=\"25%\">\n            <p class=\"slide-description\">The right to refuse<\/p>\n        <\/div>\n    <\/div>\n    <div class=\"slide\">\n        <div class=\"slide-content\">\n            <img src=\"https:\/\/perioperative1001.slc-courses.ca\/wp-content\/uploads\/2022\/12\/bookshelf.png\" width=\"25%\">\n            <p class=\"slide-description\">The right education<\/p>\n        <\/div>\n    <\/div>\n    <div class=\"slide\">\n        <div class=\"slide-content\">\n            <img src=\"https:\/\/perioperative1001.slc-courses.ca\/wp-content\/uploads\/2022\/12\/bar-chart.png\" width=\"25%\">\n            <p class=\"slide-description\">The right evaluation<\/p>\n        <\/div>\n    <\/div>\n<\/div>\n\n\n\n<p>In the perioperative environment when the patient is under anesthesia, nurses are not able to implement\/evaluate the last three rights &#8212; the right to refuse, education, and evaluation. Although these rights are not completed by nurses in the OR, they should be done by the perioperative team at various points in the process. For example:<\/p>\n\n\n\n<blockquote class=\"wp-block-quote\"><p><a id=\"post-519-_Int_calMFkau\"><\/a><strong>The right to refuse <\/strong>\u2013 The surgeon should discuss the medications usually given during a specific surgery with the patient during a preoperative meeting.<\/p><\/blockquote>\n\n\n\n<blockquote class=\"wp-block-quote\"><p><strong>The right to education<\/strong> \u2013 Postoperative care includes education about medications that have been given during surgery.<\/p><\/blockquote>\n\n\n\n<blockquote>\n\n\n\n<p><strong>The right to evaluation<\/strong> \u2013 The perioperative team jointly monitors medication effects during and after surgery. For example:<\/p>\n\n\n\n<ul><li>Surgeons will evaluate the medication provided during surgery; for example, the lack of clots when using heparinized saline, decreased spasming of vessels when papaverine is used, etc.<\/li><li>The post-operative care nurses will evaluate <a id=\"post-519-_Int_LUWIqufF\"><\/a>the effect of medications such as local <a id=\"post-519-_Int_Fpv8a3fS\"><\/a>infiltration.<\/li><\/ul>\n\n\n\n<\/blockquote>\n\n\n\n<p>(ORNAC, 2021)<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<div class=\"wp-container-3 wp-block-columns\">\n<div class=\"wp-container-1 wp-block-column\">\n<h5>\ud83d\udcac Communication Highlight \u2013 Team Responsibility<\/h5>\n\n\n\n<p><a id=\"post-519-_Int_HdVryAgq\"><\/a> Unlike on a ward, the nurse who obtains and documents the medication is not the one administering it. The perioperative team (the circulating nurse, scrub nurse, and surgeon) share <a id=\"post-519-_Int_QG8L1Zpv\"><\/a>accountabilities for all medications dispensed onto the sterile field. Because of this shared responsibility, it is essential that all medications are communicated clearly and labeled accurately.<\/p>\n<\/div>\n\n\n\n<div class=\"wp-container-2 wp-block-column\">\n<figure class=\"wp-block-image alignfull\"><img loading=\"lazy\" width=\"420\" height=\"369\" src=\"https:\/\/perioperative1001.slc-courses.ca\/wp-content\/uploads\/2022\/12\/word-image-519-9.png\" alt=\"\" class=\"wp-image-528\" srcset=\"https:\/\/perioperative1001.slc-courses.ca\/wp-content\/uploads\/2022\/12\/word-image-519-9.png 420w, https:\/\/perioperative1001.slc-courses.ca\/wp-content\/uploads\/2022\/12\/word-image-519-9-300x264.png 300w\" sizes=\"(max-width: 420px) 100vw, 420px\" \/><\/figure>\n<\/div>\n<\/div>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<div class=\"wp-container-6 wp-block-columns\">\n<div class=\"wp-container-4 wp-block-column\">\n<figure class=\"wp-block-image alignfull\"><img loading=\"lazy\" width=\"391\" height=\"402\" src=\"https:\/\/perioperative1001.slc-courses.ca\/wp-content\/uploads\/2022\/12\/word-image-519-10.png\" alt=\"\" class=\"wp-image-529\" srcset=\"https:\/\/perioperative1001.slc-courses.ca\/wp-content\/uploads\/2022\/12\/word-image-519-10.png 391w, https:\/\/perioperative1001.slc-courses.ca\/wp-content\/uploads\/2022\/12\/word-image-519-10-292x300.png 292w\" sizes=\"(max-width: 391px) 100vw, 391px\" \/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-container-5 wp-block-column\">\n<h5>\ud83d\udcac Communication Highlight \u2013 Verbal Orders<\/h5>\n\n\n\n<p><a id=\"post-519-_Int_1T3aL7v2\"><\/a> Because the surgeon may order medications during surgery, they may not be able to provide written orders. This means that many medication orders in the perioperative environment are verbal. It is imperative that the circulating nurse confirms orders by repeating <a id=\"post-519-_Int_AhziaN0r\"><\/a>them back before administering them.<\/p>\n\n\n\n<p><strong>When the circulating nurse supplies the medication to the scrub nurse, the medication must be verbally verified once more. The scrub nurse must also visually verify the:<\/strong><\/p>\n\n\n\n<ul><li>Drug\/solution name<\/li><li>Strength\/dose<\/li><li>Expiration date<\/li><\/ul>\n\n\n\n<p>(ORNAC, 2021)<\/p>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Reviewing the 10 Rights of Medication Administration There are currently ten rights of administration that nurses need to consider before giving any medication to a patient. In the perioperative environment, ORNAC standards require that circulating and scrub nurses follow seven of these rights: The right Patient Client The right Medication The right Dose The right [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"templates\/template-content.php","format":"standard","meta":[],"categories":[22],"tags":[],"wf_post_folders":[11],"_links":{"self":[{"href":"https:\/\/perioperative1001.slc-courses.ca\/index.php?rest_route=\/wp\/v2\/posts\/519"}],"collection":[{"href":"https:\/\/perioperative1001.slc-courses.ca\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/perioperative1001.slc-courses.ca\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/perioperative1001.slc-courses.ca\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/perioperative1001.slc-courses.ca\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=519"}],"version-history":[{"count":7,"href":"https:\/\/perioperative1001.slc-courses.ca\/index.php?rest_route=\/wp\/v2\/posts\/519\/revisions"}],"predecessor-version":[{"id":881,"href":"https:\/\/perioperative1001.slc-courses.ca\/index.php?rest_route=\/wp\/v2\/posts\/519\/revisions\/881"}],"wp:attachment":[{"href":"https:\/\/perioperative1001.slc-courses.ca\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=519"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/perioperative1001.slc-courses.ca\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=519"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/perioperative1001.slc-courses.ca\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=519"},{"taxonomy":"wf_post_folders","embeddable":true,"href":"https:\/\/perioperative1001.slc-courses.ca\/index.php?rest_route=%2Fwp%2Fv2%2Fwf_post_folders&post=519"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}