What Nurse needs to know
Who is the patient? This means: What is the patient's age, sex, and mental health and physical health status? Are there any factors that could contraindicate this medication being administered?
Ensure that the medication is appropriate for the patient's needs, keeping in mind factors such as physiological issues (e.g., ability to absorb oral medications), biochemical issues (e.g., other medications the patient takes), and social factors (e.g., the patient's known religious or cultural preferences) that may affect whether an ordered medication is appropriate for a given patient.
Is this patient the same individual for whom the medication was ordered?
Avoid administering the ordered medication to the wrong patient
What medication is to be delivered to this patient?
Ensure that the correct medication is administered in accordance with the prescription or orders of the prescriber.
What dose was requested on the medication order?
Ensure that the dose administered is in accordance with the orders of the prescriber and allows cross-checking that the dose ordered is appropriate for patient needs.
When is the appropriate time to administer this medication?
Avoid administering medication too frequently, too infrequently, at inappropriate times of day, or in inappropriate combination with another medication.
What duration of administration was ordered for this medication?
Avoid delivering a medication for a longer or shorter duration than was ordered by the prescriber.
When did this patient last have a dose of this (or any) medication?
Avoid overmedication or potential interactions between medications.
In what manner is this medication typically administered?
Avoid selection of inappropriate delivery procedures(e.g., intramuscular injection for a medication intended for intravenous delivery)
Which route of delivery was ordered for this patient?
Ensure that the medication is delivered via the route ordered by the prescriber.
Do any factors contraindicate the ordered delivery route in this patient?
Avoid using inappropriate methods of medication delivery.
What condition is the medication intended to treat?
Avoid using medications that are not indicated for a particular condition.
What is the response that is expected from the use of this medication?
Ensuring that unexpected or unintended actions (e.g., medication allergy) are noted and treated as necessary in a timely fashion