Think about how you determine the 5 rights. What about an infant...can they answer your questions? What if the elderly persons is confused? How do you identify that they are who they are? Does a 11 year old need the same questions as a two year old? How would you approach the ages differently? With children the right dose does depend on the right weight....so does some adult doses like heparin.
1. Right Medication
- Is this the medication the provider ordered? of course you check you orders
2. Right Dose
- How may milliliters, tablets, or does are to given? this is by weight for many drugs especially children. Is the dose ordered appropriate?
3. Right Time
- What time of day should the medication be taken? looking up the drug is necessary
4. Right Route
- Should the medication be given by mouth, via feeding tube, or is it an injectable medication?
5. Right Patient
- Is the medication for this patient or is it for someone else? How do you determine this and how does age, mentation change your approach? Can you ask a infant their birth date? What about a confused adult? How do you address this? How do you adapt your response to the pedi population according to age?
Tell me what you think???