The following is a discussion question I'm to answer:
"Compare and contrast the five rights of medication administration for pediatric patients, adult patients, vs. geriatric patients. Give specific examples of potential difficulties specific to each patient population. Include applicable nursing interventions for overcoming these difficulties."
I'm familiar with the 5 rights, in general, but not quite sure how they compare between the age groups. It's the only part of the question I am unsure of. Thoughts?
Oct 26, '13
by Esme12, ASN, BSN, RN Senior Moderator
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???
Last edit by Esme12 on Oct 26, '13