Medication Administration 3 checks - page 2

I was wondering if anyone could tell me if this is correct: Using the "6 rights"... You do the first check when you're taking out the medication from the cabinet. You do the second check after... Read More

  1. by   citylights89
    Quote from midcom
    As far as the 3 med checks- we learned it this way & it's easy to remember-
    Pick it- when you take it out of the cart
    Pop it- when you remove the med from the container (bottle or individual packetes)
    Put it away- when you put the container back.

    I know this thread is like 3 years old, but I like that^^ I will find that very easy to remember.
  2. by   2ndyearstudent
    Quote from Kellicyrist
    I was wondering if anyone could tell me if this is correct:

    Using the "6 rights"...
    You do the first check when you're taking out the medication from the cabinet.
    You do the second check after you've taken out all the medication from the cabinet and put the drawer back.
    You do the third check at the bedside right before you give the patient the medication.
    Sounds about right. You get so used to doing 3 checks it will become second nature.

    I realized after the fact I did three checks last night when I put a quart of oil in my car. One at the shelf, one at the register, then one right before I administered it.

    It cracked me up, as I opened the container and was about to pour the oil, something said, "Do your third check."
  3. by   milksteak
    we have learned 9 rights.. but according to a few different websites, including one that was nih, there are TEN!!!!
  4. by   milksteak
    yes, these are the ones we learned + right to refuse..
    nih says right assessment is the 10th one.. assuming they mean, check for apical pulse, o2 sat, etc.

    Quote from bahaa1979
    8 rights of medication administration!!!

    the nursing 2012 drug handbook. (2012). lippincott williams & wilkins: philadelphia, pennsylvania recommended to check:

    1. right patient
    2. right medication
    3. right dose
    4. right route
    5. right time
    6. right reason
    7. right response
    8. right documentation

    you can visit my blogger to see more details
    nurses make a difference
  5. by   gamecock_24
    Quote from mixyrn
    we have 6 rights, but a classmate and i made up 2 more to help us remember...

    1. patient
    2. drug
    3. dose
    4. route
    5. time
    6. documentation

    the extras: awesome!!
    7. expiration date
    8. right reason

    #8 reminds me to stop and ask, why is this patient getting this drug? is it safe to give? for example, are there any labs to check, allergies, contraindications to giving it? it helps me alot!
    [font="georgia"]i really like the two that you added!! i am going to have to remember those two when i start my program in january!
  6. by   karrikon
    Right Patient
    Verifies two forms of identification
    Right Dose
    Calculates correctly
    Right Time

    Administered per facility policy (i.e. 1 hour before or 1 hour after)
    Right Route
    Chooses correct needle size, syringe. Administers via correct route.
    Right Medication
    Chooses the appropriate bottle or vial.
    Right Documentation
    Charts correctly on the provided MAR
    Safe Administration
    Completes three safety checks prior to medication administration.
    Safe Administration
    No contamination of needle, pill, liquid. Uses alcohol wipes where appropriate. Flushes IV when appropriate.
    Safe Administration
    Demonstrates hand washing and donning gloves where appropriate.
    Disposes of waste in waste basket or sharps container. NO recapping of the dirty needle.
    Safe Administration
    Including medication use, classification, common side effects, toxic effects, allergic reactions, and any essential nursing judgments (i.e. Heart rate prior to giving)
  7. by   karrikon
    check doctor's order and MAR, check patient id, check medicine to confirm it to order.
  8. by   nurseprnRN
    [font="comic sans ms"]"right indication," your #8, has been on the list for a long time. nurses are held responsible for knowing if the medical plan of care is correct-- "following physician orders" is no longer an acceptable defense for a nursing error.