what are the 18 rights of drug administration?

flashpoint · Jun 9, 2007

I did some searching online and found an article with eight rights...

Right Patient
Right Drug
Right Dose
Right Route
Right Time
Right Documentation
Right to Refuse
Right to Be Educated

It seems to me that adding more "rights" is just making things more complicated...sure it is all important, but it also is taking away from the basics.

I found this article to be pretty interesting...think it will ever happen?

http://www.massnurses.org/News/1999/990600/sixrights.htm

Marielie · Jun 9, 2007

I never heard of 18 rights. So far, I only knew 10 rights. These are the right:

- patient,

- drug,

- dose,

- time,

- route,

- assessment,

- client's right to education,

- documentation,

- evaluation, and

- patient's right to refuse.

:welcome:

pagandeva2000, LPN · Jun 9, 2007

I heard of 5 plus 5 rights...

1. right documentation

2. right dose

3. right drug

4. right evaluation

5. right route

6. right time

7. right education

8. right to refuse

9. right client

10. right assessment

Whew...had to pull out the old pharmacology textbook for that one...

but 18??? Are you kidding??? I guess I just won't medicate anyone, then.

pagandeva2000, LPN · Jun 9, 2007

I never heard of 18 rights. So far, I only knew 10 rights. These are the right:
- patient,
- drug,
- dose,
- time,
- route,
- assessment,
- client's right to education,
- documentation,
- evaluation, and
- patient's right to refuse.
:welcome:

Opps, didn't mean to say the same thing...I posted mine before I read that you answered it already...sorry about that.

flashpoint · Jun 9, 2007

I heard of 5 plus 5 rights...
1. right documentation
2. right dose
3. right drug
4. right evaluation
5. right route
6. right time
7. right education
8. right to refuse
9. right client
10. right assessment
Whew...had to pull out the old pharmacology textbook for that one...
but 18??? Are you kidding??? I guess I just won't medicate anyone, then.

I guess I think a lot of that goes into the basic five rights. The right drug doesn't mean that we are giving meds all willy-nilly just because it is ordered...if the patient is on Lasix and they have a pulse of 45, we don't give it because it isn't the right drug based on our assessment (the pulse rate). When someone has Tylenol ordered for mild pain, we don't give Oxycontin based on our evaluation that they only rate their headache at a 1 on a 0-10 scale...Oxycontin would not be the right drug.

Does that make sense?

It really seems like they are just making something that should be very basic to be very complicated.

miko014 · Jun 9, 2007

I heard of 5 plus 5 rights...
1. right documentation
2. right dose
3. right drug
4. right evaluation
5. right route
6. right time
7. right education
8. right to refuse
9. right client
10. right assessment
Whew...had to pull out the old pharmacology textbook for that one...
but 18??? Are you kidding??? I guess I just won't medicate anyone, then.

Yeah, but that's two different kinds of "rights". Right to education and right to refuse are RIGHTS, the others are CORRECTS. This is scary, I'm going to bed.

pagandeva2000, LPN · Jun 9, 2007

Yeah, but that's two different kinds of "rights". Right to education and right to refuse are RIGHTS, the others are CORRECTS. This is scary, I'm going to bed.

Yeah, we can go on and on about this, can't we? I am a bit dizzy myself...

pagandeva2000, LPN · Jun 9, 2007

I guess I think a lot of that goes into the basic five rights. The right drug doesn't mean that we are giving meds all willy-nilly just because it is ordered...if the patient is on Lasix and they have a pulse of 45, we don't give it because it isn't the right drug based on our assessment (the pulse rate). When someone has Tylenol ordered for mild pain, we don't give Oxycontin based on our evaluation that they only rate their headache at a 1 on a 0-10 scale...Oxycontin would not be the right drug.
Does that make sense?
It really seems like they are just making something that should be very basic to be very complicated.

Of course, they are making it more complicated. What scares me is that there are many times in the course of my day that I barely have time to look up more than what the drug is used for.

msdobson · Jun 9, 2007

When someone figures out 18 rights let me know because I have only heard of the 5.

I bet it's California. California is always trying to out-do everyone else...well, at least those in SOUTHERN California.

pagandeva2000, LPN · Jun 9, 2007

I did some searching online and found an article with eight rights...
Right Patient
Right Drug
Right Dose
Right Route
Right Time
Right Documentation
Right to Refuse
Right to Be Educated
It seems to me that adding more "rights" is just making things more complicated...sure it is all important, but it also is taking away from the basics.
I found this article to be pretty interesting...think it will ever happen?
http://www.massnurses.org/News/1999/990600/sixrights.htm

Unfortunately, I don't see this happening. We have an incredible volume of patients we have to see, stressed out physicians as well as support staff, such as the pharmacy, administration and others. It is a nice idea, and I do try to follow this to the best of my ability, but, there are too many variables in this. But, I made a copy of this article to share with the nurses I work with. Maybe we'll make something positive out of this in small steps.

msdobson · Jun 9, 2007

I did some searching online and found an article with eight rights...
Right Patient
Right Drug
Right Dose
Right Route
Right Time
Right Documentation
Right to Refuse
Right to Be Educated

Do we really need a "right to be educated?"

casualjim · Jun 9, 2007

The right to make up more rights ! :trout: