We're learning that its the 6 rights, with emphasis on the fact that the 6th (right reason) is a fairly new addition. It does make sense that that should be checked because if the drug is totally unrelated to the diagnosis, you would know to question the order, just in case there was an error.
Thank you all for your answers. These were test questions that I couldn't find in my book and not homework. Number 2 still has me perplexed though I like your reasoning music in my heart.
Anytime a question asks you if you should give out your password, the answer is no. This question is trying to trick you by saying "in an emergency."
In reality, the doctor isn't going to be pulling or dispensing drugs in an emergency and anyone who's supposed to have access to the pyxis has access to it.
KelRN215 & Esme I think you are right and that it was a trick question. ixchel I like that thinking & that was my thinking lol. I won't know the official correct answers until next Wednesday but I'll be sure to let you guys know what my instructor said. Thank you :)
We're learning that its the 6 rights, with emphasis on the fact that the 6th (right reason) is a fairly new addition. It does make sense that that should be checked because if the drug is totally unrelated to the diagnosis, you would know to question the order, just in case there was an error.
The thing is, you don't give a medication for a diagnosis, you give a medication for an indication.
We're learning that its the 6 rights with emphasis on the fact that the 6th (right reason) is a fairly new addition. It does make sense that that should be checked because if the drug is totally unrelated to the diagnosis, you would know to question the order, just in case there was an error.[/quote']
I put A. B and then A.B.C.D. For #2 I put B because I was told to never give out a password but I thought in an emergency I should make an exception & I said to notify the proper authorities just because I thought they should know.
This reminds me of the study somebody did that asked children, "If your mother tells you never, never, never do something.... how long is that?"
Four-year-olds gave answers like, "Today," or "An hour."
Nine-year-olds say, "Four days."
Twelve-year-olds say, "A week."
Adults: Never means, NEVER. If it's an emergency, you get it. You never, never give your pw to anyone. There are no exceptions.This is a common question and your answer ("I'd make an exception in an emergency") is enough to eliminate you.
Number 2 still has me perplexed though I like your reasoning music in my heart.
What do you find perplexing?
Docs don't generally give meds... and when they do (e.g. pushing propofol or local anesthesia), they're either pulling it from their own med cart or they request it from the nurses or clinical pharmacists.
Having worked in facilities on both ends of the size spectrum, and one in the middle, I've never encountered a situation where a doc would ever need to access the med cart. Sometimes, another nurse will pull the med and hand it off to the bedside nurse (treatment rooms can get very crowded) but that's still pulled under the name/PW of the nurse actually opening the drawer with the administration documented under the name of the nurse who actually gave the med.
It's for very good reason that the folks pulling/giving the meds are different than the ones ordering the meds... it provides another step of accountability and control of controlled substances.
Like the word 'always,' the word 'never' is an absolute - otherwise there would be a preceding conditional.
ixchel
4,547 Posts
We're learning that its the 6 rights, with emphasis on the fact that the 6th (right reason) is a fairly new addition. It does make sense that that should be checked because if the drug is totally unrelated to the diagnosis, you would know to question the order, just in case there was an error.