Medication Administration

Identify an RN who is about to give a medication If medication is high risk, ensure a second independent double check is also performed.

Which department are you completing this survey for?

Name of the employee observed:

Patient MRN?

Right Medication

COMPLETED IN THE MEDICATION PREPARATION AREA:

  •  Verify med with the order or eMAR
  •  Is this med appropriate for the patient?
  • If medication is not labeled by Pharmacy, then attach the label generated from Omnicell
Right dose

COMPLETED IN THE MEDICATION PREPARATION AREA:

  •  Verify medication dose with medication order or eMAR
  •  Is the dose appropriate for age and weight?
Right route

COMPLETED IN THE MEDICATION PREPARATION AREA:

  • Verify medication preparation is for the right route with medication order or eMAR
  •  Check for IV compatibility
Right Time/Frequency

COMPLETED IN THE MEDICATION PREPARATION AREA:

  • Verify time/frequency with med order or eMAR and previous administration 
COMPLETED AT THE PATIENT SIDE: Right patient

· Ensure patient is wearing ID band

· Verify 2 patient IDs on med label with those on patient’s ID band

· Scan patient ID band  with  KBMA device

 
Right Dose/Route

· Scan med with KBMA device

· For IV medications, pump library is in use

· Rate and medication entered are correct per label

· For IV medications, trace the IV line; bag/syringe-to pump-to patient

· Ensure correct line(s) are open and not clamped 

 
UPON LEAVING PATIENT SIDE: Right Documentation

Complete the task within KBMA or document on the eMAR*  

* Bypassing the KBMA scan is highly discouraged.  Reasons may include:  emergencies or home medications.

 

Printing multiple patient identification band labels is prohibited unless a replacement band is needed; extra patient identification bands on the unit can lead to unsafe workaround and potential patient identification errors.

 
UPON LEAVING PATIENT SIDE: Ensure Medication Security

No visible unsecured medications at bedside/room

Bedside cart checked and secured/locked
Optional Comment