Deviation in the Standard of Care When Ordering or Administering Medication

Evaluate breaches in the standard of care when determining whether there has been a Deviation in the Standard of Care When Ordering or Administering Medication

Answer the following questions to find out if the standard of care was followed for your case.

  • Was the order/prescription written by the clinician clear and legible?
    Yes
    No
    Answer unknown
    Why is this important?
    All orders should contain the patient's name, the date and time when the order is written and the signature of the ordering clinician.
    (2006) 27 ESNEDT3 219-224

  • Did the clinician ensure that the written order was accurate and medically safe for that particular patient? Why is this important?
    Answer this question
    
The actual administration of drugs is the final step in the medication process. The causes of administration errors are numerous.

    (2006) 27 ESNEDT3 219-224 



  • Was patient education provided about the potential adverse effects? Why is this important?
    Answer this question
    
The patient needs to be provided with education about the medication they are to receive and its potential side effects.

    (1998) 18 EIACNA 4 817-827 



  • Was the medication dispensed correctly? Why is this important?
    Answer this question
    
Dispensing errors occur less frequently than prescribing errors, however they too may lead to the patient receiving an incorrect medication.

    (2006) 27 ESNEDT3 219-224 



  • Was the clinician educated and experienced in medication administration? Why is this important?
    Answer this question
    
Education improves medication safety and averts unnecessary medication errors.

    (2008) 28 ESNEDT 8 943-952 



  • Was a medical history obtained and documented on the patient's chart? Why is this important?
    Answer this question
    
A thorough medical history needs to be obtained upon admission to the facility.

    (2004) 24 EIACNA 3 357-371 



  • Did the clinician administer the medication to the correct patient? Why is this important?
    Answer this question
    
The nursing staff must identify the patient verbally by name and also by the patient’s name bracelet or name badge.

    (2009) 16 EJAMIA 4 486-492 



  • Did the clinician administer an unordered medication to the patient? Why is this important?
    Answer this question
    
The nursing staff must carefully check the medical record for the name of drug that was ordered and compare it with the name of the drug being prepared to be to be administered.

    (2009) 16 EJAMIA 4 486-492 



  • Did the clinician fail to supervise the consumption of the medication? Why is this important?
    Answer this question
    
Medications should not be left unattended, and the patients should be observed during the intake of medication. This helps to avoid the disposal, hoarding, abuse, or misuse of the medication and also would ensure the safety of the patient.

    (2009) 16 EJAMIA 4 486-492 



  • Did the clinician administer the incorrect dosage? Why is this important?
    Answer this question
    
The nursing staff must compare the dose prescribed with the dosage that is planned to be administered to the patient.

    (2009) 16 EJAMIA 4 486-492 



  • Did the clinician administer the medication at the incorrect time? Why is this important?
    Answer this question
    
The nursing staff must check for the frequency of the ordered medication. They must double-check that they are giving the ordered dose at the correct time. They should also confirm when the last dose was given.

    (2009) 16 EJAMIA 4 486-492 



  • Did the clinician fail to administer the medication by the prescribed route? Why is this important?
    Answer this question
    
There has been concern expressed in the literature as to the adequacy of the content of pharmacology included in present nurse education curricula.

    (2006) 27 ESNEDT 3 219-224 



  • Was the patient monitored for adverse reactions? Why is this important?
    Answer this question
    
Physicians or other prescribing clinicians are responsible for monitoring the patient’s response to the medication.

    (1998) 18 EIACNA 4 817-827 



  • Was the prescribing physician notified regarding any untoward reaction? Why is this important?
    Answer this question
    
The majority of adverse drug reactions are predictable in nature. Perhaps the most frequent variant of a predictable reaction is the side effect, which is defined as a therapeutically undesirable, but often unavoidable, action of the drug.

    (1998) 18 EIACNA 4 817-827 



  • Did the clinician respond immediately to the symptoms of the adverse effects? Why is this important?
    Answer this question
    
The prescribing clinician must be notified of any untoward reaction or symptom the patient experiences. Physicians are also responsible for responding to potential adverse effects and concerns by the patient or other clinicians.

    (1998) 18 EIACNA 4 817-827 



  • Did the clinician report the medication administration error through organizational reporting systems? Why is this important?
    Answer this question
    
Nurses are responsible for errors made in prescribing, dispensing, or administering drugs.

    (2010) 58 ENUROT 1 17-25