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According to the Food and Drug Administration (FDA 2009), the wrong route of administrating medication accounts for 1.3 million injuries each year. An article published in September issue of the Journal of Patient Safety estimates there are between 210,000 and 400,000 deaths per year associated with medical errors. This makes medical errors the third leading cause of deaths in the United States, behind that comes heart disease and cancer. To prevent medical errors always follow the Three Checks and most importantly the Rights of Medication Administration. The “Rights of Medication Administration” helps to ensure accuracy when administering medication to a patient. When administering medication the administer should ensure they have the Right Medication, Right Patient, Right Dosage, Right Route, Right Time, Right Route, Right Reason, and Right Documentation. Also remember the patient has the right to refuse, assess patient for pain, and always assess the patient for signs of effects.

Medication errors are the leading cause of morbidity and preventable death in hospitals (Adams). In fact, approximately 1.5 million Americans are injured each year as a result of medication errors in hospitals (Foote). Not only are medication errors harmful to patients but medication errors are very expensive for hospitals. Medication errors cost America’s health care system 3.5 billion dollars per year (Foote).Errors in medication administration occurs when one of the five rights of medication administration is omitted. The five rights are: a) the right dose, b) the right medication, c) the right patient, d) the right route of administration, and e) the right time of delivery (Adams). Medication administration is an essential part of

rights, health, and safety of the patient.” This provision, identifying patients, medication safety are related because it is a nurse’s responsibility to protect the patient from harm and promote safety. Nurses are taught to use multiple checks before administering a drug and use two identifiers. These checks include checking the medication against the order when obtaining it, checking again when preparing the medication and the last check is done at the patient’s bedside prior to giving the medication. Also it is imperative to question any medication order that does not seem fit. The order should include a date, time, name of the medication, dosage strength, the route for

* Trained and designated care workers give controlled drugs, another trained, and designated staff should witness. (Standard 9.7 and 20.9)

1. In the workplace there is a generic Medication Management Policy and Procedures for Adult Services (Issue 10, 2012) document. This is kept to hand in a locked cupboard, readily available to read. It requires that all Healthcare Staff are given mandatory training and refreshers are provided. Legislation which surrounds the administration of medication includes The Medicines Act 1968, The Misuse of Drugs Act 1971, The Data Protection Act 1998, The Care Standards Act 2000 and The Health and Social Care Act 2001

6. Right documentation- The seven rights should be documented with great detail along with any adverse events and instructions provided to the patient regarding being alert of reactions and what steps to take. This step should always follow the administration of medications. The person who has administered the medication needs to verify again that all the seven rights were followed to make sure that no medication errors were made. After the end of this order,without leaving any lines or spaces the person administering the order signs his or her name along with there credentials and followed by the date and time the order was given. In some instances the medical assistant may write down the information regarding a medication administered by the provider in the provider’s stead,but the provider still needs to sign, date and time the entry personally. The medical assistant should never document a medication for anyone else nor should anyone else record medication that the medical assistant (you)

Patient death or serious disability associated with a medication error, and the use or function of a device in patient care in which the device is used or functions other than as intended (AHRQ, 2009).

Prescribing in Australia is authorised by individual state and territory legislations that deal with drugs and poisons. These legislations allow various levels of health professionals to administer/supply medications under an assortment of protocols or direct order agreements. Any prescriber must also follow processes that have been determined by their professional bodies, which is legally binding in Australia. Legally, prescribers must also maintain all confidentiality and privacy clauses. Also, the patient’s health and wellbeing should be the focus of all decision making so that no-harm should come to the patient. The knowledge and skills obtained from the required training should be used to optimise patient’s health.

Comparing Maryland EMS to the White Paper, the White Paper’s several recommendations to improve systems as a whole was built into the framework of Maryland EMS, and aided in the growth of our system. Since the White Paper, many improvements have been made. First, there is now a standard curriculum for EMT-Basics, EMT-Intermediate, and EMT-Paramedics through National Registry, with program accreditation guidelines developed by CoAEMSP. Specifically in Maryland, there is now a defined scope of practice written by physicians, implemented through standing-orders in a statewide protocols.

Hinderance or advancement? The five rights of medication have been an active participant in the medical field. They are essentially five guidelines for safe medication administration. The five rights to medication administration include the nurse verifying: the right patient, the right drug, the right time, the right dose, and the right route. Although each step has been implemented as a maintenance to improve medication administration throughout the medical field, many question their place. According to an article written by Matthew Grissinger, medication administration poses many risks for patients on the receiving end. Grissinger introduces different theory’s including but not limited to: at what point do medication administers stop following

PromptCare Emergency Medical Services (PromptCare EMS) is to mandated activities and regulations according to Oklahoma’s Statutes Title 63, sections

Medications are a large component of the profession of emergency medical services.Medications will be constantly used during the profession of emergency medical technician and that of paramedic.It is important to remember the local protocols for delivering medications to patients,that said it is more of the paramedics job to deliver certain medications though Emergency medical technicians do administer some.There are six rights of medication administration these are as follows: one, medication, basically what are you giving them.Two, What route is the medication being administered through.Three,time is more then one subject it can involve when,how long ago,and how long until next administration.Four,paitent, what is going on with the patient,

The Emergency Medical Response Group at UTSC is a non-profit volunteer organization dedicated to providing first aid and emergency assistance to students, faculty members, and visitors on campus. The organization operates 24/7 and is run by a collaborative team of students certified at the Emergency First Responder level.

Paramedics arrived on scene at a Wynnum residence, to find a 23-year-old woman named Angela, she was having difficulty breathing and complaining of shortness of breath. For effective and safe treatment and transfer a management plan is needed. For a management plan to be successful it must follow the following steps: assess dangers in the environment and assess bystanders (Beasley, Cushley, & Holgate, 1989). They do not necessarily have to be written down before you enter a scene, but should be either stated to your partner what your ‘plan of attack’ is. Upon dispatch, it was made aware to my partner and I that the patient was complaining of difficulty breathing, so it was thought that administering salbutamol upon arrival may

Boston Emergency Medical Services provides emergency services to the city of Boston. The program was a Bureau a public Health Commission and it is known to be oldest in Boston in the provision of pre-hospital care in more than 100 years ago. Boston EMS has received praises for being active in responding to emergency calls to attend to various patients situated in the city of Boston since 1877. The services offered by the company have recently expanded to 1,000,000 people in a workday, and the city is the biggest in Massachusetts (O'Connell et al., 2010).