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Safety: Rights of Medication Administration

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Safety elements when administering medication include the 5 Rights, more commonly known as the 5 Rs (NMC, 2007):

 Right patient

 Right medication

 Right dose

 Right time

 Right route.

Working within these 5 principles whilst preparing medications and again at the bedside ensures a safe process. As more confidence is amassed in medicine management these principles can be expanded. Elliott and Liu (2010) believe that you should also include giving the medication for the ‘right reason’ and ensure that the ‘right documentation’ is completed correctly. As more understanding of the reasons for errors in medication management are understood, a further 5 rights can be added to the list, culminating in 10 rights, which include the original 5 Rs listed earlier as well as the following five (Edwards and Axe, 2015):

 The right to refuse (know what to do if the patient refuses)

 Right knowledge and understanding (of the drug and patient)

 Right questions (if there is any doubt with the process)

 Right response (monitor the effectiveness of the medication

 Right advice.

Chapter 4 of this text discusses medicines management and the role of the healthcare provider working with CYP and families in detail.

Fundamentals of Pharmacology for Children's Nurses

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