Five Rights

  • The Process and Purpose of the Five Rights

    Five rights drug administration strategy reduces the medication errors and the harms that emanate from medication process. The five rights approach focuses on the right patient, right drug, right dose, right route and the right time. The blame of occurrence of medical errors during administration, in most cases rests on a nurse for failing to complete the five rights. Therefore, the approach needs to be adopted as an acceptable goal of the medication process and medical safety. The right patient ensures medication is purposely administered to appropriate patient. Right time ensures drug administration to the patient occurs at a specified time of the day. The right drug and dose ensure that only the specific drug prescribed to the patient becomes administered. This includes the number of tablets, milliliters, or the quantity of injection. Right route ensures the drug administration follows the appropriate routes, such as a feeding tube or through injection with regard to client's condition. In general, this ensures that the medical failures related to drug administration become non-existent or reduced.

    Methods of Drug Administration

    There are different methods of drug administration, which include: injection, inhalation, and oral method. Oral method involves the introduction of medication directly to the gastrointestinal tract. Injection includes the introduction of the drug to the bloodstream through the use of a syringe and needles. The method has become preferable to oral one because it achieves immediate high concentration faster, thus, enhances its effectiveness. Inhalation method becomes applied when the patient suffers from the respiration problems. Furthermore, inhalation enables the drug to diffuse into the alveoli and blood via capillaries. The chest tube is utilized when there is a need to drain blood fluid from the lungs. This permits expansion of the lungs to enhance respiratory function of the organ. However, precaution needs to be exercised because accidental movement of the tube could damage the tissues surrounding it. Moreover, it could also cause breathing problems or even cause damage to other organs, such as diaphragm or liver.

    Arterial Venous Lines

    The arterial venous lines are used for patients in the intensive care units with deep anomalies in their blood pressure levels. The arterial lines permit the medics to measure the blood pressure of the patient for a rapid stabilization. The catheter is normally inserted into the artery, thus, enhancing real time monitoring of the blood pressure, and obtaining the blood gas measurement of the artery. It is worth noting that pulmonary arterial line is different from arterial line. It is because the pulmonary arterial line forms a diagnostic method used to detect sepsis and the effect of the drugs. However, the arterial line is commonly utilized in intensive care units for monitoring patients blood pressure in real time mode.

    Code Cart Setup Requirement and Participation Plan

    In order to enhance effective code cart utilization, it is imperative to ensure the crash cart is centrally positioned to enhance the ease of accessibility. In addition, the arrangement of the equipment in the crash code needs to be standardized throughout the institution. It ensures the code cart equipment is appropriate for emergency purposes. The crash cart also needs regular check by the head staff to crosscheck the equipment with the set checklist. The defibrillator needs to be checked by the biomed department regularly, in order to guarantee its appropriateness. The expiry dates of the items in the cart also need regularly checking to ensure that the items used are medically valid. In order to participate, the staff needs to evaluate individual strengths to handle an emergency until the patient arrives at the acute care facility. Understanding the purpose of equipment in the cart is also crucial in order to achieve the effectiveness of the emergency assistance, accorded to the patient.

    The article was written by Linda Ween. See her another gropping article