NCLEX-PN
● Right to Refuse : Respect the client's right to refuse medication. ● Client Education : Provide necessary information to the client. ● Assessment : Assess the client's condition before administering. ● Evaluation : Evaluate the medication's effectiveness and any side effects. Additional principles include:
● Scrutinize medication orders for accuracy, ensuring they are signed by the prescribing physician. ● Conduct thorough assessments of clients for allergies and potential medication interactions.
● Calculate dosages meticulously. ● Check medication expiration dates. ● Properly label all medications.
To enhance medication safety even further, the LPN can consider incorporating barcode scanning into their workflow. Barcode scanning is a highly efficient and accurate method for confirming the client's identity and tracking medication storage. Here's how an LPN can integrate barcode scanning into their medication safety procedures: ● Unique Identifiers : Utilize barcode scanning as one of the unique identifiers to confirm the client's identity. This can be done by attaching a unique barcode to the client's identification wristband and the medication packaging. When administering medications, the healthcare professional can scan both barcodes to ensure a match, reducing the risk of errors. ● Medication Storage : Implement barcode scanning for medication storage and retrieval. Each medication container or shelf can have a barcode that corresponds to the specific medication it holds. This allows for easy tracking and inventory management. When storing or retrieving medications, healthcare staff can scan the barcode to ensure they are accessing the correct medication. ● Narcotics Security : For narcotics, employ an advanced barcode scanning system with restricted access. Only authorized personnel should have the capability to unlock the narcotics storage. The use of individualized access codes or biometric verification, such as fingerprint scanning, can enhance security. Each time narcotics are accessed, the system can log the event with a timestamp and the responsible individual's identity. ● Child-Proof Medication Storage : Barcode scanning can be used to manage child-proof medication storage as well. A barcode can be attached to the child-resistant cabinet or container. Whenever a staff member needs to access medications, they can scan the barcode and, if authorized, open the storage. This ensures that child-proof measures are maintained while allowing easy access for authorized users.
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