The Five Rights of Medication Administration

Prinsip 5 BENAR dalam pemberian obat

 Right drug ( Benar Obat)

Cek label obat 3 x selama pemberian obat Familiar dgn nama generik dan nama dagang obat

Right dose (Benar Dosis)

Apakah dosis sesuai dgn usia pasien? Recek penghitungan dosis Hati-hati dalam penghitungan desimal

Mosby items and derived items 2005, 2002 by Mosby, Inc.

Sample Medication Label

Sample Medication Label

Sample Medication Label

Sample Medication Label

Sample Medication Label

3Three Steps to Dosage Calculations Formula Method

Step 1. Convert
Ensure all measurements are in the same system of measurement and the same size unit of measurement. If not, convert before proceeding.
Estimate what is a reasonable amount of the drug to be administered. amount desired

Step 2. Think

Step 3. Calculate Apply the formula:

have

D Q X H quantity

 The drug order reads Codeine sulfate 45 mg

p.o. q.4h p.r.n., pain.

The drug supplied is Codeine sulfate 30 mg per tablet. Calculate one dose.

Approximate Equivalent: gr i = 60 mg
(continued)

Step 1. Convert Tidak ada konversi

Order: Codeine = 45 mg

Supply: Codeine 30 mg tablets

Approximate Equivalent: gr i = 60 mg
(continued)

Step 2. Think
You estimate that you want to give more than 1 tablet but less than two tablets.

Step 3. Calculate
D 45 mg Q 1 tablet H 30 mg
3

45 mg 3 1 1 tablet tablets 1 tablets; 30 mg 2 2

given every 4 hours as needed for pain
2

 Order: Tylenol 0,6 gram (gr) x p.o. q.3-4h p.r.n., headache Supply: Tylenol 325 mg per tablet Convert: gram mg 10 60 mg = 600 mg 600 mg D Q 1 tablet 1.8 tablets H 325 mg

Approximate Equivalent: gr i = 65 mg
(continued)

Order: Tylenol o,6 gr x p.o. q.3-4h p.r.n., headache Supply: Tylenol 325 mg per tablet Convert: gr 10 65 mg = 650 mg
D 650 mg Q 1 tablet 2 tablets H 325 mg

Calculation of Drug Dosage by Formula Method: Parenteral (continues)

Order: Cleocin 150 mg IM q.12h Available: Cleocin (clindamycin phosphate) 300 mg per 2 mL

Calculation of Drug Dosage by Formula Method: Parenteral

(continued)

Step 1. Convert
No conversion is necessary.

Step 2. Think
You want to give less than 2 mL. Actually, 1 you want to give 150 mg, which is 2 of 300 1 mg and 2 of 2 mL, or 1 mL. Calculate to double-check your estimate.

Calculation of Drug Dosage by Formula Method: Parenteral (continued)

Step 3.1 Calculate
H 300 mg 2
1

2 mL 1mL 150 mg D Q 2 mL 2
1

Given intramuscularly every 12 hours. Select a 3 mL syringe, and measure 1 mL of Cleocin 300 mg/2 mL.

Cont.
Right time (Benar Waktu)
Apakah ada beberapa pertimbangan khusus ?
Interaksi Obat-obat atau makanan-oba? Efek obat Bioavailability of drug

Pengobatan rutin harus diberikan dalam jam sebelum atau sesudah waktu aktual pemberian obat Obat yg diorderkan dgn segera harus diberikan dalam waktu jam dari waktu order

Cont.
Right route (Benar Rute)
Jangan pernah berasumsi tentang rute obat. Bila ragu atau tdk jelas lakukan konfirmasi dgn dokter/ahli farmasi

Right patient (Benar Pasien)

Tanyakan nama pasien lengkap dan bandingkan dgn ID band Gunakan 2 identititas pasien : nama dan no.medrec

Cont.
Right Documentation (Benar Dokumentasi) : chart pasien adalah dokumen yg legal. Dokumen meliputi : Nama pasien Tanggal dan waktu pemberian Nama obat dan dosis yg diberikan

Cont.
Rute pemberian Efek samping (kalau ada) Masalah dlm pemberian (klien menolak obat, sulit menelan) Jika obat tdk diberikan, catat alasan ? Respon klien bila diberikan obat prn drug

Benar yang lainnya

Tempat penyimpanan obat yg sesuai Pengitungan dosis yg akurat Menyiapkan obat dgn akurat Hati-hati dalam membuat trankripsi dari order Keselamatan pasien

Cont.
Pertimbangan dgn benar situasi-situasi khusus. Cegah dan laporkan bila ada kesalahan dalam pemberian obat (medication errors) Penyuluhan kepada pasien tentang obat Monitoring for therapeutic effects, side effects, toxic effects Pasien menolak obat (Refusal of medication)

Resume
SIX RIGHT Right Drug Right Dose Right Route Right Time Right Client Right Documentation FIVE RIGHT Right Drug Right Dose Right Route Right Time Right Client

QUESTION ???

Mosby items and derived items 2005, 2002 by Mosby, Inc.