A practical nurse (PN) is preparing to administer scheduled oral medications to a client. Upon entering the room, the PN notices the client's identification wristband has been removed and is resting on the bedside table. The client is alert and states, "They took it off to start my new IV line." Which action should the PN take first?
- Obtain a new identification band, attach it to the client, and verify two client identifiers before administration.Answer
- BScan the detached barcode on the table and ask the client to state their name and date of birth.
- CAdminister the medication based on personal recognition if the PN provided care for the client during the previous shift.
- DAsk an assistive personnel (AP) who is familiar with the client to verify their identity before giving the medication.
Answer
The PN must obtain a new identification band, attach it to the client, and verify two client identifiers before administering any medications.
Safe medication administration requires the nurse to verify the client's identity using two distinct identifiers (such as name and date of birth) against an identification band that is physically attached to the client. Administering medications without an attached band, or scanning a detached band, violates the fundamental 'right client' principle of medication safety.
Step-by-Step Solution
Key Concept
Medication Administration Rights: Client Identification