Question

Difficulty: MediumPharmacological Therapies

An adult client on a medical-surgical unit is due for a scheduled dose of oral amlodipine. When the practical nurse attempts to scan the client's identification wristband, the barcode is unreadable due to water damage. Which action is the most appropriate method for the practical nurse to verify the client's identity?

  1. Ask the client to state their full name and date of birth while comparing the response to the medication administration record.Answer
  2. B
    Ask the client, 'Are you [Client Name]?' and verify the date of birth listed in the electronic health record.
  3. C
    Match the client's room and bed number with the demographic information on the medication administration record.
  4. D
    Override the electronic scanner alert and administer the dose since the nurse remembers caring for the client on the previous shift.

Answer

The practical nurse should ask the client to explicitly state their full name and date of birth, comparing these details to the medication administration record.
When automated safety systems like barcode scanners fail, the nurse must manually verify the client's identity using two approved identifiers (typically full name and date of birth). Asking the client to state this information requires active participation, ensuring accurate identification and fulfilling the 'right client' parameter of safe medication administration.

Step-by-Step Solution

1
Recognize that barcode scanning is a primary safety tool, but manual verification is required when technology fails.
The nurse must actively identify the client using alternative, approved methods.
Bypassing identification protocols due to equipment failure is a leading cause of medication errors.
2
Identify the most reliable manual method for patient verification according to standard safety guidelines.
Asking the client to state two acceptable identifiers (such as name and date of birth) provides active confirmation.
Active confirmation prevents false identification that can occur if a client simply nods or answers 'yes' to a closed-ended question.

Key Concept

Medication Safety and Patient Identification
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