Immediate Interventions
■ Discontinue the medication.
■ Treat symptoms of ADR per
protocol.
Focused Assessment
■ Assess for any ADR to the medication
including changes in LOC, VS, N&V, allergic reaction, etc.
■ Ascertain whether the patient
has any known allergy to the medication given in error.
Ongoing Assessment and Intervention
■ Notify physician of
medication error, along with any adverse reactions to the medication.
Documentation
■ Complete the appropriate
documentation per hospital policy.
■ Document on MAR and
progress notes if indicated.
■ Avoid using such phrases
such as “given in error.” State the facts; document the medication, dose, time,
and route on the MAR.
■ In the progress notes,
document physician notified.
■ If there was any ADR,
include intervention and outcome.
■ Do not indicate within the
progress notes that an incident report was filled out (e.g., “see incident
report”).
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