Seven Rights of Assisting with Self-Administration of Medication
Medications are substances used to prevent or treat an illness. Knowing about medications and how to assist individuals in using them is vital to the health and well- being of those you support.
Seven Rights of Assisting with Self- Administration of Medication
Safety is the #1 Priority
Following the Seven Rights each time you assist an individual with self-administration of medication is the best way for the Direct Care Workers (DCWs) to prevent medication errors.
Seven Rights of Assisting with Self- Administration of Medication
What are the Seven Rights?
The Seven Rights are needed to assure that medication is being taken safely. The Direct Care Worker needs to be sure he or she has the:
- Right person
- Right medication
- Right dose
- Right time
- Right route
- Right reason
- Right documentation
Seven Rights of Assisting with Self- Administration of Medication
1. Right Person
- It is important that you identify the right individual.
- Read the name of the individual on the medication label and compare it to the Medication Access Record (MAR).
- Use 2 identifiers such as a photo or name and date of birth.
- You can consult another staff member who knows the individual or ask the individual “What is your name?”.
ABC Pharmacy 1017 25th St. Sacramento CA (123) 555-7890 Dr. Diaz 9/30/20
RX 10575
JORDAN BIRD TAKE 1 CAPSULE 3X PER DAY ORALLY FOR 10 DAYS FOR INFECTION 12 A.M., 8 A.M., 4 P.M. AMOXICILLIN 250 mg #30 CAPSULES EXPIRES: 3/31/22 No REFILLS MFG: MANY MEDICATIONS, INC. FILLED BY: BRS
Seven Rights of Assisting with Self-Administration of Medication
2. Right Medication
- After you have verified that you have the right individual, read the name of the medication on the label.
- Read the medication label three times and compare it to the information on the individual’s MAR.
ABC Pharmacy 1017 25th St. Sacramento CA (123) 555-7890 Dr. Diaz
RX 10575 9/30/20 JORDAN BIRD
TAKE 1 CAPSULE 3X PER DAY ORALLY FOR 10 DAYS FOR INFECTION 12 A.M., 8 A.M., 4 P.M. AMOXICILLIN 250 mg #30 CAPSULES EXPIRES: 3/31/22 No REFILLS MFG: MANY MEDICATIONS, INC. FILLED BY: BRS
Seven Rights of Assisting with Self-Administration of Medication
3. Right Dose
- Read the medication label for the correct dosage and compare it to the MAR.
- Be alert to any changes in dosage.
- Question any changes in dosage, color, size, or form of medication.
ABC Pharmacy 1017 25th St. Sacramento CA (123) 555-7890 Dr. Diaz RX 10575 9/30/20
250 mg
JORDAN BIRD
TAKE 1 CAPSULE 3X PER DAY ORALLY FOR 10 DAYS FOR INFECTION 12 A.M., 8 A.M., 4 P.M. AMOXICILLIN 250 mg #30 CAPSULES EXPIRES: 3/31/22 No REFILLS MFG: MANY MEDICATIONS, INC. FILLED BY: BRS
Seven Rights of Assisting with Self-Administration of Medication
4. Right Time
- Read the medication label for directions as to when and how often the medication should be taken and compare it to the MAR.
- Medications must be taken at a specific time(s) of the day.
- You need to know when the individual took the last dose.
- You need to know if foods and liquids can be taken with the medication.
ABC Pharmacy 1017 25th St. Sacramento CA (123) 555-7890 Dr. Diaz RX 10575 9/30/20 JORDAN BIRD TAKE 1 CAPSULE 3X PER DAY ORALLY FOR 10 DAYS FOR INFECTION 12 A.M., 8 A.M., 4 P.M. AMOXICILLIN 250 mg #30 CAPSULES EXPIRES: 3/31/22 No REFILLS MFG: MANY MEDICATIONS, INC. FILLED BY: BRS
Seven Rights of Assisting with Self-Administration of Medication
5. Right Route
- Read the medication label for the appropriate route or way to take the medication and compare it to the MAR.
- Route for tablets, capsules, and liquids is “oral”, which means it enters the body through the mouth.
- Other routes include nasal sprays, which are inhaled through the nose; topical, which includes dermal patches or ointments applied to the skin; eye drops, ophthalmic; and ear drops.
- Other more intrusive routes, such as injections; suppositories; or enemas are only to be administered by a licensed health care professional.
ABC Pharmacy 1017 25th St. Sacramento CA (123) 555-7890 Dr. Diaz 9/30/20 ORDAN BIRD AKE 1 CAPSULE 3X PER DAY ORALLY FOR 10 DAYS
RX 10575 J T FOR INFECTION 12 A.M., 8 A.M., 4 P.M. AMOXICILLIN 250 mg #30 CAPSULES EXPIRES: 3/31/22 No REFILLS MFG: MANY MEDICATIONS, INC. FILLED BY: BRS
Seven Rights of Assisting with Self-Administration of Medication
6. Right Reason
- Every medication has a condition/reason for why it is prescribed.
- Most medication labels have the condition/reason printed on the label, make sure to read it.
- It is the physician’s responsibility to write the correct information on the prescription for the pharmacy.
- Medications can be a “routine” medication or an “as needed” medication which is also called a PRN (Pro Re Nata) medication.
‒ PRN information and procedures are not discussed in this module.
ABC Pharmacy 1017 25th St. Sacramento CA (123) 555-7890 Dr. Diaz 9/30/20
RX 10575
JORDAN BIRD TAKE 1 CAPSULE 3X PER DAY ORALLY FOR 10 DAYS FOR INFECTION 12 A.M., 8 A.M., 4 P.M. AMOXICILLIN 250 mg #30 CAPSULES EXPIRES: 3/31/22 No REFILLS MFG: MANY MEDICATIONS, INC. FILLED BY: BRS
Seven Rights of Assisting with Self-Administration of Medication
10
7. Right Documentation
- Documentation must be completed on the individual’s MAR every time a medication is taken.
- Documentation of medication includes noting self-administration, missed dosages, errors, side effects, drug interactions, refusals, and whether the individual was off site.
- Direct Support Professionals must sign/initial and indicate the right time and date the medication was taken on the MAR.
- Information on the MAR must match the information on the prescription label from the pharmacy.
Note: See next slide for sample MAR.
Seven Rights of Assisting with Self-Administration of Medication
11
Medication Administration Record
Seven Rights of Assisting with Self-Administration of Medication
12
Read and Compare Three Times (3x)
When assisting an individual, you must read and compare the information on the medication label to the information on the Medication Administration Record (MAR) three times before the individual takes the medication. ALWAYS REMEMBER the SEVEN RIGHTS!!!
Seven Rights of Assisting with Self- Administration of Medication
14
First Check - Verification
When you remove the medication from the storage area. Read and compare the information on the Medication Label to the information on the Medication Administration Record (MAR).
Verification
Seven Rights of Assisting with Self- Administration of Medication
15
Second Check - Preparation
When you prepare the medication in individual doses from the original labeled container. Read and compare the information on the Medication Label to the information on the Medication Administration Record (MAR).
Preparation
Seven Rights of Assisting with Self- Administration of Medication
16
Third Check - Presentation
When you provide the medication to the individual, just before you assist them to take the medication. Read and compare the information on the Medication Label to the information on the Medication Administration Record (MAR).
Presentation
Seven Rights of Assisting with Self- Administration of Medication
17
Something’s wrong!
If, at any time, you discover that any of the information does not match, STOP. You may have the wrong individual, or be preparing the wrong medication in the wrong dose at the wrong time. Think through of all the possibilities and if still unsure, ask another DSP or your Administrator. In some cases, you may need to call the doctor or pharmacist.
Seven Rights of Assisting with Self- Administration of Medication
18
7 Rights Assisting Self Administration Medication
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Transcript
Seven Rights of Assisting with Self-Administration of Medication
Medications are substances used to prevent or treat an illness. Knowing about medications and how to assist individuals in using them is vital to the health and well- being of those you support.
Seven Rights of Assisting with Self- Administration of Medication
Safety is the #1 Priority
Following the Seven Rights each time you assist an individual with self-administration of medication is the best way for the Direct Care Workers (DCWs) to prevent medication errors.
Seven Rights of Assisting with Self- Administration of Medication
What are the Seven Rights?
The Seven Rights are needed to assure that medication is being taken safely. The Direct Care Worker needs to be sure he or she has the:
Seven Rights of Assisting with Self- Administration of Medication
1. Right Person
ABC Pharmacy 1017 25th St. Sacramento CA (123) 555-7890 Dr. Diaz 9/30/20
RX 10575
JORDAN BIRD TAKE 1 CAPSULE 3X PER DAY ORALLY FOR 10 DAYS FOR INFECTION 12 A.M., 8 A.M., 4 P.M. AMOXICILLIN 250 mg #30 CAPSULES EXPIRES: 3/31/22 No REFILLS MFG: MANY MEDICATIONS, INC. FILLED BY: BRS
Seven Rights of Assisting with Self-Administration of Medication
2. Right Medication
ABC Pharmacy 1017 25th St. Sacramento CA (123) 555-7890 Dr. Diaz
RX 10575 9/30/20 JORDAN BIRD
TAKE 1 CAPSULE 3X PER DAY ORALLY FOR 10 DAYS FOR INFECTION 12 A.M., 8 A.M., 4 P.M. AMOXICILLIN 250 mg #30 CAPSULES EXPIRES: 3/31/22 No REFILLS MFG: MANY MEDICATIONS, INC. FILLED BY: BRS
Seven Rights of Assisting with Self-Administration of Medication
3. Right Dose
ABC Pharmacy 1017 25th St. Sacramento CA (123) 555-7890 Dr. Diaz RX 10575 9/30/20
250 mg
JORDAN BIRD
TAKE 1 CAPSULE 3X PER DAY ORALLY FOR 10 DAYS FOR INFECTION 12 A.M., 8 A.M., 4 P.M. AMOXICILLIN 250 mg #30 CAPSULES EXPIRES: 3/31/22 No REFILLS MFG: MANY MEDICATIONS, INC. FILLED BY: BRS
Seven Rights of Assisting with Self-Administration of Medication
4. Right Time
ABC Pharmacy 1017 25th St. Sacramento CA (123) 555-7890 Dr. Diaz RX 10575 9/30/20 JORDAN BIRD TAKE 1 CAPSULE 3X PER DAY ORALLY FOR 10 DAYS FOR INFECTION 12 A.M., 8 A.M., 4 P.M. AMOXICILLIN 250 mg #30 CAPSULES EXPIRES: 3/31/22 No REFILLS MFG: MANY MEDICATIONS, INC. FILLED BY: BRS
Seven Rights of Assisting with Self-Administration of Medication
5. Right Route
ABC Pharmacy 1017 25th St. Sacramento CA (123) 555-7890 Dr. Diaz 9/30/20 ORDAN BIRD AKE 1 CAPSULE 3X PER DAY ORALLY FOR 10 DAYS
RX 10575 J T FOR INFECTION 12 A.M., 8 A.M., 4 P.M. AMOXICILLIN 250 mg #30 CAPSULES EXPIRES: 3/31/22 No REFILLS MFG: MANY MEDICATIONS, INC. FILLED BY: BRS
Seven Rights of Assisting with Self-Administration of Medication
6. Right Reason
- Every medication has a condition/reason for why it is prescribed.
- Most medication labels have the condition/reason printed on the label, make sure to read it.
- It is the physician’s responsibility to write the correct information on the prescription for the pharmacy.
- Medications can be a “routine” medication or an “as needed” medication which is also called a PRN (Pro Re Nata) medication.
‒ PRN information and procedures are not discussed in this module.ABC Pharmacy 1017 25th St. Sacramento CA (123) 555-7890 Dr. Diaz 9/30/20
RX 10575
JORDAN BIRD TAKE 1 CAPSULE 3X PER DAY ORALLY FOR 10 DAYS FOR INFECTION 12 A.M., 8 A.M., 4 P.M. AMOXICILLIN 250 mg #30 CAPSULES EXPIRES: 3/31/22 No REFILLS MFG: MANY MEDICATIONS, INC. FILLED BY: BRS
Seven Rights of Assisting with Self-Administration of Medication
10
7. Right Documentation
- Documentation must be completed on the individual’s MAR every time a medication is taken.
- Documentation of medication includes noting self-administration, missed dosages, errors, side effects, drug interactions, refusals, and whether the individual was off site.
- Direct Support Professionals must sign/initial and indicate the right time and date the medication was taken on the MAR.
- Information on the MAR must match the information on the prescription label from the pharmacy.
Note: See next slide for sample MAR.Seven Rights of Assisting with Self-Administration of Medication
11
Medication Administration Record
Seven Rights of Assisting with Self-Administration of Medication
12
Read and Compare Three Times (3x)
When assisting an individual, you must read and compare the information on the medication label to the information on the Medication Administration Record (MAR) three times before the individual takes the medication. ALWAYS REMEMBER the SEVEN RIGHTS!!!
Seven Rights of Assisting with Self- Administration of Medication
14
First Check - Verification
When you remove the medication from the storage area. Read and compare the information on the Medication Label to the information on the Medication Administration Record (MAR).
Verification
Seven Rights of Assisting with Self- Administration of Medication
15
Second Check - Preparation
When you prepare the medication in individual doses from the original labeled container. Read and compare the information on the Medication Label to the information on the Medication Administration Record (MAR).
Preparation
Seven Rights of Assisting with Self- Administration of Medication
16
Third Check - Presentation
When you provide the medication to the individual, just before you assist them to take the medication. Read and compare the information on the Medication Label to the information on the Medication Administration Record (MAR).
Presentation
Seven Rights of Assisting with Self- Administration of Medication
17
Something’s wrong!
If, at any time, you discover that any of the information does not match, STOP. You may have the wrong individual, or be preparing the wrong medication in the wrong dose at the wrong time. Think through of all the possibilities and if still unsure, ask another DSP or your Administrator. In some cases, you may need to call the doctor or pharmacist.
Seven Rights of Assisting with Self- Administration of Medication
18