What would be considered a “right” of drug administration? select all that apply.

1. Right Medication.

   Any teachers administering the medication should check the medication against the signed form to ensure that the name of the medication on the bottle or package matches that exactly on the signed form. Each time the medication is administered, this should be checked. The medication should be kept in its original container.

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   • Experts have called for the five rights to be expanded to the ten rights of medication administration.
   • The 10 Rights of Medications Administration
   • What are the 8 rights of medication administration?
   • What is one of the 10 rights of medication administration?
   • Which are examples of the rights of medication administration?
   • What are the 9 rights of medication administration?

2. Right Child.

   During certain seasons of the year when multiple children need medication or if your program has several children enrolled who need medication support (such as for diabetes, asthma, or attention deficit hyperactivity disorder), the risk increases for improper medication administration. Forms and medication need to be checked to ensure that the right child is receiving the medication.

3. Right Dose.

   Confirmation needs to be made that the right dose has been measured. An excellent way to ensure this is to use the medication spoon dispensed with the medication by the pharmacy. Medication administration is not the place for guesswork. Any questions should be referred back to the family for clarification.

4. Right Time.

   Timing of the medication should be clearly written on the medication itself and on the signed form. Additionally, teachers need to confirm with families when the child arrives as to when the last dose of medication was administered and when the next one is due. This information should be documented, for example, on the child’s daily sheet or a medication administration form. Work with your coach, or licensing agency to ensure that you have the proper documentation required by your Service or state. Likewise, when the child is picked up by the family, the teacher should provide written documentation of medication administration.

5. Right Route.

   Medication can be delivered in a number of ways; usually the medication to be delivered by teachers is through oral dispensing or through an inhaler. Confirmation of method should be written on the medication itself as well as on the signed form.

6. Right Reason.

   Each time medication is given, the person administering it should make sure that the medication is being given for the right reason (e.g., Tylenol for teething pain, breathing treatment for asthma attack). Consulting the health-care plan or inclusion support plans for the appropriate symptoms can help ensure that the medication is given for the correct reasons.

7. Right Documentation.

   Each administration of medication should be recorded. The teacher who gave the medication should document the administration immediately each and every time after he or she has provided a dose (after washing his or her hands). This is a critical step. Without proper documentation, another adult or the child’s family member may not appropriately provide the next dose of medication, which could have serious health implications for the child.

Adapted from American Academy of Pediatrics’ Medication Administration Curriculum

Experts have called for the five rights to be expanded to the ten rights of medication administration.

When it comes to the safe administration of medications, you can never be too careful, especially as up to 10% of patients experience unwanted side effects or reactions, and research shows that administration errors make up 60% of all drug errors.

The rights of medication administration are there not only to reduce the harm caused by medication errors but also to protect the interests of the patient and the nurse administering.

The 10 Rights of Medications Administration

1. Right patient

• Check the name on the prescription and wristband.
• Ideally, use 2 or more identifiers and ask the patient to identify themselves.

2. Right medication

• Check the name of the medication, brand names should be avoided.
• Check the expiry date.
• Check the prescription.
• Make sure medications, especially antibiotics, are reviewed regularly.

3. Right dose

• Check the prescription.
• Confirm the appropriateness of the dose using the BNF or local guidelines.
• If necessary, calculate the dose and have another nurse calculate the dose as well.

4. Right route

• Again, check the order and appropriateness of the route prescribed.
• Confirm that the patient can take or receive the medication by the ordered route.

5. Right time

• Check the frequency of the prescribed medication.
• Double-check that you are giving the prescribed at the correct time.
• Confirm when the last dose was given.

6. Right patient education

• Check if the patient understands what the medication is for.
• Make them aware they should contact a healthcare professional if they experience side-effects or reactions.

7. Right documentation

• Ensure you have signed for the medication AFTER it has been administered.
• Ensure the medication is prescribed correctly with a start and end date if appropriate.

8. Right to refuse

• Ensure you have the patient consent to administer medications.
• Be aware that patients do have a right to refuse medication if they have the capacity to do so.

9. Right assessment

• Check your patient actually needs the medication.
• Check for contraindications.
• Baseline observations if required.

10. Right evaluation

• Ensure the medication is working the way it should.
• Ensure medications are reviewed regularly.
• Ongoing observations if required.

Points 1 to 5 are the ‘5 Rights of Medication Administration. Points 6-10 are unratified checks that have been suggested by multiple US nursing boards and research panels to enhance patient safety. 

What are the 8 rights of medication administration?

What is one of the 10 rights of medication administration?

Which are examples of the rights of medication administration?

What are the 9 rights of medication administration?