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What is the most important nursing action to take before administering a high-alert medication?
Asked on Oct 17, 2025
Answer
Before administering a high-alert medication, the most important nursing action is to perform a thorough verification process to ensure patient safety, which includes checking the "Five Rights" of medication administration. This step is crucial in preventing medication errors and ensuring the correct medication is given to the right patient.
Example Nursing Steps:
- Step 1 – Verify the "Five Rights": right patient, right medication, right dose, right route, and right time.
- Step 2 – Perform an independent double-check with another licensed healthcare professional if required by policy.
- Step 3 – Document the administration and monitor the patient for any adverse reactions or side effects.
Additional Comment:
- High-alert medications have a higher risk of causing significant harm if used incorrectly.
- Always follow institutional policies and procedures for administering high-alert medications.
- Use tools like SBAR (Situation, Background, Assessment, Recommendation) for effective communication when verifying medication orders.
- Prioritize patient identification using two identifiers to prevent errors.
- Be aware of common high-alert medications such as insulin, anticoagulants, and opioids.
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