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The competency base (i.e. the scope of knowledge, skills and judgements) required, is dependent on the health status of the patient population and the medications prescribed.
To ensure safe medication preparation and administration, nurses are trained to practice the 7 rights of medication administration: right patient, right drug, right dose, right time, right route, right reason and right documentation [12, 13].
WHAT ARE THE THREE CHECKS? Checking the: Name of the person; Strength and dosage; and Frequency against the: Medical order; MAR; AND Medication container.
1 Principles of Drug Administration Right patient. Right drug. Right dose. Right time. Right route.
Right patient. Right medication. Right dose. Right route. Right time. Right patient education. Right documentation. Right to refuse.
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Competency Assessment Tool A thorough assessment should be undertaken before staff begin administering medication unsupervised. The assessment should be repeated at intervals of not less than one year or sooner if circumstances indicate, for example, if there has been a medication error.
MEDICATION COMPETENCY ASSESSMENT AND OBSERVATION. This assessment is intended to test the knowledge and skills of staff in order to confirm they are able to safely manage and administer medication within services.
Most health care professionals, especially nurses, know the five rights of medication use: the right patient, the right drug, the right time, the right dose, and the right routeall of which are generally regarded as a standard for safe medication practices.

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