D u k e Details - Advanced Clinical Practice - Duke University

sAll members of the healthcare team monitor for theintended and unintended effects of medicationsand provide input into the medication plan.Documentation of patient responses to medicationscan be found on the flowsheet, MAR or progressnotes in the patient record.Healthcare team members monitor the patient’sresponse to the first dose(s) of a new medication.Follow the Six Rights of MedicationAdministration1. Right Patient2. Right Drug3. Right Dose4. Right Time5. Right Route6. Right ResponseAll medications are securely stored. Steps to maximizesecure storage include:• Protect your password(s).• Lock all medication carts, medication cabinets,and automatic dispensing cabinets. Closedrawers before walking away. Medicationcarts on the inpatient units lock down 1 minutefollowing authorized access.• Narcotics & other controlled substances arekept in a locked storage container. Verifycontrolled drug inventory after withdrawaland per policy• Emergency medications are kept secure inCode Blue carts. Document every shift that thelock integrity has not been compromised andthe cart is current according to its expirationdate.• Call maintenance (684-3232) immediatelywhen medication carts (flashing lights), storagecabinets and refrigerators do not lock properly.Medication Management43