St. Luke's Hospital
Main Number: 314-434-1500 Emergency Dept: 314-205-6990 Patient Billing: 888-924-9200
Find a Physician Payment Options Locations & Directions
Follow us on: facebook twitter Mobile Email Page Email Page Print Page Print Page Increase Font Size Decrease Font Size Font Size
America's 50 Best Hospitals
Meet the Doctor
Spirit of Women
Community Health Needs Assessment
Home > Health Information

Multimedia Encyclopedia

    Print-Friendly
    Bookmarks

    Medication safety during your hospital stay

    Five-rights; Medication administration; Medical errors - medication

    Medication safety means you get the right medicine, the right dose, at the right times. During your hospital stay, your health care team needs to follow many steps to make sure this happens. You can also help ensure that you get the right medicines the right way.

    Getting the Right Medicine

    All hospitals have a process to make sure you get the right medicines. A mistake could cause a problem for you. This is the order of the steps in the process:

    • Your doctor writes an order for medicine for you in your medical record. This prescription goes to the hospital pharmacy.
    • The hospital pharmacist reads and fills the prescription. The medicine is labeled with the type of medicine and your name, and then sent to your nurse.
    • Your nurse reads the prescription label and gives you the medicine. This is called “administering” the medicine.
    • Your nurse and the rest of your health care team monitor (watch) you to see how you respond to the medicine. They will watch to make sure the medicine is working. They will also look for side effects the medicine could cause.

    Filling Your Prescriptions

    The pharmacy may receive some prescriptions by computer (electronic) and some handwritten ones. Electronic ones are easier to read than handwritten ones. This means there is less chance of a medicine error from electronic prescriptions.

    Your doctor can tell your nurse to write down a prescription for medicine for you. Then your nurse can send the prescription to the pharmacy. This is called a “verbal order.” Your nurse should repeat the prescription back to your doctor to make sure it is right before sending it to the pharmacy.

    Your doctor, nurse, and pharmacist will check to make sure any new medicines you receive will not cause a bad reaction with other medicines you are already taking.

    The 5 Rights of Medicine

    The 5 rights of medicine are a checklist nurses use to make sure you get the right medicine. The 5 rights are the:

    • Right medicine (Is the right medicine being given?)
    • Right dose (Is the amount and strength of the medicine correct?)
    • Right patient (Is the medicine being given to the right patient?)
    • Right time (Is it the right time to give the medicine?)
    • Right route (Is the medicine being given the right way? It may be given by mouth, through a vein, on your skin, or another way.)

    Tips to Stay Safe

    You can help make sure you get the right medicine the right way during your hospital stay by doing these things:

    • Tell your nurse and other health care providers about any allergies or side effects you have had to any medicines in the past.
    • Make sure your nurse and doctor know all the medicines, supplements, and herbs you were taking before you came to the hospital. Bring a list of all these with you. It is a good idea to keep this list in your wallet and with you at all times.
    • While you are in the hospital, do not take medicines you brought from home unless your doctor tells you it is okay to. Make sure to tell your nurse if you take your own medicine.
    • Ask what each medicine is for. Also ask what side effects to watch for and tell your nurse about.
    • Know the names of the medicines you get and what times you should get them in the hospital.
    • Ask your nurse to tell you what medicines they are giving you. Keep a list of what medicines you get and what times you got them. Speak up if you think you are getting the wrong medicine or getting a medicine at the wrong time.
    • Any container that has medicine in it should have a label with the name of the medicine on it. This includes all syringes, tubes, bags, and pill bottles. If you do not see a label, ask your nurse what the medicine is.
    • Ask your nurse if you are taking any medicine that is a “high-alert” medicine. These are medicines that can cause harm if they are not given the right way, even if they are used for the right purpose. A few high-alert medicines are blood thinners, insulin, and narcotic pain medicines. Ask what extra safety steps are being taken if you are taking a high-alert medicine.

    References

    Bates DW. Medication safety in the hospital In: Wachter RM, Goldman L, Hollander H., eds. Hospital Medicine. 2nd ed. Philadelphia, Pa: Lippincott Williams & Wilkins; 2005.

    BACK TO TOP

          A Closer Look

          Talking to your MD

            Self Care

              Tests for Medication safety during your hospital stay

                Review Date: 5/17/2012

                Reviewed By: David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M. Health Solutions, Ebix, Inc.

                The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
                adam.com

                A.D.A.M. content is best viewed in IE9 or above, Fire Fox and chrome browser.


                Back  |  Top
                About Us
                Contact Us
                History
                Mission
                Locations & Directions
                Quality Reports
                Annual Reports
                Honors & Awards
                Community Health Needs
                Assessment

                Newsroom
                Services
                Brain & Spine
                Cancer
                Heart
                Maternity
                Orthopedics
                Pulmonary
                Sleep Medicine
                Urgent Care
                Women's Services
                All Services
                Patients & Visitors
                Locations & Directions
                Find a Physician
                Tour St. Luke's
                Patient & Visitor Information
                Contact Us
                Payment Options
                Financial Assistance
                Send a Card
                Mammogram Appointments
                Health Tools
                My Personal Health
                mystlukes
                Spirit of Women
                Health Information & Tools
                Clinical Trials
                Health Risk Assessments
                Employer Programs -
                Passport to Wellness

                Classes & Events
                Classes & Events
                Spirit of Women
                Donate & Volunteer
                Giving Opportunities
                Volunteer
                Physicians & Employees
                For Physicians
                Remote Access
                Medical Residency Information
                Pharmacy Residency Information
                Physician CPOE Training
                Careers
                Careers
                St. Luke's Hospital - 232 South Woods Mill Road - Chesterfield, MO 63017 Main Number: 314-434-1500 Emergency Dept: 314-205-6990 Patient Billing: 888-924-9200
                Copyright © St. Luke's Hospital Website Terms and Conditions  |  Privacy Policy  |  Patient Notice of Privacy Policies PDF Sitemap St. Luke's Mobile