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Question - It is 0800, and you have begun organizing your medication pass for this shift by verifying the medication administration record (MAR) entries against the provider's prescriptions. You notice that Mr. Bigler has been prescribed Toradol 30 mg IM every 6 hours. His last dose was supposed to have been given at 0600, but there is no documentation that the medication was administered.
1. What should you do?
2. Should you assume the night shift nurse administered the medication but forgot to document that they had given it, and give the 0600 dose late? Why or why not?
3. When should the next dose be administered?
4. If the night nurse did not administer the medication as prescribed, what type of medication error did they make? What factors could have caused this error?
5. Assuming that the nurse did administer the medication as prescribed at 0600, what error did the night nurse make? Which of the "rights of medication" was violated?
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