Preparing Parents for Discharge: Medication Administration in the Home Environment

摘要

Medication administration in the neonatal intensive care unit (NICU.)setting is an entity of its own. Medications for neonates often have complex doses, defined intervals, and frequently interact with other medications or treatment modalities. Rigorous practices are required for our patients' safety as well as each infant's survival. When working with this vulnerable population there is seldom room for error. In the initial days of a premature infant's life the medication regimens are critical to support physiologic stability and assist the body to function properly. We work together to provide nursing and medical management including medications and nutrition to promote the health and well-being of these tiny fragile beings. The medications are ordered by neonatologists, fellows, residents, or neonatal nurse practitioners; verified by a pharmacist; and final verification occurs with the bedside nurse caring for the infant; and for many medications this process is verified by another nurse to increase safety. Each medication ordered is examined based on the five rights of medication administration before it is given. Nurses at the bedside must be cognizant that they are often the last line of defense for medication safety for these fragile infants.