/
Pharm
/
Medication Reconciliation Review for Certified Perioperative Nurse (CNOR)

Medication Reconciliation Review for Certified Perioperative Nurse (CNOR)

Watch More! Unlock the full videos with a FREE trial
START FREE TRIAL
Master
To Master a topic you must score > 80% on the lesson quiz.

Included In This Lesson

Outline
Transcript
Additional Lessons

Outline

Medication Reconciliation Review

 

Guidelines:

  • Complete medication history to be completed pre-operatively
  • Communication with prescribing physician often required

 

Considerations:

  • Medications often delayed
    • Aspirin/anticoagulants-risk for bleeding
    • NSAIDS-risk for bleeding
    • HTN medications- possibly held
    • Alcohol/drugs
    • Marijuana
    • OTC Herbs (St John’s Wort)

 

Nurse’s role:

  • Ensure proper medication reconciliation is completed
  • Patient interview to ensure compliance with medication instructions
  • Facilitate conversation between surgical teams, anesthesia, primary care, etc

 

Pitfalls:

  • No proper pre-op completed
  • Patient knowledge deficit
  • Different expectations between physician teams
  • Family/caretaker involvement

 

Examples:

  • Patient told to hold xarelto 7 days before procedure, reports she was told to never stop it by cardiologist
  • Patient reports day of surgery that they took their long-acting insulin before reporting to pre-op

 

Linchpins (Key Points):

  • Each patient will have specific parameters for medications to be held, given, etc.that is
    a unique risk/benefit conversation for that patient

 

 

View the FULL Outline

When you start a FREE trial you gain access to the full outline as well as:

  • SIMCLEX (NCLEX Simulator)
  • 6,500+ Practice NCLEX Questions
  • 2,000+ HD Videos
  • 300+ Nursing Cheatsheets
Start Free Trial

Transcript

References

  • Association of periOperative Registered Nurses. (2022). Guidelines for Perioperative Practice (2022 ed.).

 

 

View the FULL Transcript

When you start a FREE trial you gain access to the full outline as well as:

  • SIMCLEX (NCLEX Simulator)
  • 6,500+ Practice NCLEX Questions
  • 2,000+ HD Videos
  • 300+ Nursing Cheatsheets
Start Free Trial

Pharm

Concepts Covered:

  • Test Taking Strategies
  • Medication Administration
  • Microbiology
  • Anxiety Disorders
  • Depressive Disorders
  • Vascular Disorders
  • Nervous System
  • Intraoperative Nursing
  • Central Nervous System Disorders – Brain
  • Fundamentals of Emergency Nursing
  • Dosage Calculations
  • Immunological Disorders
  • Understanding Society
  • Gastrointestinal Disorders
  • Circulatory System
  • Concepts of Pharmacology
  • Studying
  • Newborn Care
  • Disorders of Pancreas
  • Respiratory Disorders
  • Postoperative Nursing
  • Pregnancy Risks
  • Neurological
  • Postpartum Complications
  • Substance Abuse Disorders
  • Upper GI Disorders
  • Noninfectious Respiratory Disorder
  • Bipolar Disorders
  • Peripheral Nervous System Disorders
  • Cardiac Disorders
  • Learning Pharmacology
  • Psychotic Disorders
  • Prenatal Concepts
  • Adulthood Growth and Development
  • Emergency Care of the Cardiac Patient
  • Tissues and Glands
  • Adult

Study Plan Lessons

12 Points to Answering Pharmacology Questions
6 Rights of Medication Administration
Anti-Infective – Antifungals
Antianxiety Meds
Antidepressants
Atenolol (Tenormin) Nursing Considerations
Atropine (Atropen) Nursing Considerations
Barbiturates
Basics of Calculations
Buspirone (Buspar) Nursing Considerations
Carbidopa-Levodopa (Sinemet) Nursing Considerations
Combative: IV Insertion
Complex Calculations (Dosage Calculations/Med Math)
Cyclosporine (Sandimmune) Nursing Considerations
Dark Skin: IV Insertion
Dimensional Analysis Nursing (Dosage Calculations/Med Math)
Diphenoxylate-Atropine (Lomotil) Nursing Considerations
Drawing Blood from the IV
Drawing Up Meds
Drug Interactions Nursing Mnemonic (These Drugs Can Interact)
Eye Prophylaxis for Newborn
Fentanyl (Duragesic) Nursing Considerations
Giving Medication Through An IV Set Port
Glipizide (Glucotrol) Nursing Considerations
Guaifenesin (Mucinex) Nursing Considerations
Hanging an IV Piggyback
How to Remove (discontinue) an IV
How to Secure an IV (chevron, transparent dressing)
Hydralazine
IV Complications (infiltration, phlebitis, hematoma, extravasation, air embolism)
IV Drip Administration & Safety Checks
IV Drip Therapy – Medications Used for Drips
IV Catheter Selection (gauge, color)
Insulin Drips
Insulin Mixing
Interactive Pharmacology Practice
Insulin – Mixtures (70/30)
Insulin – Long Acting (Lantus) Nursing Considerations
Insulin
Injectable Medications
IM Injections
Hydromorphone (Dilaudid) Nursing Considerations
Hydrocodone-Acetaminophen (Vicodin, Lortab) Nursing Considerations
IV Infusions (Solutions)
IV Insertion Angle
IV Insertion Course Introduction
IV Placement Start To Finish (How to Start an IV)
IV Pump Management
IV Push Medications
Ketorolac (Toradol) Nursing Considerations
Labeling (Medications, Solutions, Containers) for Certified Perioperative Nurse (CNOR)
Lidocaine (Xylocaine) Nursing Considerations
Magnesium Sulfate
Magnesium Sulfate in Pregnancy
Maintenance of the IV
Mannitol (Osmitrol) Nursing Considerations
MAOIs
Medication Errors
Medication Reconciliation Review for Certified Perioperative Nurse (CNOR)
Medications in Ampules
Meds for Postpartum Hemorrhage (PPH)
Meperidine (Demerol) Nursing Considerations
Methadone (Methadose) Nursing Considerations
Methylergonovine (Methergine) Nursing Considerations
Metoclopramide (Reglan) Nursing Considerations
Montelukast (Singulair) Nursing Considerations
Mood Stabilizers
Nalbuphine (Nubain) Nursing Considerations
Needle Safety
Neostigmine (Prostigmin) Nursing Considerations
NG Tube Med Administration (Nasogastric)
NG Tube Medication Administration
Nitro Compounds
NRSNG Live | The S.O.C.K Method for Mastering Nursing Pharmacology and Never Forgetting a Medication Again
Nystatin (Mycostatin) Nursing Considerations
OB Pharm and What Drugs You HAVE to Know – Live Tutoring Archive
Olanzapine (Zyprexa) Nursing Considerations
Opioid Analgesics in Pregnancy
Oral Medications
Oxycodone (OxyContin) Nursing Considerations
Pain Management for the Older Adult – Live Tutoring Archive
Pain Management Meds – Live Tutoring Archive
Parasympathomimetics (Cholinergics) Nursing Considerations
Patient Controlled Analgesia (PCA)
Pediatric Dosage Calculations
Pentobarbital (Nembutal) Nursing Considerations
Pharmacodynamics
Pharmacokinetics
Pharmacokinetics Nursing Mnemonic (ADME)
Pharmacology Course Introduction
Phenobarbital (Luminal) Nursing Considerations
Phytonadione (Vitamin K) for Newborn
Pill Crushing & Cutting
Positioning
Procainamide (Pronestyl) Nursing Considerations
Propofol (Diprivan) Nursing Considerations
Quetiapine (Seroquel) Nursing Considerations
Ranitidine (Zantac) Nursing Considerations
Rh Immune Globulin in Pregnancy
Sedatives-Hypnotics
Sedatives-Hypnotics
Selecting THE vein
Spiking & Priming IV Bags
Starting an IV
Streptokinase (Streptase) Nursing Considerations
Struggling with Dimensional Analysis? – Live Tutoring Archive
SubQ Injections
Supplies Needed
Tattoos IV Insertion
TCAs
The SOCK Method – C
The SOCK Method – K
The SOCK Method – O
The SOCK Method – Overview
The SOCK Method – S
The SOCK Method of Pharmacology 1 – Live Tutoring Archive
The SOCK Method of Pharmacology 2 – Live Tutoring Archive
The SOCK Method of Pharmacology 3 – Live Tutoring Archive
Tips & Tricks
Tips & Advice for Newborns (Neonatal IV Insertion)
Tips & Advice for Pediatric IV
Understanding All The IV Set Ports
Using Aseptic Technique
Verapamil (Calan) Nursing Considerations
Codeine (Paveral) Nursing Considerations
Celecoxib (Celebrex) Nursing Considerations
Cefdinir (Omnicef) Nursing Considerations
Bisacodyl (Dulcolax) Nursing Considerations
Benztropine (Cogentin) Nursing Considerations
Bariatric: IV Insertion
Anti-Platelet Aggregate
Anesthetic Agents
Amiodarone (Pacerone) Nursing Considerations
Adenosine (Adenocard) Nursing Considerations
ACLS (Advanced cardiac life support) Drugs