Practice Material
6 Rights of Medication Administration - ANS✔✔ ›Right Drug
›Right Dose
›Right Route
›Right Time
›Right Patient
›Right Documentation
Patient Safety Checks to Avoid Error - ANS✔✔ Ways to prevent medication errors:
-Double check the providers orders
-Check the Medication administration record (MAR)
-Look up all medications before administering them
-Read drug insert and/or contact a pharmacist if you still have questions
-Student nurses - check with your clinical instructor
-Contact the healthcare provider and/or charge nurse if still unsure
-Follow you facility and institutional guidelines
-Never give meds that you did not draw up or prepare yourself
-Follow the rights of safe medication administration
-Follow up
-Never WASTE a medication that you don't know (RN only)- not done by students!!!
Medication information - ANS✔✔ Indication: what the medication is for or therapeutic effect
, Side Effects: common and expected and then also, severe and unexpected
Nursing Interventions: education, how to properly administer, what do you need to monitor,
therapeutic ranges, does the medication need to be diluted? Medication preparation
Contraindications? Other medications, lab values, kidney and liver impairment/failure
Routes of Medication Administration - ANS✔✔ oral/sublingual/inhaled, otic, ophthalmic,
topical/dermal, rectal/vaginal, and Injectables
Specific Considerations for Route - ANS✔✔ Topical/Dermal/Patches
- Assess skin before and after application
Ophthalmic
-dedicated to one patient
-Pull eyelid down making a pocket with knuckle - wear gloves - block nasolacrimal duct for 30-
60 seconds
OTIC:
-if eardrum is not intact - sterile procedure otherwise clean
-Use solutions at room temperature -> too cold=dizziness
-Pull pinna up and back - adults, down and back - children
-Push on tragus to instill meds
Suppositories (Vaginal/Rectal)