Nursing Medication Administration

Review medication order  Client name  Date  Time  Name of drug  Dosage  Route of administration  Frequency  Special Considerations  Signature Legally responsible to know  Action  Intended use  Side effects  Contra-indications  Safe dose Legally responsible to monitor  Intended effect  Side effects  Adjust dose  Discontinue med RX Administrations DO’s  5 rights  Concentrate! Focus  Remain with pt  Chart promptly  Leave wrappers intact  Caution with PRN meds  Check Allergies  On chart  Check name band  Witness wastes of meds  Know your RX, Pt, Policies RX Administration DONT’S  DON’T take short-cuts  DON’T be distracted  DON’T leave meds alone  DON’T chart before administration  DON’T return multi-dose to container  DON’T give meds prepared by others  DON’T give meds with illegible label Procedure for Medication Error  Provide safety for pt  Document medication  Notify charge nurse  Notify MD  Notify pt  Complete incident report  Monitor pt 5 RIGHTS RIGHT PATIENT  Check name band  Ask pt to state name  Get meds for one pt at a time RIGHT DRUG  Know your drugs – use references  Know indications for meds  Watch spelling closely  Put med next to MAR RIGHT DOSE  Know intended effect  Dosing by route  Dosing by weight  Know safe doses RIGHT ROUTE  Know which route is ordered  Consider safety for pt – swallowing ability  Know how drugs can be given  Ex. morphine 20 mg would probably be oral – IV would be 3x the dose = 60 mg compared RIGHT TIME  Know time allowances  Know drug properties  Drug indications

Nursing Medication Administration  Types of orders  oral vs. 15 min IV .