APPENDIX

This survey consists of three parts. Answer all questions.

PART 1: Demographic Information

Direction: Please read each statement carefully and tick your answer.

1. Gender: 5. Working Experience

Male < 3 years

Female 3 5 years

6 10 years
2. Age: 10 15 years

< 30 > 15 years

31-40
6. Working Experience (Surgical Ward)
41-50
< 3 years
50 >
3 5 years

3. Academic Qualification: 6 10 years

10 15 years
SPM
> 15 years
STPM/Diploma

Degree 6. Level of Expertise

Master Advanced Beginner

PhD Competent

Proficient
4. Marital Status Expert
Single

Married

Others
APPENDIX 1

PART 2: Knowledge of Medication Administration

Direction: Please read each statement carefully and tick your answer.

QUESTION Yes No Dont Know

1. Do you know that the same generic content of medicines is
available under different names?
2. Do you always follow the directions given by doctor or
pharmacist when taking your medicine?
3. Overuse of Panadol (Paracetamol) will cause liver toxicity
4. Vitamins are a health food, so overusing it will not cause
negative effects to human body
5. Storing ointment or gel in the refrigerator could extend the
expiration date
6. Storing syrup in the refrigerator could extend the expiration date
7. Are you aware that there is medicines/food that should not be
taken together?
8. Are you aware that there are some of the modern and
traditional medicines should not be taken together?
9. Are you aware that certain medication/supplement may cause
an adverse drug reaction?
10. All the medicines registered in Malaysia are totally safe to use
without any side effects
Medication Calculation Instruments: Right Dose
11. A doctor ordered 200 mg of Rocephin to be taken by a 15.4 lb.
infant every 8 hours. The medication label shows that 75-150
mg/kg per day is the appropriate dosage range. Is this doctor's
order within the desired range?
12. Solumedrol 1.5 mg/kg is ordered for a child weighing 74.8 lb.
Solumedrol is available as 125 mg / 2mL. So, the nurse must
administer 0.70mL. Is this the right dosage?
13. Potassium chloride is available as 10 mg per tablet. Potassium
Chloride (K-Dur), 40 mg, is ordered. So, the required tablets are
4 tablets.
Pharmacology Knowledge Instrument: Right Drug
14. Pharmacodynamics is often referred to as what the drug does
to the body.
15. The most common side effect of nitroglycerine is a headache,
flushing.
16. Zocor is a lipid-lowering drug, which for a period of time was
one of the worlds best-selling drugs. Pravastatin is
synonymous (generic) to Zocor.
Comprehensive Instruments For Safe Medication Administration
17. A nurse must ensure that her patient has relevant
information/warnings concerning the medication and its action,
any side effects and how to report them.
APPENDIX 1

18. Is it safe to administer tricyclic antidepressants combined with

warfarin?
19. The age of the patient can be important in deciding the correct
medication dose.
20. One of the common mistakes in administering IV medications is
not monitoring the patient for effects of the drug.
21. It is not necessary to record or report any adverse reactions to
medications as these are already known by the pharmaceutical
companies.
APPENDIX 1

PART 3: Practices of Medication Administration

Direction: Circle the correct numeric response to each question.

Survey Scale: 1 = Always,

Question 2 = Usually, 3 =
Sometimes,
4 = Seldom, 5 = Never
1. Perform hand hygiene. 1 2 3 4 5
2. Ask the patient his/her name when checking to see that you 1 2 3 4 5
have the right patient for medication administration.
3. Tell the patient what medication they are about to receive. 1 2 3 4 5
4. Make sure the order is accurate when giving a patient his/her 1 2 3 4 5
medication.
5. Check to see what non-prescription or botanical medications 1 2 3 4 5
the patient may be taking and note these on the patients
record.
6. Ensure that the medication list is readily available in the 1 2 3 4 5
patients medical record and that its reviewed by her health
care providers.
7. Check the patients medication record to see that the medicine 1 2 3 4 5
has not been given previously and/or is within the time limits
allowed.
8. If a prescribed medication is NOT given to a patient, provide a 1 2 3 4 5
clear rationale and reasons in the patients record.
9. Make sure that the patient's most recent weight (in kilograms) 1 2 3 4 5
is documented in her medical record.
10. Obtain and update the patient's allergy information and current 1 2 3 4 5
medications during each admission or transfer.
11. Teach the patient to keep a current list of her medications. 1 2 3 4 5
12. Delay administration if you are unsure about the clinical 1 2 3 4 5
condition of the patient in relation to the drug to be given.
13. Report any drug errors as soon as recognized to minimize the 1 2 3 4 5
possible negative outcomes.
14. Investigate patient-reported medication errors and adverse 1 2 3 4 5
events and verify them in a timely manner.
15. Before administering a high-alert medication, if required by 1 2 3 4 5
your facility, ask another nurse to perform an independent
double-check.
16. Calculate the correct dosage of medications that are ordered 1 2 3 4 5
using weight-based dose schedules.
17. Collaborate with the prescriber or pharmacist if there are 1 2 3 4 5
questions about a prescribed medication.
18. Monitor medication dosing carefully, especially if dosing 1 2 3 4 5
adjustments are necessary.
19. Monitor and document the effectiveness of all medications 1 2 3 4 5
administered.
20. Report all medication errors and adverse effects; this includes 1 2 3 4 5
preventable ADEs, close calls, and hazardous conditions.