ADMINISTERING ORAL MEDICATION

Name: Rhea Mae T. Ricablanca Grade:_________________

Year and Section: BSN 2C Date: October 8, 2021

Legend:
1- Excellent
2- Very Satisfactory
3- Satisfactory
4- Needs Improvement
5- Poor
PROCEDURE RATIONALE 1 2 3 4 5
1. Perform hand hygiene. To reduce transmission
of microorganisms.
2. Prepare medication, adhering to five rights of drug Organizing medications
administration. and equipment saves
time and to prevent
medication error.
3. Identify client by reading identification bracelet and by The identification
addressing client by name. bracelet is the most
reliable source of
identification due to
where it made at the
time of client’s
admission and name
which can also help if
ever the client cannot
able to talk.
4. explain procedure and purpose of drug. Explaining the
procedure and how the
medication will help
using language that the
client can understand
can facilitate acceptance
of and compliance with
the therapy.
5. prepare equipment needed. The process will be
more effective and time
efficient if the nurse
knows what will be
needed.
6. Verify any allergies listed on medication record or Confirming if clients
electronic medication record. have allergies and to
prevent administering
drugs that triggered
client’s allergies.
7. obtain preassessment data. This will serve bases
that determines whether
the medication should
be given at that time or
 may not.
8. Separate drugs that might be withheld on preassessment This acts as a reminder
data. and makes it easier to
withhold medication if
necessary.
9. Assist client in semi-Fowler’s or sitting position. To prevent aspiration
during the process of
taking the medication
and facilitate
swallowing.
10. Don gloves if there is possibility of exposure to oral To avoid transmission
secretions. of disease.
11. Open unit-dose packages and place one drug in client’s The process maintains
hand or pour in medication cup and give to client; provide cleanliness and
assistance if needed. identification until it is
administered.
12. Instruct client to place tablets or capsules into mouth Promotes client comfort
and to follow with enough liquid to ensure. in swallowing and can
improve fluid intake.
13. Administer liquid medications after pills, instructing This aids with
client to drink all of the solution; provide assistance if swallowing and
needed. facilitate absorption.
14. Remain with client until all medications are taken; Nurse is responsible for
check mouth if there is any question of whether drug has ensuring that the client
been swallowed. receives the dose and
does not save it or
discard it before the
drug administration
record.
15. Reposition client and place call light within reach. To maintain good body
mechanism. During
hospital stays, the call
light is an important
patient communication
link.
16. Lift side rails. Patients find it more
comfortable if they
have support.
17. Discard or restore equipment properly

 If client refuses drug or drug has not been given Leaving medication at
for any reason, DO NOT leave drug at the the bedside is unsafe
bedside.
 Remove drug from the room and restore in
To avoid risk of
medication drawer or cabinet only if unopened
unit-dose package
medication poison.
 If unit-dose package has been opened, discard in
sink, or flush down toilet, with witness present, if When disposing
necessary. medication, there must
be a witness for making
sure that the medication
 was truly thrown away.
18. Remove gloves and perform hand hygiene To reduce the
transmission of
microorganisms and
disposing the
contaminated gloves in
appropriate receptacle.
19. Document administration in medication administration Record the when and
record what time was the
medication given,
include also the dosage,
also the client’s
complaints if there is
any, the assessments of
the client and the nurse
signature

Note: If medication was

refused or omitted,
write the cause, as well
as the nurse's actions,
according to agency
policy.
20. Assess client 30-60 mins after administration and Verifying client’s
document client’s response to medication. responds to medication.
Specially, when
administering pain
killer whether if the
medication relieves
client’s pain or not.
ATTITUDE
1. Accepts constructive suggestions and criticisms Start with a healthy
dose of empathy to
better connect with the
recipient. Assure that
your body language is
aligned with the
message you're trying to
convey. Validate with
the recipient that your
intended message was
indeed perceived
accurately and clarify
any misinterpretation.
2. Assume responsibility of his or her actions. Nurses must follow a
code of ethical conduct.
Follow the scope and
standards of nursing
practice. And also, the
 nurses give signature
for signature
maintaining the
professional
accountability.
Source: Jean Smith-Temple and Joyce Young Johnson. Nurses Guide to Clinical Procedures. Lippincott Williams
and Wilkin, 5th edition 2006, pp177-79

Scoring:

1x ____________ = __________

2x ____________ = __________

3x ____________ = __________

4x ____________ = __________

5x ____________ = __________

Total divided by no. of items = __________

Comments:

_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_______________________________________

_______________________________________ _______________________________________

Student’s Signature over Printed Name Clinical Instructor’s Signature and Date over

Printed name

PREPARING MEDICATION FROM A VIAL

Name: Rhea Mae T. Ricablanca Grade:__________________

Year and Section: BSN 2C Date: October 8, 2021

 Legend:
1- Excellent
2- Very Satisfactory
3- Satisfactory
4- Needs Improvement
5- Poor
PROCEDURE RATIONALE 1 2 3 4 5
1. Perform hand hygiene. To reduce transmission of
microorganisms.
2. Organize equipment Organizing medications
and equipment saves
time.
3. Check label of medication vial with medication record or To ensure the drug was
electronic medication record using five rights of drug given was the right
administration. medication before
addressing it to the
patient and avoid
medication error.
4. Perform dosage calculations if vial contains more For confirming if it was
medication than client requires. the right dose in order to
avoid patient put more in
danger than helping to
recover.
5. Remove thin seal cap from top of vial without touching To avoid contamination
rubber stopper. of the rubber top.
6. Firmly wipe rubber stopper on top of vial with alcohol To clean the cap and
swab. remove surface bacteria
contamination.
6.1 Read the instruction at vial label as to the amount of
diluent you are going to use. To determine how to
properly reconstitute the
medication to the proper
concentration.
6.2 Dilute/reconstitute the powder drug in the vial.
To provide an appropriate
quantity of the drugs in
the vial.
7. Pull end of plunger back to fill syringe with a volume of Air will make it easier to
air equal to the amount of solution to be drawn up, do not draw out the drug while
touch inside of plunger. maintaining sterility.
8. Remove needle cap and needle if necessary. Use of a needle prevents
the accidental
withdrawing of small
glass particles with the
medication.
9.Using a slightly slanted angle, firmly insert needle into For easy and convenient
center of rubber top of vial, with the sharpest point of the insertion of the needle.
needle (tip of bevel) entering first.
10. Continue insertion until needle is securely in vial yet For preventing the air
above the level of fluid. from being aspirated into
the syringe.
11. Press end of plunger of down to instill air to vial. Injection of an equal
amount of air is required
to prevent the formation
of a partial vacuum
 because a vial is a sealed
container. If not enough
air is injected, the
negative pressure makes
it difficult to withdraw
the medication
12. Hold vial with non-dominant hand and turn it up, To move the solution into
keeping needle/spike inserted; control syringe with the section of the vial
dominant hand and keep plunger down with thumb. closest to the rubber
stopper to make removal
easier.
13.Pull needle/spike back to point at which bevel is beneath Placing the needle in a
fluid level.; keep needle/spike beneath fluid as long as fluid fluid-collecting position
is being withdrawn. like form below level of
fluid.
14. Slowly pull end of plunger back until appropriate Pulling slowly helps
amount of solution is aspirated into syringe. make an accurate
withdrawal of medication.
15. if air bubbles enter syringe, gently flick syringe barrel Handling the plunger at
with fingers of dominant hand; keep a finger on end of the knob only will keep
plunger; continue holding vial with non-dominant hand. the shaft of the plunger
sterile.
16. Push plunger in until air is out of syringe. In order to rid of the air
injected in the syringe
17. withdraw additional solution if needed. For achieve the accurate
dose needed.
18. Pull needle out of bottle while keeping a finger on end To decrease possibility of
of plunger. Apply sterile needle to syringe if IM/SQ or ID contamination.
injections will be given.
19. If bubbles remain in syringe:

- hold syringe vertically (with needle pointing up if It makes easy way on

attached). removing the air bubbles
from the syringe.

Flicking moves the air

- Pull back slightly on plunger and flick syringe with bubbles to the top of the
fingers. syringe.

Slowly push plunger up to release air, but not to the point

of expelling the solution.
20. Recheck amount of solution in syringe comparing with For ensuring the accurate
drug volume required. quantity of medication as
it is.
21. Compare drug label with medication record or For confirming that it was
electronic record. the right medication.
22. Change needle, if used to withdraw the solution from When a solution is
the vial and drug is known to be irritating to tissue; replace injected into the skin, the
cap. drug adheres to the
needle's exterior surfaces,
irritating the tissue.
23. Label syringe with drug name and amount of drug. To avoid risk of
medication error when
administering the
 medicine and to promote
safer use of medicines
through standardization
and best practice.
24. Place syringe, medication record, and additional alcohol To promote organization
swabs on medication tray. and neatness.
25. Discard or restore all equipment appropriately. Immediately dispose of
used needles in a sharp’s
disposal container
(puncture-proof and leak-
proof) to avoid unsafe
disposal of a sharp. Also,
for reducing transmission
of infectious bacteria
among clients.
26. Perform hand hygiene To reduce transmission of
microorganisms.
ATTITUDE
1. Accepts constructive suggestions and criticisms Start with a healthy dose
of empathy to better
connect with the
recipient. Assure that
your body language is
aligned with the message
you're trying to convey.
Validate with the
recipient that your
intended message was
indeed perceived
accurately and clarify any
misinterpretation.
2. Assume responsibility of his or her actions. Nurses must follow a
code of ethical conduct.

Follow the scope and

standards of nursing
practice. And also, the
nurses give signature for
signature maintaining the
professional
accountability.
Source: Jean Smith-Temple and Joyce Young Johnson. Nurses Guide to Clinical Procedures. Lippincott Williams
and Wilkin, 5th edition 2006, pp 184-187

Scoring:

1x ____________ = __________

2x ____________ = __________

3x ____________ = __________

4x ____________ = __________
 5x ____________ = __________

Total divided by no. of items = __________

Comments:

_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_______________________________________

_______________________________________ _______________________________________

Student’s Signature over Printed Name Clinical Instructor’s Signature and Date over

Printed name
 ADMINISTERING INTRADERMAL MEDICATIONS

Name:________________________________________________________Grade:__________________

Year and Section:________________________ ___________Date:___________________________

PURPOSE:

Permits administration of small amounts of toxins or mediation deposited under the skin for
absorption

EQUIPMENT NEEDED:

Serves as method of diagnostic testing for allergens or for exposure to specific diseases.

MATERIALS:

Medication Administration record/Electronic mediation ticket pen

Appropriate size of syringe and needle for type of injection and viscosity of Solution

Disposable gloves (optional)

Alcohol swabs

Medication to be administered

1 ml syringe with 26-28-gauge needle

Medication tray

Legend:
1- Excellent
2- Very Satisfactory
3- Satisfactory
4- Needs Improvement
5- Poor
PROCEDURE RATIONALE 1 2 3 4 5
Perform hand hygiene.
 Prepare drug to be administered according to the
five rights of drug administration.
Identify client by checking identification bracelet
and by addressing client by name.
Explain procedure and purpose of medication to
client.
Verify allergies listed on medication record or
electronic medication record.
Don gloves.
Select injection site on forearm if no other site is
required by agency policy or doctor’s orders; use
alternative sites if forearm cannot be used.
Position client with forearm facing up
Cleanse site with alcohol, using a circular motion
starting from the center and working outward.
Allow alcohol to dry.
Remove needle cap.
Place non dominant thumb about 1 inch below
insertion site and pull skin down (town hand).
Talk to client and warn of impending needlestick.
With bevel up and using dominant hand, insert
needle just below the skin at a 10-15-degree angle.
Once entry into skin surface is made, advance
needle another 1/8 inch.
Inject drug slowly and smoothly while observing
for bleb (a raised welt) to form (the bleb should be
present).
Remove at same angle that it was inserted.
Gently remove blood, if any, by dabbing with
second alcohol swab.
Observe skin for redness or swelling; if this is an
allergy test; observe for systematic reaction (e.g.
respiratory difficulty, sweating, faintness, decreased
blood pressure, nausea, vomiting, cyanosis).
Reassess client and injection site after 5 minutes,
after 15 minutes, then periodically while client
remains in clinic.
Place and capped needle on tray. Remove gloves.
Mark with blue or black pen around the bleb and
instruct client not to rub area.
Reposition client.
Discard equipment appropriately.
Perform hand hygiene.
Document administration on medication record.
ATTITUDE OF THE STUDENT
Accepts constructive suggestions and criticisms.
Assumes accountability.
Source:

Jean Smith-Temple and Joyce Young Johnson. Nurses’

Guide to Clinical Procedures. Lippincott Williams and
Wilkins, 5th Edition, pp. 202-205.
Scoring:

1x ____________ = __________

2x ____________ = __________

3x ____________ = __________

4x ____________ = __________

5x ____________ = __________

Total divided by no. of items = __________

Comments

_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_______________________________________

_______________________________________ _______________________________________

Student’s Signature over Printed Name Clinical Instructor’s Signature and Date over

Printed name
 ADMINISTERING INTRAMUSCULAR MEDICATION

Name:________________________________________________________Grade:__________________
________

Year and
Section:_______________________________________________Date:___________________________

PURPOSE:

Delivers ordered medication into muscle tissue.

MATERIALS:

Medication Administration record/Electronic medication ticket pen

Appropriate size of syringe and needle for type of injection and viscosity of Solution

Disposable gloves (optional)

Alcohol swabs

Medication to be administered

3 ml syringe with 21, 22, 23-gauge needle

Medication tray
Legend:
1- Excellent
2- Very Satisfactory
3- Satisfactory
4- Needs Improvement
5- Poor
PROCEDURE RATIONALE 1 2 3 4 5
Perform hand hygiene.
Prepare medication adhering to the five rights of
drug administration.
Identify client by checking identification bracelet
and by addressing client by name.
Explain procedure and purpose of medication to
client.
Verify allergies listed on medication record or
electronic medication record.
Don gloves.
Select injection site appropriate for client’s size and
age.
Assist client into position for comfort and easy
 visibility of injection site.
Cleanse site with alcohol swab.
Remove needle cap.
Pull skin taut by at insertion by using the following
sequence:
Place thumb and index finger of non-dominant hand
over injection site (taking care not to touch cleaned
area) to from a V.
Pull thumb and index finger in opposing direction
spreading fingers about 3 in
Talk to client and warn of impending needlestick
Quickly insert needle at a 90-degree angle with
dominant hand (as if throwing a dart).
Move thumb and first finger of non-dominant from
skin to support barrel of syringe; place fingers on
the barrel.
Pull back on plunger and aspirate for blood return in
syringe.
If blood does return when aspirating pulls the
needle out, apply pressure to the insertion site and
repeat injection steps.
If no blood returns, push plunger slowly and
smoothly; encourage client to talk or take deep
breaths.
Remove needle at the same angle as it was inserted.
Massage and lean insertion are with second alcohol
wipe (if contraindicated for drug, apply firm
pressure instead).
Place needle on tray; do not recap.
Remove gloves.
Reposition client; raise siderails and place bed in
lowest position with call light within reach.
Discard equipment appropriately.
Perform hand hygiene.
Document administration on medication record.
ATTITUDE OF THE STUDENT
Accepts constructive suggestions and criticisms.
Assumes accountability.
Source:

Jean Smith-Temple and Joyce Young Johnson. Nurses’

Guide to Clinical Procedures. Lippincott Williams and
Wilkins, 5th Edition 2006, pp. 215-219.

Scoring:

1x ____________ = __________

2x ____________ = __________

3x ____________ = __________
 4x ____________ = __________

5x ____________ = __________

Total divided by no. of items = __________

Comments:

_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_______________________________________

_______________________________________ _______________________________________

Student’s Signature over Printed Name Clinical Instructor’s Signature and Date over

Printed name