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Medication Administration

This document outlines the proper procedure for medication administration including verifying the 7 rights, checking physician's orders, gathering essential information about the medication, assessing the client, and documenting properly. Key steps include confirming the right patient, drug, dose, route, time, and documentation; checking for allergies and expiration dates; completing the 3 checks when removing, pouring and returning medication; verifying important information on physician orders; assessing the client's medical history, diet, labs, ability to swallow; and following standards of care depending on the route of administration such as oral, topical, inhaled, rectal, etc. Proper positioning, dosing, timing, and documentation are important to safely administer medication.

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queenzk
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2K views3 pages

Medication Administration

This document outlines the proper procedure for medication administration including verifying the 7 rights, checking physician's orders, gathering essential information about the medication, assessing the client, and documenting properly. Key steps include confirming the right patient, drug, dose, route, time, and documentation; checking for allergies and expiration dates; completing the 3 checks when removing, pouring and returning medication; verifying important information on physician orders; assessing the client's medical history, diet, labs, ability to swallow; and following standards of care depending on the route of administration such as oral, topical, inhaled, rectal, etc. Proper positioning, dosing, timing, and documentation are important to safely administer medication.

Uploaded by

queenzk
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd

Medication Administration

• 7 Rights
• Physician’s Orders
• Essential Information
• Computation
• Client Teaching
• Documentation

7 Rights
--Right Patient
–Right Drug
–Right Reason
–Right Dose
–Right Route
–Right Time
–Right Documentation
Also check for drug allergies and expiry date of medication

3 Checks Note changes


• When are these completed?
• 3 Checks
–Removing medication bubble pack, envelope or bottle from
drawer
–Pouring medication
–Returning medication to drawer

Physician orders---check the order first --- does it contain the following?

Client’s Name & Identification


–Medication Name
–Amount & Frequency of Dose
–Route of Administration
–Date & Time the prescription was ordered
–Signature of the prescriber

Essential information to know before Administering

• Classification
• Subclasses
• Action/Indication of Use
• Nursing Process
• Principles of therapy
• Nursing Actions – administer accurately,
• assess therapeutic effects and adverse effects
Medication History
Assess for Allergies.
–Obtain Medication history (including OTC, supplements and herbs)
–Obtain a Medical history (renal, hepatic, respiratory, cardiac, endocrine, neurological-
related health
challenges, substance abuse).
–Assess Pregnancy or Lactation Status

Medication Assessment before medication administered

Assess Diet & Fluid Status.


–Aware of Lab Values
–Ability to Swallow
–Gastrointestinal motility
–Adequate Muscle Mass & Venous
Access
–Vital Signs
–Understanding/Client Rights

Principles
–Accurately interpret physician orders
–Position client in appropriate position when administering medication (oral,
eye/ear/nose, enteral feeding tube, rectal, vaginal, inhalation)
–Have Client drink enough fluid to avoid lodging in esophagus
–Avoid touching medications (tablets, lotions, creams, ointments)
–Follow standards care according to route:
–Liquid
• Keep cap of bottle inverted when placing on counter
• Ensure label of bottle is in the palm of your hand
• Hold liquid medication at eye level
–Transdermal
Ensure previous transdermal patch has been removed
• Rotate sites of administration (s.c., transdermal patches)
• Ensure skin surface is clean/dry/intact, free of hair/bone
• Date/time & initial patch
–Eye
• O.D. (right eye); O.S (left eye); O.U.(both eyes)
• Retract conjunctival sac
• Avoid touching eye/lashes/lid with tip of bottle
• Place pressure on inner canthus to avoid systemic absorption
- Ear
• A.D (right ear); A.S. (left ear); A.U. (both ears)
• Straighten canal up/back (older children/adults) & down/back (infants & children
<3 years)
• Remain side lying for 5 – 10 mins
• Massage tragus of ear
–Rectal
• Position on left side lying Sims with upper leg flexed upward
• Have client take deep breaths, lubricate supp
• Retract buttocks with nondominant hand
• Insert with dominant index finger, gently past internal sphincter and against rectal
wall
• Avoid inserting suppository in stool
Inhaled
• Use a spacer with children/older adults
• Ensure the canister has been shaken if MDI
• Position mouth piece (without spacer) 2.5 to 5cm away from mouth
• Start inhaling slowly, press on the canister, hold breath for 10-15 seconds
• Wait 1-3 minutes before administering a second puff

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