Medication AdministrationMedication Administration

Valencia Community College Valencia Community College

Nursing ProgramNursing Program

Pat Woodbery, MSN, ARNP-CSPat Woodbery, MSN, ARNP-CS

Betsy Guimond, MN, ARNPBetsy Guimond, MN, ARNP

Who Can Write a Medication Who Can Write a Medication Order?Order?

• PhysicianPhysician

• Nurse PractitionerNurse Practitioner

• Physician’s AssistantPhysician’s Assistant

The “5 Rights” The “5 Rights” of of

Medication AdministrationMedication AdministrationPage 10 LillyPage 10 Lilly

• Right DrugRight Drug

• Right DoseRight Dose

• Right ClientRight Client

• Right RouteRight Route

• Right TimeRight Time

Routes of Medication Routes of Medication AdministrationAdministration

•Oral RouteOral Route– SwallowSwallow– SublingualSublingual– BuccalBuccal

Lilley & Aucker Lilley & Aucker Pg 17Pg 17

Routes of Medication Routes of Medication AdministrationAdministration

•ParenteralParenteral– SubcutaneousSubcutaneous– IntramuscularIntramuscular– IntravenousIntravenous– IntradermalIntradermal– Intra-arterialIntra-arterial– Intra-articularIntra-articular– Intrathecal (cerebrospinal)Intrathecal (cerebrospinal)

Routes of Medication Routes of Medication AdministrationAdministration

•TopicalTopical– SkinSkin– InhalationInhalation– IntraocularIntraocular

How Are Medications Supplied?How Are Medications Supplied?

•Unit DoseUnit Dose– Tablets, capsulesTablets, capsules– Liquids, syrupsLiquids, syrups– SuppositoriesSuppositories– InjectionsInjections– AmpulesAmpules– VialsVials

•Multidose ContainersMultidose Containers– VialsVials– InhalersInhalers

General Rules for Drug General Rules for Drug AdministrationAdministration

• Wash Hands before preparationWash Hands before preparation• DO NOT leave medications unattendedDO NOT leave medications unattended• Identify self and the reason you are Identify self and the reason you are

giving the medicationgiving the medication• Position patient properly for route of Position patient properly for route of

medicationmedication• Record administration or omission of Record administration or omission of

medication immediatelymedication immediately

Medication OrdersMedication Orders

1.1. Verbal OrdersVerbal Orders

2.2. Written OrdersWritten Orders

3.3. Standing/Routine OrdersStanding/Routine Orders

4.4. PRN OrdersPRN Orders

5.5. Single/One Time OrdersSingle/One Time Orders

6.6. STAT OrdersSTAT Orders

Medication Administration Medication Administration Record (MAR)Record (MAR)

• Client’s NameClient’s Name

• Client’s Room Number and Bed NumberClient’s Room Number and Bed Number

• Client’s DiagnosisClient’s Diagnosis

• Client’s Allergy HistoryClient’s Allergy History

• Date of OrderDate of Order

• Medication name, dose, frequency, routeMedication name, dose, frequency, route

Use Transparency Here!

Legal Responsibilities for the RNLegal Responsibilities for the RN

•Assessment BEFORE Assessment BEFORE administration of Medicationsadministration of Medications

•Safe and Accurate AdministrationSafe and Accurate Administration– ““5 Rights”5 Rights”– Knowledge to Identify ErrorsKnowledge to Identify Errors

•DocumentationDocumentation•Evaluation AFTER AdministrationEvaluation AFTER Administration•Store Narcotics SafelyStore Narcotics Safely

Lab #1 ASSIGNMENTLab #1 ASSIGNMENTSources of Drug AdministrationSources of Drug Administration

DUE DATEDUE DATE

•Use Davis Drug Guide to Research Use Davis Drug Guide to Research – XanaxXanax– CiproCipro

The EndThe End