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Clinical Nursing Skill: Administration of Oral Medications The following is a guideline for administration of oral medications. During clinical assessment students will be automatically failed if those tasks underlined are not performed according to guidelines. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. Performs routine hand wash Consults patient documentation regarding patient status e.g. student should know why the patient requires the medication Introduces self to patient Provides explanation to patient Seeks permission to perform procedure Organises equipment Prepares patient and provides privacy as appropriate Confirms medical order meets legal requirements e.g. dated and signed by a medical officer, order is legible Checks all of the medication chart Checks for allergies Reviews literature on the drug if unfamiliar with the medication e.g. reviews MIMS to confirm dosage is correct Calculates dose to be administered if applicable Assembles equipment as per needs of the patient Performs first drug check Checks expiry date of medication Places the lid of the container upside down to prevent contamination Performs second drug check 18a. Demonstrates correct technique for removing tablets/capsules from bottles/blister packs. 18b. Demonstrates correct technique for pouring a specific amount of liquid from a bottle Performs 3rd drug check Checks patient is not nil by mouth (NBM) and patients compatibility of route of administration Identifies patient with medical order and patient identification arm band Gives the patient sufficient fluids to swallow medication Witnesses ingestion of medication Terminates encounter suitable Replaces/disposes of equipment appropriately Performs routine hand wash adhering to standard precaution guidelines Signs the drug order Reports significant findings