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Medication Administration Valencia Community College Nursing Program Pat Woodbery, MSN, ARNP-CS Betsy Guimond, MN, ARNP Who Can Write a Medication Order? • Physician • Nurse Practitioner • Physician’s Assistant The “5 Rights” of Medication Administration Page 10 Lilly • • • • • Right Drug Right Dose Right Client Right Route Right Time Routes of Medication Administration Lilley & Aucker Pg 17 • Oral Route – Swallow – Sublingual – Buccal Routes of Medication Administration • Parenteral – Subcutaneous – Intramuscular – Intravenous – Intradermal – Intra-arterial – Intra-articular – Intrathecal (cerebrospinal) Routes of Medication Administration • Topical –Skin –Inhalation –Intraocular How Are Medications Supplied? • Unit Dose – Tablets, capsules – Liquids, syrups – Suppositories – Injections – Ampules – Vials • Multidose Containers – Vials – Inhalers General Rules for Drug Administration • Wash Hands before preparation • DO NOT leave medications unattended • Identify self and the reason you are giving the medication • Position patient properly for route of medication • Record administration or omission of medication immediately Medication Orders 1. 2. 3. 4. 5. 6. Verbal Orders Written Orders Standing/Routine Orders PRN Orders Single/One Time Orders STAT Orders Medication Administration Record (MAR) • • • • • • Client’s Name Client’s Room Number and Bed Number Client’s Diagnosis Client’s Allergy History Date of Order Medication name, dose, frequency, route Use Transparency Here! Legal Responsibilities for the RN • Assessment BEFORE administration of Medications • Safe and Accurate Administration – “5 Rights” – Knowledge to Identify Errors • Documentation • Evaluation AFTER Administration • Store Narcotics Safely Lab #1 ASSIGNMENT Sources of Drug Administration DUE DATE • Use Davis Drug Guide to Research –Xanax –Cipro The End