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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
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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.
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5.
6.
Verbal Orders
Written Orders
Standing/Routine Orders
PRN Orders
Single/One Time Orders
STAT Orders
Medication Administration
Record (MAR)
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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