COURSE SYLLABUS
VNSG 1327 (3:2:2)
ESSENTIALS OF MEDICATION
ADMINISTRATION
**********
VOCATIONAL NURSING
NURSING DEPARTMENT
HEALTH OCCUPATIONS DIVISION
LEVELLAND CAMPUS
SOUTH PLAINS COLLEGE
FALL 2012
VNSG 1327
Levelland
Campus
COURSE SYLLABUS
COURSE TITLE: Essentials of Medication Administration, VNSG 1327
INSTRUCTOR: Jennifer Ponto, R.N., B.S.N
OFFICE LOCATION AND PHONE/E-MAIL:
716-2471, jponto@southplainscollege.edu
OFFICE HOURS:
By Appointment
SOUTH PLAINS COLLEGE IMPROVES EACH STUDENT’S LIFE
I.
GENERAL COURSE INFORMATION
A. COURSE DESCRIPTION:
General principles of medication administration including determination of dosage,
preparation, safe administration, and documentation of multiple forms of drugs.
Instruction includes various systems of measurement.
B. STUDENT LEARNING OUTCOMES
DECS: The student will:
1. Demonstrate an understanding of pharmacology using a nursing approach.
2. Discuss various drug information sources and demonstrate affluence in the use
and interpretation of these resources.
3. Define and demonstrate the seven routes of drug administration, knowledge of
equipment and procedures for each.
4. Demonstrate accuracy for all medication administration routes and calculation
of dosages.
5. Describe safe practices for care and storage of drugs.
6. Demonstrate knowledge of standard abbreviations used in medication therapy.
7. Demonstrate appropriate documentation of drug order and mediation
administration.
8. Demonstrate medication administration techniques for enteral, parenteral and
topical routes.
9. Identify and locate relevant sections in the patient chart and utilize that
information as it pertains to medication administration.
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VNSG 1327
10. Define nursing responsibilities in relation to medication administration for all
routes.
11. Develop and utilize drug card information in relation to medication
administration.
12. Successfully complete medication administration testing.
(WECM)The student will:
1. Demonstrate accurate dosage calculation.
2. Discuss the principles of medication administration safety
3. Identify the elements of accurate documentation of medication administration
Specific Goals/Objective of this course The student will:
1. Utilize terminology associated with pharmacology
2. Utilize sources of drug information to research prescribed medication.
3. Apply the six right of medication administration.
4. Utilize individual drug monographs to identify:
a. drug action
b. adverse reactions
c. drug dosage forms
d. recommended dosages and routes of administration
e.
nursing interventions appropriate to alleviate or prevent drug adverse
reaction and corresponding vital sign and diagnostic testing associated with each
drug
5. Utilize basic knowledge to be able to complete the nursing responsibilities
needed to deliver safe patient care while meeting the pharmacological needs of
the patient.
C. COURSE COMPETENCIES:
Grading Scale:
A
(100-93)
B
( 92-83)
C
( 82-77)
Below 77 is failing
ACADEMIC INTEGRITY:
Please refer to SPC Catalog and Vocational Nursing Student Handbook.
D. SCANS AND FOUNDATION SKILLS:
C1, 2, 3, 4, 5, 6, 7, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19
F1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 17
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VNSG 1327
E. VERIFICATION OF WORKPLACE COMPETENCIES:
No external learning experiences provided. Successful completion of the DECS
Competency statements at the level specified by the course (Level Objectives) will
allow the student to continue to advance within the program. Upon successful
completion of the program, students will be eligible to take the state board exam
(NCLEX) for vocational nurse licensure.
II.
SPECIFIC COURSE/INSTRUCTOR REQUIREMENTS
A. REQUIRED TEXTBOOKS:
1. Curren, A. (2009). Math for Meds Dosage and Solutions (9th Ed.)
2. Clayton, B. & Stock, Y. (2010). Basic Pharmacology for Nurses (15th Ed.).
St. Louis, MO: Mosby.
3. Deglin, J. & Vallerand, A. (2013). Davis’ drug Guide for Nurse (13th Ed.).
Philadelphia, PA: F. A. Davis Company.
4. Elkin, M. & Perry A. & Potter P. (2007) Nursing Interventions and Clinical Skills
(4th Ed.). St. Louis, MO: Mosby.
Occasionally outside references will be required.
C. ATTENDANCE POLICY:
(48 hours) The student will be dropped from the course if more than 6(six) hours
are missed. Three (3) tardies count as one (1) hours' absence. Refer to SPC
catalogue and Vocational Nursing Student Handbook. Students are expected to
attend all classes and to remain for the entire class period. Attendance will be
taken at the beginning of class. Students not responding to roll are marked absent
in the attendance record. Practice times and filming times for skills outside regular
class hours may be necessary. The student is expected to keep appointments in the
skills lab or an absence will be recorded.
D. ASSIGNMENT POLICY:
All assignments are to be turned in by 8:00 a.m. on the due date assigned.
Assignments turned in after 8:00 a.m. will be counted late and 10 points will be
deducted each day after the due date. Failure to complete assignments will result
in a grade of INCOMPLETE. Please refer to the Student Handbook for vocational
nursing. Also, please note specific information regarding drug cards.
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VNSG 1327
WRITTEN ASSIGNMENT:
SEE STUDENT HANDBOOK FOR FAILURE TO COMPLETE
WRITTEN ASSIGNMENTS.
The drug cards will need to be satisfactorily completed in order to "Count" in the required total
cards. The student must turn in cards as assigned for the unit, which is to begin during that
week. A poster in the classroom will indicate when drug cards are due. If student has
neglected to turn in cards for 2 weeks during the year, a counseling form will be filled out. The
student will be referred to the Admission Committee if drug cards have not been turned in for
3 weeks. Cards which need to be corrected will be due the following Monday. Timely
completion of all assigned corrected cards is required for completion of the vocational nursing
program. Drug cards are due every Monday – see page 5
This information should be included on each medication card:
1. Medication names: Brand and generic
2. Classification BE SPECIFIC: "Anti-infective" is not specific enough. State if this antiinfective is an aminoglycoside, a cephalosporin, etc. Also, a medication for blood
pressure control should be listed by its specific category, such as beta-blocker,
vasodilator, etc.
3. Route and Dosage: List dosage range per route for adults. If medication was
ordered for child, state pediatric dosage.
4. Indications: List
5.
Action. How does this medication work in the body?
6. Adverse reactions. First list the most life threatening in ALL CAPS. Then list the
most common.
7. Contraindications. List the conditions which would prohibit use of this drug.
8. Food/Drug interactions and/or incompatibility. List.
9. Nursing measures: List assessments and monitoring necessary for safe
administration of this drug.
10. Implementations and Patient teaching. List appropriate measures for safe
administration of this drug. There is a list of common nursing assessments and
interventions for the student to "check". Don't repeat information.
11. Reason prescribed: If this drug card is an assigned card, please "assigned". If
prescribed for a patient list detailed reason. For example: theophylline should be
listed as prescribed for "bronchodilating effect for patient with emphysema: not
"for patient with emphysema". Also medications can be prescribed for a variety of
reasons, and the student should list the particular reason this drug was prescribed
for this patient. As an example, Benadryl is normally listed as an antihistamine for
allergies. It can also be prescribed for sedation and as a medication for patients
with Parkinson's Disease to decrease adverse reactions. Completing this section
properly will require additional effort!!!
12.
Include the student's name, reference page number and drug card number, patient
initials and date of care.
4
Brand Names: _____________
Generic Names: _________________________________________
Classification ___________________________________________________________________________________________________
Route
Dosage _______________________ Frequency ________________________
Indications _____________ _______________________________________________________________________________________
Actions ________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
Adverse Reactions _______________________ _______________________________________________________________________
_______________________________________________________________________________________________________________
________________________________________________________________________________________________________________
Contraindications________________________________________________________________________________________________
_Food / Drug Interactions /
Incompatibility____________________________________________________________________________
________________________________________________________________________________________________________________
Nursing Implications: Assessment___________________________________________________________________________________
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
Implementations
______________________________________________________________________________________________________________
________________________________________________________________________________________________________________
Patient Teaching _________________________________________________________________________________________________
________________________________________________________________________________________________________________
_
Dizzy / Drowsy / Safety Precautions
I & O / Daily Weight
Postural hypotension precautions
Antidote
Give with meals to decrease GI distress
Monitor / Report / Treat as prescribed:
Superinfection
GI Bleeding
____
Anaphylaxis
Monitor ___________________ VS Why? __________________________________________________________________________
Monitor __________________ Lab Why?_______________ _________________________________________________________
Assigned Card? ______________ (OR) Pt Initials __________________ Why is Pt taking ___________________________________
Drug Card #
Student
___________________________________ Date ____________________
Brand Names: _____________
Generic Names: _________________________________________
Classification _______________________________________________________________________________________________ ____
Route
Dosage _______________________ Frequency ________________________
Indications _____________ _______________________________________________________________________________________
Actions ________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
Adverse Reactions _______________________ _______________________________________________________________________
_______________________________________________________________________________________________________________
________________________________________________________________________________________________________________
Contraindications________________________________________________________________________________________________
_Food / Drug Interactions /
Incompatibility_________________________________________________________________________________________________
________________________________________________________________________________________________________________
Nursing Implications: Assessment___________________________________________________________________________________
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
Implementations
______________________________________________________________________________________________________________
________________________________________________________________________________________________________________
Patient Teaching _________________________________________________________________________________________________
________________________________________________________________________________________________________________
_
Dizzy / Drowsy / Safety Precautions
I & O / Daily Weight
Postural hypotension precautions
Antidote
Give with meals to decrease GI distress
Monitor / Report / Treat as prescribed:
Superinfection
GI Bleeding
____
Anaphylaxis
Monitor ___________________ VS Why? __________________________________________________________________________
Monitor __________________ Lab Why?_______________ _________________________________________________________
Assigned Card? ______________ (OR) Pt Initials __________________ Why is Pt taking ___________________________________
Drug Card #
Student
___________________________________ Date ____________________
E.
GRADING POLICY/METHODS OF EVALUATION
Unit Tests:
A. Principles of Pharmacology
B. Pain Medication and Sedatives
C. *Medication Dosage Calculation Test
D. Medication Administration-Test
*Skills check-off Grade
Pop Quiz/Written Assignments
Medication cards
70%
10%
10%
10%
* Please see specific policies for medication calculation test
and check-off for medication administration.
F. SPECIAL REQUIREMENTS:
1. There will be an exam after the completion of each assigned unit. A make-up
exam will be given at the discretion of the instructor. An essay exam maybe
given at the discretion of the instructor. Always be prepared for an
unannounced pop quiz. Pop quizzes are not eligible for make-up and a grade of
zero (0) will be automatically given.
2. MEDICATION CALCULATION TEST POLICY
The student will not administer medication in the clinical setting unless the
medication calculation test is passed with a score of 90% or above and the
clinical lab check-off is completed satisfactorily. Medication administration in
the clinical setting will begin in the second semester.
Faculty approved calculators may be used. Cell phones cannot be used as a
calculator in the clinical setting or during testing or filming purposes.
The student will be required to pass the medication calculation test with a score
of 90% or higher. If the student does not pass with a score of 90% or higher, the
student will make an appointment with the pharmacology instructor for review
of the test to identify weak areas.
The next week, a second test will be given. If this test is not passed with a 90%
or higher, the student will be assigned 4 hours of review time, after meeting
with the instructor.
The student will re-test the following week; if not passed with a 90% or higher,
the student will be assigned 4 more hours of review time. Failure to pass on the
3rd attempt will result in failure of the course.
VNSG 1327
3. CHECK-OFF FOR MEDICATION ADMINISTRATION
Please refer to check-off sheet. The student must pass each check-off with a
score of 95% or more. Failure to pass on the 3 rd attempt will result in failure of
the course.
4. ORAL:
Four hours documented practice time must be completed before filming will
begin.
The student will film the oral mediation administration skill and submit the film
on or before the assigned due date. If the film is not satisfactory, the student
must practice, and have 2 hours of practice time documented by the skills lab
director. The student must film the skill again by the assigned due date. If this
is not satisfactory, the student will film the skill for the 3 rd time, after 4 hours
documented practice time. Failure to pass on the 3rd attempt will result in
failure of the course.
TOPICAL/PARENTERAL
The student will check off the skill with an instructor. If the skill is not passed on
the first attempt, the student must practice again for 2 hours documented time.
The student must check off the skill again by the assigned due date. If this is
not satisfactory, the student must practice for 4 hours, documented by the skills
lab director. The student will check off on the skill for the 3 rd time. Failure to
pass on the 3rd attempt will result in failure of the course.
FAILURE TO COMPLETE ALL SKILLS BY THE ASSIGNED DUE DATE WILL RESULT IN COURSE FAILURE.
5. See Pharmacology Syllabus for drug Card Assignments
6. Medication cards will be picked up by the instructor at 0800 on the due dates
listed on the classroom calendar.
Weekly grades will be averaged together and will be 10% of the course grade.
5 cards per week due
5/5 = 100%
4/5 = 80
3/5 = 60
2/5 = 40
1/5 = 20
0/5 = 0
10 cards per week due
10/10 = 100%
9/10 = 90
8/10 = 80
7/10 = 70
Etc. . . . .
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VNSG 1327
III.
COURSE OUTLINE
A. REQUIRED READINGS:
Texts as stated above, Chapters as assigned. See drug list for individual unit
assignments (from Pharmacology Syllabus). The student is also required to
complete the assigned drug cards for the week. It is required that students read the
assigned chapter(s) prior to the first lecture hour. The student is responsible for
completing the learning objectives and learning the key terms at the beginning of
the chapter.
Reading Assignments and Student Activities
Unit A – Principles of Pharmacology
Chapters 1, 2, 3, 4, 5, 7 (Clayton)
8 hours lecture
Unit B – Pain Medications and Sedatives
Chapters 14 and 20 (Clayton)
8 hours lecture
Drug cards as instructed 1-30
Unit C – Medication Dosage Calculation
12 hours lecture
2 hour test
14 (lecture) Handouts
Student Activities
1. Study for “Pop Quiz: over medication administration terminology and
abbreviation.
2. Complete all practice problems in the assigned chapters and handouts.
3. Be prepared for short “Pop Quizzes” over assignments.
4. Prepare for Medication Calculation Test.
5. Practice Comprehensive Test
6. Drug cards as assigned.
Unit D – Medication Administration –
2 hours lecture
Chapters over med administration: Skills book (Elkin)
16 lab hours
Students Activities
1. Films
2. Practice-Four hours documented practice time is required PRIOR to
filming or check off.
3. Student will need to pass an oral, a topical and a parental medication
check-off (3 separate check-off will need to be passed with a score of
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VNSG 1327
95% or higher).
4. Administrating of oral med must be completed via videotape.
5. Drug cards as assigned
Check-off for Oral/Topical Medication Administration
Topical –(Must complete all aspects to receive 100%. May complete in
over 20 minutes for 95%):
Able to state contraindications for topical use
Clean gloves required
Administers eyedrop into conjunctival sac
Administers eye ointment into conjunctival sac
Administers ear drops properly into the ear canal
Administers skin ointment in a sterile fashion if skin is broken
Administers vaginal suppository – patient has empty bladder
provides privacy
Administers rectal suppository – provides privacy caution with
vagal stimuli
Parenteral
Must complete all aspects to receive 100%. May complete in
over 20 minutes for 95%.
Selects appropriate needle and syringe
Draws up appropriate amount of medication
Uses appropriate injection technique, angle, etc…
Uses sterile technique for parenteral medication
Disposes of used syringes and needles (Don’t recap)
Able to identify and administer within appropriate injection
site
IV.
ACCOMMODATION
Students with disabilities, including but not limited to physical, psychiatric, or learning
disabilities, who wish to request accommodations in this class should notify the Special
Services Office. In accordance with federal law, a student requesting accommodations
must provide acceptable documentation of his/her disability to the Special Services
Coordinator. For more information, call or visit the Special Services Office in the
Student Services Building, 894-9611 ext. 2529, 2530.
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VNSG 1327
Diversity: In this class, the teacher will establish and support an environment that
values and nurtures individual and group differences and encourages engagement and
interaction. Understanding and respecting multiple experiences and perspectives will
serve to challenge and stimulate all of us to learn about others, about the larger world
and about ourselves. By promoting diversity and intellectual exchange, we will not only
mirror society as it is, but also model society as it should and can be.
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VNSG 1327
ESSENTIALS OF MEDICATION ADMINISTRATION
Students must wear the school approved lab coat, have hair properly restrained and
conduct self in a professional manner. Students failing to do so will be asked to leave
the lab and will be counted absent. It will be necessary for the student to spend time
outside the scheduled lab and lecture hours to practice skills, film skills and to view
required instructional videos. The lab will be open additional hours as scheduled by the
lab director.
The student must submit a successfully completed film for several skills on or before
the assigned due date. See Student Handbook and Clinical Guidelines and syllabi for
Essentials of Medication Administration for penalty if not in compliance.
It will be the student's responsibility to identify self on the film, to speak coherently and
in an appropriate volume, have all equipment organized, perform the skill properly, and
to submit the film to the instructor on or before the deadline. The lab director will give
an orientation to the filming process.
NO NOTES OR PROMPTING MAY BE USED DURING THE FILMING. THE STUDENT MAY
UTILIZE DRUG CARDS OR DRUG GUIDE DURING FILMING.
The film submitted must NOT be edited by the student or others. Students who do not
meet the deadline requirements will be considered failing that component. This may
result in course failure.
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VNSG 1327
LECTURE OUTLINE PHARMACOLOGY
Drug Classification
Use(s)
Actions
Contraindications and Cautions
Adverse Reactions
Life Threatening/Serious Reactions
Common Adverse Reactions
Nursing Implications
Assessments Prior To Giving Medication
Laboratory Tests
Nursing Interventions
Patient/Family Education
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VNSG 1327
MED CARDS
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.
29.
30.
31.
32.
33.
34.
35.
36.
37.
38.
39.
40.
Aspirin
Acetaminophen (not IV version)
Ibuprofen
Meperidine (reversal and specifics on VS)
Morphine
“
“
Hydrocodone “
“
Tramadol
“
“
Fentanyl patch “
“
Escopiclone
Temazepam
Chloral hydrate
Naloxone
Celecoxib
Gentamycin (labs)
Cefaclor
Azithromycin
Penicillin V Potassium
Trimethoprim/sulfamethoxazole (use combination med), labs and definitions
Doxycyline
Zyvox
Primaxin
Vancomycin (labs)
Pseudoephedrine
Diphenhydramine
Loratadine
Fluticasone ihhalder
Cromolyn sodium
Dextromethorphan
Guaifenesin
Acetylcysteine, use for acetaminophen OD, Use PO verson, not IV
Ipratropium bromide
Xopenex
Advair diskus
Singulair
Lovastatin (labs)
Theophylline
Niacin (lipid lowering agent)
Metoprolol (VS)
Lisonopril (VS and labs)
Losartan (VS and labs)
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VNSG 1327
41.
42.
43.
44.
45.
46.
47.
48.
49.
50.
51.
52.
53.
54.
55.
56.
57.
58.
59.
60.
61.
62.
63.
64.
65.
66.
67.
68.
69.
70.
71.
72.
73.
74.
75.
76.
77.
78.
79.
80.
Clonidine patch (VS)
Doxazosine (VS)
Diltiazem (VS)
Nitroglycerine—sublingal, specifics on how to use for acute attacks
Nitroglycerine patches—details on application of patch
Imdur
Inamrinone
Digoxin—details on VS, digoxin levels, other tests and antidotes
Furosemide
Chlorthalidone
Spironolactone
Klor Con
Pentoxifyllin
Clopidrel
Coumadin—details and very specific labs, reversal
Alteplase
Enoxaparin—details on injection technique
Pradaxa
Heparin—very specific labs, reversal
Integrilin
Lidocaine IV use for arrhythmias
Esmolol
Amiodarone
Adenosine
Maalox
Misoprostol
Omeprazole
Ranitidine
Sucralfate
Metoclopramide
Miralax
Lactulose (focus on use for liver failure, high ammonia levels)
Colace
Phenergan
Zofran
Dramamine
Lomotil
Bisacodyl
Mirapex
Requip
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VNSG 1327
81.
82.
83.
84.
85.
86.
87.
88.
89.
90.
91.
92.
93.
94.
95.
96.
97.
98.
99.
100.
101.
102.
103.
104.
105.
106.
107.
108.
109.
110.
111.
112.
113.
114.
115.
116.
117.
118.
119.
120.
Sinemet
Selegiline
Pregabalin
Donezepil
Memantine
Exelon patch
Phenobarbital (for seizures)
Clonazepam
Phenytoin (lots of definitions and labs)
Valproic acid
Carbamazepine
Imitrex
Lamactil
Gabapentin
Epinephrine IV for emergencies
Propranolol
Neostigmine IV use
Atropine IM Preoperative use
Regular Insulin (need S/S of hypoglycemia)
Lantus Insulin
Metformin
Glipizide
Januvia
Byetta
Levothyroxine
Methimazole
SSKI—details on how to avoid teeth stains, labs
Florinef
Prednisone
Premarin
Provera
Testosterone cypionate
Dinoprostone cervical application
Oxytocin-specifics on fetal monitoring
Miconazole vaginal cream
Metronidazole
Sildenafil
Nystatin vaginal use
Buspirone
Phenelzine (list foods high in tyramines)
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VNSG 1327
121. Lorazepam
122. Amitriptyline
123. Fluoxetine
124. Bupropion
125. Lithium carbonate
126. Chlorpromazine
127. Haloperidol
128. Resperidone
129. Abilify
130. Strattera
131. Detrol
132. VESIcare
133. Flomax
134. Finasteride
135. Phenazopyridine
136. Mannitol
137. Dorzolamide for ophthalmic use
138. Pilocarpine for ophthalmic use
139. Timolol—for ophthalmic use, specifics on how to avoid systemic absorption
140. Cyclobenzaprine
141. Colchicines
142. Probenecid
143. Uloric
144. Megace
145. Tamoxifen
146. Cytoxan
147. Methotrexate
148. Gleevac
149. Interferon
150. Cyclosporine
151. Epogen
152. Neupogen
153. Ferrous sulfate (PO)
154. Calcium citrate
155. Fosamax
156. St. john’s wort
157. Hepatitis B vaccine (For all vaccines, be sure to indicate ages vaccines given. All
will require outside refs)
158. Hepatitis A vaccine
159. DPT vaccine
160. Haemophilus influenza vaccine
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VNSG 1327
161. Poliovirus injectable vaccine
162. MMR vaccine
163. Varicella vaccine
164. Gardisil vaccine
165. Amphotericin B IV use
166. Fluconazole
167. Acyclovir
168. Ribavirin
169. Zidovudine
170. Ganciclovir
171. Reyataz
172. Fuzeon
173. Etravirone
174. Lexiva
175. Maraviroc
176. Propofol
177. Zemuron
178. Midazolam
179. Nitrous oxide
180. Fentanyl IV use
Cards 181 – 200 Use advertised medications, or medications of interest. Cannot repeat
previous cards.
See calendar in classroom for specific assignments. Student will be graded on the % of
required cards turn in on Monday, 8 am. For example: 3/3 cards = 100%, 5/6 cards = 83%, 5/7
cards = 71%; 7/10 cards = 70%, etc.
VNSG 1327: Week 11 = 3 med cards
Week 12 = 4 med cards
Week 13 and 14 = 5 med cards
Week 15 = 6 med cards
Week 16 = 7 med cards
VNSG 1331
10 med cards beginning week 19
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VNSG 1327
Due Dates will be announced in class.
Arrive 20 minutes prior to scheduled time. You will be given a patient “chart” and a
cassette tray. After this has been given to you, you may NOT leave the lab. You must
complete this assignment without assistance from others. Your patient’s chart will
contain 4 of the medications researched and you will have to perform 1 or 2
calculations. Compare the MAR against the physician’s orders, perform any necessary
calculations. Check the medications against the MAR twice for accuracy before the
filming starts.
When filming starts:
Introduce yourself and identify procedure being filmed. Discuss the medications
prescribed. List drug names, intended action, possible uses, possible contraindications
and cautions and the MAIN AR’S. List life threatening AR’s first, then the common AR’s.
Discuss necessary nursing assessments and nursing interventions. (Takes 6-8 minutes)
Pronounce the words properly. YOU MAY USE NOTES FOR THIS.
State the first two checks have been performed in the med. room with an instructor.
The last check is the patient’s bedside and needs to be taped. Go to the patient’s
“room”. Be sure to use the patient’s door tag, “knock”, wash hands, introduce self,
check the patient’s ID band, compare against MAR and cassette, explain procedure.
Describe any calculations performed. State the patient’s name, each medication, dose,
route, time to be given during this 3rd check. Make sure you line up the medications
and go from top to bottom, stating and comparing each med, the dose, route and time
to be given before you administer the medication.
Open medications at the bedside and assist patient as needed. (Have pt sitting up, give
“water” etc.)
Document, perform completion Protocol. (please just pretend to write on the MARs)
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VNSG 1327
CHECKOFF-PO MEDICATION ADMINISTRATION
Student_________________________
Date____________________________
SKILL
PASS
On camera: Introduce self. Able to discuss
medication intended actions, main adverse
reaction and associated nursing intervention.
Uses appropriate terminology and
pronunciation.
Compares MAR against prescribed meds.
Performs necessary calculations. States has
performed 1st 2 checks of medications.
Goes to patient room. Check door tag.
Knocks, Washes hands, introduces self to pt,
explains procedure
Checks pt’s ID band against MAR and cassette
Automatic failure if does not check ID band.
Performs 3rd check at bedside, demonstrating
knowledge of the 6 rights of med.
administration.
Performs needed bedside assessment
(example: apical pulse)
Opens medication at bedside. Pours liquid
med, placing cup at eye level.
Assists patient with medications as needed.
Completion protocol.
Discusses documentation.
Completes within 20 minutes.
Comments
19
FAIL
COMMENT