Medication Administration Refresher Course for nurses




Refresher Course

• Aspiration

• Constipation

• Dehydration

• Seizures

Fatal Four

• Why do we care?

Nursing Outcomes at CCS

• Aspiration

• Constipation

• Dehydration

• Seizures

• Skin Care

• Preventable ER visits

Six Rights

 Right Medication

 Right Dose

 Right manner/route

 Right time

 Right person

 Right documentation



• Check MAR and Medication/Treatment 3 times

• Sign for medication/treatment when taking it from the medication station

• Follow up on PRNs within 2 hours


If it isn’t written down, it did not happen.

Charting Codes

Charting Code When do you use it


(your initial)



When you sign for a medication

When the medication is not given

When the client is at work

Timing of Medications

• Know when to give medicines to gain most benefit

• No laxatives within 1 hr of any other medication

• Iron should not be taken with milk

• GERD meds – ½ hr before meal

• Use your drug guide

• Ask the doctor


You are telling a story with your charting

Each house will want you to chart in their way


Errors in Medication Administration

• Medication Administration Error

– Forget to administer a medication

• Documentation Error

– Forget to sign for a medication

– Forget to do a follow-up

• What happens - IR

• Intent

A prescription

• Written by a doctor

• Parts of a prescription

– Client name – first and last

– Name of drug

– Dosage of drug

– How frequent to take it and how long

– What route


• List times to wash hands

• Use plenty of soap

• Lots of friction

• Dry hands with paper towel

• Turn off faucet with paper towel

Vital Signs

• Blood pressure

• Temperature

• Pulse

• Respiration

• Pain


• Defined by the resident

• Will be manifested differently by different residents

• Can lead to other symptoms/behaviors which are not desirable

• What to do first if you suspect someone is in pain

• When should you be concerned

Residents, Living and Meds

• Our residents have lives

• Some work or have lives outside our homes

• They need their medication

• We need to figure out a way so they can get their meds but have lives

• Communication is the key

Rights regarding medications

• Right to:

– know what they are getting

– have an explanation

– refuse or consent

– confidentiality and privacy

– appropriate services

Nurses at CCS

• Nurse patient relationships

• When to call

• Protocol for paging


Thank you