NSG 3100 Objectives for Unit #7 & 8-Medication Administration
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NSG 3100
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NSG 3100
NSG 3100 Objectives for Unit #7 & 8-Medication Administration
Chapter 35 page 781-849
1. Know the six rights of medication administration. (P. 797-800)
1. Right Drug-give the right medication as ordered
2. Right Dose-the dose ordered is appropriate for the patient. Check the dosage.
3. Right T...
nsg 3100 objectives for unit 7 amp 8 medication administration
objectives for unit 7 amp 8 medication administration
know the six rights of medication administration p 797 800
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NSG 3100 Objectives for Unit #7 & 8-Medication Administration
Chapter 35 page 781-849
1. Know the six rights of medication administration. (P. 797-800)
1. Right Drug-give the right medication as ordered
2. Right Dose-the dose ordered is appropriate for the patient. Check the dosage.
3. Right Time-Give the med at the right frequency and at the correct time
4. Right Route-Give the med by the ordered route. Check the rout is safe and appropriate
5. Right Patient-Med is given to the intended patient. Check ID band with each med
6. Right Documentation -document med administration AFTER giving the med
2. Know how to calculate/check the dose for a medication that a physician has ordered. (P. 796-797) slide 5-6
Units of measure/Solving for= Given x Conversion= Answer
Conversion
1 kg = 1000 g
1 g = 1000 mg
1mg = 1000 mcg
1 L = 1000 mL
3. Know what to do if a medication is not listed on the MAR. (p. 130, 130 safe practice alerts, p, 789-790)
MAR is a list of ordered medications, along with dosages, routes, and times of administration.
Safe practice alert medications administered must be documented immediately to avoid confusion about what
has been given and the possibility of double dosing.
If it’s not listed on the MAR, get an order for it
4. Understand what to do if an IV or IM medication is infusing/or given and the patient shows s/s of an adverse
drug reaction or a severe allergic reaction. (p 786)
Immediately discontinue the drug and administer epinephrine (an antagonist), IV fluids, steroids, and
antihistamines while providing respiratory support
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, Make sure to put a bracelet or tag identifying the drug substance allergy for that patient to alert other medical
staff
Adverse reactions when AE occurs, immediately stop med and provide the information to PCP so they can
forward it to FDA by using MedWatch program.
To avoid: make sure to check allergy band before administering med or ask patient if possible
Alert patients should remain in facility 20-30 minutes after receiving med to be monitored for severe allergic
reaction.
5. Know the essential parts of a drug order. (p. 788 Figure 35.2)
Medication Orders
A physician determines the client’s medication needs and orders medications, although in some settings nurse
practitioners and physician assistants now order some drugs. Order & prescription are the same/ A dr. will
always give order
Usually an order is written, although telephone and verbal orders are accepted in a number of agencies. With all
verbal or telephone orders the nurse must first write down the order and then read it back, verbatim, to the
prescribing care provider.
The essential parts of a medication (or drug) order are:***
• Full name of the client
• Date and time the order was written
• Name of the drug to be administered
• Dosage of the drug
• Frequency of the drug ex: q6hr
• Route of administration ex: PO
• Signature of the person writing the order nurse’s initials and signature/ prescribing PCP may also be
identified
6. Identify the necessary assessment that should be given before administering a medication. (p. 801-802)
• Information about patients’ allergies to drugs and food and the patient’s pregnancy or breastfeeding
status is especially critical
• Important data to be collected
o Patients’ medical history
o Allergy information
o Medication history
o Including any prescription OTC or alternative therapies
o Physical examination results with a focus on medication effects on the body.
o relevant laboratory results
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