Medication administration

Question 1

STEP 1

2 patient identification.
check MAR order: with the physician’s order

Answer 1

1. CHECK for patient allergies, medication name,
   dose, route, time,
2. select correct medications to be administered, verbalize if there is any medication need to be held.
   special consideration for the administration of the specific medication (assessment lab, vital signs)
3. hold medication when appropriate and verbalize that i would call the provider/ pharmacy.

Question 2

2st step

FOr each medications state

Answer 2

The drug action, the purpose for this patient, recommended dosage, common side effects, and contraindications

Question 3

3rd step after finishing with the paper order what is next

Answer 3

1. Hand hygiene,
2. after finishing with 2nd check select, remove from the pyxis screen ensuring it is the right medication from the pyxis compare the medication in hand to the pyxis screen ensuring it is the right medication, dose, route, and not expired.
3. place any medication that requires special preparation or administration in a separate cup
4. Make sure you log out of Pyxis

Make sure you check each medication that is to be administered to the MAR ensuring it is the correct medication, dose, route, and time.

Question 4

4TH step at bed side

Answer 4

Perform hand hygiene, identify patient name and date of birth to a wrist band and MAR, ask allergy confirm allergy,

compare pt response to allergy band and MAR

Perform any assessment needed prior to administration ( take the apical pulse for digoxin if needed) verbalize, compare each PO medication with medication in hand at the bedside to MAR ensure the right medication, verbalize again the dose, route, time.

open medication, and avoid touching the medication.

remain with the pt until the patient took their medication and swallowed all the medications.

Question 5

preparing Parenteral medication

Question 6

Students will complete the three checks and verbalize the 6 rights, verbalize any assessments that may be needed prior to administration of the medication, prepare the medication (for parenteral medications), demonstrate administration of parenteral medications, verbalize the nurse would stay until oral medications had been taken by the patient, verbally state the nurse would document the meds given, and verbalize any post-assessments if the medication called for it.

Question 7

Medication List:

Answer 7

1. Amoxicillin/Clavulanic Acid
2. Digoxin
3. Docusate Sodium
4. Furosemide
5. Insulin Glargine
6. Insulin Humalog (Insulin Sliding Scale)
7. Influenza Virus Vaccine
8. Levothyroxine
9. Lisinopril
10. Metformin
11. Oxycodone/Acetaminophen
12. Potassium Chloride
13. Warfarin

Question 8

1. Amoxicillin/Clavulanic Acid

Question 9

2. Digoxin

Question 10

3. Docusate Sodium

Question 11

4. Furosemide

Question 12

5. Insulin Glargine

Question 13

6. Insulin Humalog (Insulin Sliding Scale)

Question 14

7. Influenza Virus Vaccine

Question 15

8. Levothyroxine

Question 16

9. Lisinopril

Question 17

10. Metformin

Question 18

11. Oxycodone/Acetaminophen

Question 19

13. Warfarin

Question 20

12. Potassium Chloride

Question 21

Direction for the skill

Answer 21

Medication Administration checkoff information:

• Please review the medication administration rubric
• Students must follow the full uniform policy (please review the policy to ensure you understand the expectations).
• Per the testing policy, there is to be no discussion of the checkoff until all students have completed checkoff. All students are accountable for academic integrity.
• All students will have 5 minutes to review the chart and 15 minutes to complete checkoff.
• Please review the Skills Checkoff Policy in the syllabus.
• Students will complete the three checks and verbalize the 6 rights, verbalize any assessments that may be needed prior to administration of the medication, prepare the medication (for parenteral medications), demonstrate administration of parenteral medications, verbalize the nurse would stay until oral medications had been taken by the patient, verbally state the nurse would document the meds given, and verbalize any post-assessments if the medication called for it.
• During performance of the skill, please clean hands and don gloves at all appropriate times.
• Below is the list of medications for the patient we will be working with on checkoff day (the patient is an adult). Students will be able to bring a 3x5 index card for each medication (one note card per medication) with the brand/generic name, mechanism of action, classification, typical and safe dose ranges, indications for use, contraindications, drug-drug interactions and patient education. No additional information can be on the note card. If additional information is found, the cards will be confiscated and will not be allowed to be used during checkoff.
• It may increase your comfort to be familiar with how the Pyxis works. Please review the PCC Pyxis Tutorial: https://youtu.be/tP1A051ENJQ
• If a student is unsuccessful in passing medication administration checkoff, times for remediation and retesting will be scheduled by NRS104 faculty. Students will have one opportunity for repeat checkoff, if needed. If unsuccessful on the second attempt, the student will not pass NRS104LS.