Medication Administration (Non-Intravenous Medications) Medications are to be administered according to the policies and procedures of the Program and each clinical agency . Students may not accept a verbal or telephone order for any medication . Students are expected to be familiar with the purpose, action, dosage, possible interactions, side eff ects, and nursing considerations prior to the administration of a prescribed medication . All medication preparation for administration must be done under the direct supervision of the clinical instructor . Students must correctly calculate divided doses of medication . The administration of medications to the patient is at the discretion of the faculty, clinical site, and patients . Students, under the direct supervision of the clinical faculty, administer medications according to agency policies and procedures . Administration of medications safely is a requirement of all medical surgical nursing courses . Inability to administer medications safely will result in a student being placed on nursing academic warning . Students will not be able to administer medications when the following has occurred: • The medication renewal time has expired • The patient does not have two identifier • The medication was prepared by another person . Exceptions to this include medications prepared and labeled by the pharmacy s taff. The student should verify each medication to be administered with the physician’s order prior to administration time . The student should assess necessary baseline parameters prior to administration, e . g . lab values, vital signs, time of last administered dose, allergies, etc . Medications will be given according to the “Seven rights” for administration of medications: • Right Drug • Right Dose • Right Route • Right Patient • Right Time • Right Documentation • Right to Refuse
Medications should be prepared, scanned, and administered to one patient at a time under the direct supervision of the clinical faculty . All medications are to remain in original packaging until scanned into medication administration system . Patient identifiction should be confirmed using at least two identifiers according to agency policy prior to the administration of medications . The student should verbally review all medications with the patient before administering when appropriate . The student must observe the patient taking the medication . Medications must not be left at the bedside . If the patient does not take the medication the student should follow the agency policy regarding disposition and documentation of the unused medication . Students and clinical faculty should scan and document the administration of the medication according to agency policy . The clinical faculty will review all medications administered by students according to agency policy . If a medication variance is noted, faculty and when possible, the student, must notify the appropriate agency representative regarding a variance report . IV solutions and medications are to be administrated according to the policies and procedures of the Program and each clinical agency . Students may not accept a verbal or telephone order for any IV solution or medication . The role of the student in the nursing care of the individual with IV therapy is as follows: • The student is responsible for the assessment and maintenance of the IV infusion in progress and may administer selected IV medications, hang IV solutions, change IV lines and flush Intermittent Venous Access Devices (IVAD) under the direct supervision of faculty in accordance with agency policy . • The student is expected to be familiar with Medication Administration (Intravenous Solutions and Medications)
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Nursing Program
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