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 identific tion 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 .
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Nursing Program
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