RNSG 1413 – Foundations for Nursing Practice

Non-Parenteral Medication Administration

Module Objectives: 

Prior to learning lab the student is expected to be able to:

  1. Review as needed:
    • drug names and forms
    • prescription and nonprescription
    • legislation and standards
    • sources of information
    • drug actions, interactions, pharmacokinetics, blood level
  2. Identify types of orders, the components of a drug order, medication distribution systems.
  3. Perform dosage calculations.
  4. Identify the six rights of medication administration.
  5. Describe the protocol for the occurance of medication errors.
  6. Differentiate between the various types of medication orders including:
    • Single dose/one time order
    • STAT order vs. NOW order
    • Limited multiple dose order
    • PRN order
  7. Discuss medication order stop dates.
  8. Describe factors affecting drug actions, health history, and physical examination to facilitate avoidance of harmful effects resulting from medication administration including:
    • allergies, age, and medical diagnosis
    • Response to previous doses
    • Impact of medications on all body systems
  9. Describe the procedure for correct preparation and administration of:
    • scored tablets, extended release, enteric coated, liquids, chewable
    • Eye, ear and nose drops/ ointments
    • Vagina and rectal suppositories
    • Transdermal patches
    • Sublingual medications
    • Metered dose inhalers
    • Sublingual and buccal medications
  10. Identify professional responsibilities related to administering medications including:
    • Physician’s responsibility
    • Pharmacist’s responsibility
    • Nurse’s responsibility
    • Patient’s responsibility

Upon completion of the study of this module, the student is expected to:

  1. Apply the six rights when simulating safe administration of medications in the lab setting.
  2. Use common resources for obtaining information required for safe administration of medications.
    • Current nursing drug reference handbook
    • Pharmacology textbook
    • P.D.R.
    • Manufacturer’s package inserts
    • Hospital pharmacist
  3. Implement the ACC expectations for students administering medications in the clinical setting.
  4. Apply knowledge of medications in simulated lab situations including:
    • Generic and trade names
    • Expected action of the medication
    • Safe dosage range
    • Adverse reactions (toxic and side effects)
    • Interactions and incompatibilities
    • Nursing considerations/interventions
  5. Demonstrate the ability to interpret a medication order.
  6. Accurately calculate the dosage to be administered in simulated situations.
  7. Apply the rules for safe-guarding narcotics in the clinical setting.
  8. Safely administer PRN medications in simulated situations.
  9. Correctly interpret simulated medication orders
  10. Identify the essential medications for beginning clinical practice.
Learning Activities:

Review module objectives.

Read:
  •  Harkreader 3rd ed. Chapter 21 (2nd ed. pp. 395-450), exclude IV medications.
  • ACC Expectations for Medication Administration
  • Methods of Dispensing Medications
  • Charting
  • Principles of Medication Administration
  • Planning your hospital day including administration of Medications Using eMar
  • View PRIOR TO LAB: (optional)

    • Administering Topical Medications (WB 340 A238 1996 VH)

    Complete:

    Mastery Check-Off

    Supplemental Learning:

    Web links

    http://nsweb.nursingspectrum.com/ Go to education and search for medication errors article. It is a continiuing education module. Good discussion of medication errors.

    Practice Exercises – print and bring to lab

     

    Review module objectives and check for knowledge gaps.

    Complete module quiz – “Non-Parenteral Medication Administration”

    http://acconline.austincc.edu/webapps/login