Clinical Assessment Preparation

CPNE Study Guide

1.2 Medication Administration Demonstrates nursing judgment by analyzing patient data to determine the appropriate medications to administer. The student will prepare and administer the medications, and document in a simulated setting. Critical Elements for Medication Administration: • Perform hand hygiene • Verbally identify the patient by comparing two of the following pieces of information on the patient’s identification band against the MAR:  Patient name  Date of birth  Medical record number • Maintain asepsis • Assess: 1. Pertinent patient data associatedwith assigned medications (e.g., laboratory values, vital signs) 2. IV site • Implement: 1. Identify the indication for use of each medication in relation to the patient’s current clinical condition 2. Verbalize correct decision on whether the medication(s) can be administered or need to be withheld based on pertinent patient data 3. Calculate and record the correct dose on the calculation and recording form 4. Prepare the assigned medication(s) for administration: a) Select the prescribed assigned medication(s) using the MAR b) Prepare medication using the proper technique c) Measure the prescribed dosage(s) d) Label container with drug name, strength, and amount, if medication is unidentifiable 5. Administer medications: a) Use the prescribed route b) Administer prescribed medication as indicated c) Administer one medication at a time d) Administer injectable medication as assigned  Select correct syringe  Select correct needle gauge  Select correct needle length  Cleanse medication hub before every entry  Cleanse injection site prior to administration  Select appropriate site  Apply pressure after injection  Use proper technique e) Administer intravenous medication as assigned

©2018

Achieve

Page 11

of 53