DRUG

ADMINISTRATION
Presentation by :- PRAKRITI (BSC NURSING 3 RD SEMESTER
INTRODUCTION
◦ Nurses have a unique role and responsibility in medication administration in that they
are frequent the final person to check to see that medication is correctly prescribed in
dispensed before administration.

◦ It is standard during nursing education to receive instruction on a guide to clinical

medication administration and upfolding patient safety known as ‘right’ or 10 R’s of
medication administration
Administration of medication
◦ One of the basic nursing function is the medication administration that involve skillful
technique and consideration of the patient’s development ,health status and safety.
◦ The nurse administratering medication need knowledge base about drug, including
drug name preparation ,classification ,adverse effect and physiologic factor that affect
the action.
Principle of medication
administration
1. Medication orders
2. Patience name
3. Date and time the order is written
4. Name of the drug to be administrated
5. Dose of the drug
6. Route by which the drug is to be administrated
7. Frequency of administration of the drug
8. Signature of person writing the order
Factor affecting drug action
◦ A number of factors other than the drug itself can affect it action
◦ A person may not respond in the same manner it successful dose of drug
◦ In addition the identical drug and those affect different client differently.
◦ Some of the factor affecting drug are given as below:-
1. Developmental factor
2. Gender
3. Culture ethnic and genetic factor
4. Diet
5. Environmental factor
6. Psychological factor
7. Illness and disease
8. Time of administration
Rights of medication administration
◦ The rights of medication administration are there not only to reduce the harm caused
by medication error but also to protect the interest of the patient and the nurse
administratering.
◦ There are 10 right of medication administration.
RIGHT PATIENT
◦ The first of these right is to make sure that the nursing staff as a right patient.
◦ In order to do this at least to verification method should be used.
◦ In most instances the patient is asked to
verify their full name and date of birth
◦ Read the physician’s order to
make sure for whom medicine is ordered.
◦ Read the clients name on the clients chart
and on the medication chart.
◦ Be very careful if the client is
deaf or otherwise does not understand your language
RIGHT MEDICATION
◦ After the patient is properly identified the second step is ensuring the right medication
has been selected.
◦ Read the physician order to study the correct name of the drug.
◦ If the order is not clear concerned the physician on at least seniors
◦ Select the right drugs from the cupboard
◦ Read the level of medicine container and the named of the medicine in the medicine
card thrice before taking the drug from the shelf before measuring it.
◦ Look for the colour ,ordor and consistency of drug.
◦ Unusual characteristics of drug should be questioned.
◦ Avoid accepting verbal orders. Verbal order should be accepted only in emergencies.
But it should be written on the chart as early as possible.
◦ Be familiar with the contraindications of drug.
◦ If the patient is having any contraindication that don’t continue the drug administration.
RIGHT DOSE
◦ Right dose is about ensuring the patient receive the exact amount of the medication
prescribed by their healthcare provider.
◦ Read a physician’s order to know the correct dose.
◦ Consider the age and weight of the client. This may help to find an error in physician’s
orders .
◦ Compare prepared dose with medication order.
◦ For example a dose too high could lead to toxicity while a dose to low may be
ineffective.
◦ The medicine should be carried to the client without spilling it out of the container
RIGHT ROUTE
◦ Verify meditation route with
medication order before administrating.
◦ Medication may only be administrated
via route specified in order.
◦ This is one of the right that set a guideline
For health Care profession follow
to ensure patient safety and n accuracy
RIGHT TIME
◦ Read the physician’s order.
◦ Know the hospital routine for interval .
◦ Know the abbreviations for the time , eg - BD , TDS
◦ Give the medicine near the time ordered 15 mintues before or after the designated
time.
◦ Give the medicine as ordered in relation to the food intake
example:- before or after the food.
◦ Give the medicines according to the action expected
◦ example:- sleeping pills are given at bed time the diuretic argument in the morning
hours so that the client will not be disturbed in the night.
RIGHT PATIENT EDUCATION
◦ Check if the patient understand what the medication is.
◦ Make them away that they should contact our health care professional if they
experience side effect or reaction.
◦ Explain the medicine use and tell also about the side effect if any.
RIGHT DOCUMENTATION
◦ Ensure you have sign for the medication
after it has been administrated.

◦ Ensure the medication is prescribed

correctly with start and end date if appropriate.
RIGHT TO REFUSE
◦ Ensured you have the patient concerned
to administrate the medicine.
◦ Be aware that patient do have right to refuse
medication if they have the capacity to do so.
◦ If the patient is conscious tell him
about the medicine.
RIGHT ASSESSMENT
◦ Check if your patient actually need the medication.
◦ Check for contraindication.
◦ Baseline observation if required.
RIGHT EVOLUTION
◦ Ensured medication is working the way it should.
◦ Ensure medication are reviewed regularly.
◦ Ongoing observation if required.