1 / 45

Medication Administration

Medication Administration. Automated Medication Administration Equipment. Pyxis SureMed MedServe. Essential Components of a Medication Order. Client’s Name Medical Record Number, Room/Bed # Date & time of order Name of Medication Dosage of Medication Route Frequency of administration

Download Presentation

Medication Administration

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Medication Administration

  2. Automated Medication Administration Equipment • Pyxis • SureMed • MedServe

  3. Essential Components of a Medication Order • Client’s Name • Medical Record Number, Room/Bed # • Date & time of order • Name of Medication • Dosage of Medication • Route • Frequency of administration • MD’s signature

  4. Six “Rights” of Medication Administration • Right Patient (check name band, ask client their name) • Right Medication • Right Dose • Right Route • Right Time (frequency) • Right Documentation * Client’s also have the right to refuse (say no) to medication

  5. The Nurse’s Responsibility for Medication Administration • Assess whether the client can tolerate the meds • Administer meds accurately & timely • Monitor for side-effects • Know contraindications • Client teaching • Practice the “Six Rights”(stressed in clinical) • Evaluation (effectiveness & client response)

  6. Types of Oral Medications • Tablets • Capsules • Sublingual • Buccal • Elixirs • Enteric Coated

  7. Precise & Safe Medication Administration

  8. Rectal Medications • Provide for privacy • Explain procedure to client • Place client in Sim’s position • Apply clean gloves • Lubricate tip, round end inserted first • Encourage client to relax , deep breathe • Insert past sphincter, towards umbilicus • Have client remain on side at least five mins. (hold buttocks together etc.)

  9. Rectal Medication Administration

  10. Ophthalmic Medications • Place HOB down or low Fowler’s • Provide Kleenex for client • Have client look towards ceiling • Instill meds in conjunctiva (if gtts) • If ointment, apply ribbon from inner to outer canthus • Know od, os, ou routes

  11. Topical & Inhalation Medications • Ointments (absorbed via mucous membranes, skin) • Inserted (vaginal) • Instilled (ear/nose gtts) • Lotions • Sprays (nasal) • Pastes (absorbed through skin) • Inhalation (nebulized treatments, MDI)

  12. Topical Ointments

  13. Otic Medications

  14. MDI Medications

  15. Medications via NGT/EFT • Determine whether med comes in elixir form • Crush all except for EC meds and mix with water or other liquid medications • Stop feedings, clamp tube, apply syringe, unclamp tube, flush tube with approx. 30cc water • Clamp tube, remove syringe, pull plunger from barrel, reattach barrel, pour meds through barrel • Add water as necessary to keep things flowing smoothly • After all meds have been given, flush with 30cc water, clamp tube, remove syringe, start feedings

  16. Documentation Always record: • Date, time & your initials or signature, title (R. Otten, SN,CSUF ) • Medication, route (site) and actual time given • Reason why med was omitted (ie. refused) • Client’s response to the medication

  17. Medication Administration Records (MARs)

  18. Nursing Considerations for Injection Sites • Assess for adequate tissue & muscle availability/client body wt. • Assess where previous injections have been administered • Assess client restrictions • Assess for quantity & quality of medication to be administered

  19. Parts of a Needle & Syringe Syringe: • Barrel • Plunger • Tip Needle: • Bevel • Shaft • Hub

  20. Types of Syringes

  21. Tips of Syringes Luer-Lok Non Luer-Lok

  22. Pre-Filled Systems

  23. Assembling the Device

  24. Scoop Method

  25. Safety Devices

  26. Needless Systems

  27. Three Types of Injections • Intradermal - Injected into dermal skin layers (Allergy tests, PPDs, etc.) • Subcutaneous - Injected into subcutaneous tissues (Heparin, Insulin) • Intramuscular - Injected into deep muscles (narcotic analgesics, iron)

  28. Intradermal Injections • Given in small doses (i.e.. 0.1cc) • Common sites include: RFA, LFA • Use 1cc syringe with 26-27 gauge needle, 1/4 - 5/8 inch long • Administer with needle at 5-15 degree angle with bevel of needle up • Check for “bleb” or “wheal” • Document site in medication book/nurses’ notes

  29. Intradermal Injections

  30. Subcutaneous Injections • Given in doses of 0.5cc - 1.5 cc • Common sites include: deltoid, abdomen • Deltoid landmarks: Find Acromium Process and go 4 to 6 finger-lengths below • Rotate sites to minimize tissue damage • Use Insulin/TB syringe for these meds • For other SQ meds use 1-3 cc syringe, 25-27 gauge needle, 3/8-5/8 inch length • Insert needle 45-90 degrees

  31. Deltoid Injections

  32. Vastus Lateralis Injections • Site well-developed in both adults & children, lacks major blood vessels/nerves • Landmark: Find Greater Trochanter & Knee, divide thigh up into three equal quadrants with hand, middle 1/3 is the site for injection (lateral aspect). • Good for clients with position restrictions

  33. Intramuscular Injections

  34. Vastus Lateralis

  35. Dorsogluteal Injections • Rarely used due to Sciatic nerve risk • Less accessible than other sites (i.e. requires side-lying or turned further) • Landmark: Find Greater Trochanter & Iliac Crest, draw quadrants and administer in upper two quadrants

  36. Dorsogluteal Injections

  37. What other site is used for IMs?

  38. Ventrogluteal • Good for deep injections • Away from blood vessels and nerves • Z-track • Thick, viscous meds • Antibiotics • Large volume • Irritating

  39. What if…… when giving an IM injection, the aspirate comes back with blood. • What is the correct procedure and why?

  40. Preparing NPH & Regular Insulin • Swab tops of both vials • Inject desired units of air into NPH vial, remove needle and then inject desired units of air into Regular vial • Invert Regular vial and withdraw desired units of insulin (no bubbles) • Insert needle into NPH vial, invert and withdraw desired units of insulin

  41. Regular & NPH Insulins

  42. Mixing Insulins NPH Insulin Regular Insulin

  43. Remember !!! If an IM injection requires the administration of > 3cc of medication, divide the medication up into two equal doses and administer in different sites.

  44. Remember !!! Always double-check Insulin & Heparin amounts/doses with another licensed person (RN/LVN/INSTRUCTOR)

More Related