Medication Administration Skill Checklist

1. Verify accuracy with 5 rights of medication administration on MAR/EMR with physician's order*

2. Verbalize applicate lab values(eg. K level) to determine if medication can be given.

3.Calculate the correct medication dosages.

4. Perform hand hygiene.

5. Prepares medications and checks medications using the 5 rights of medication administration and check expiration dates on each medication.

Procedure Performance

6. Introduce yourself to patient including name, title and explains procedure.

7. Performs hand hygiene.

8. A. Ask the patient to verbalize name and DOB.

B. Compare ID band/alternative method with identification source MAR by utilizing 2 means of identification: name,DOB and/or hospital# according to Agency policy.

C. Notes the presence of allergy band and ask patient to verbalize allergies and compares with MAR according to agency policy.

9. Performs last medication check according to 5 rights of medication administration and compares against MAR.

10. Performs required assessment measures:( i.e, BP, AHR( apical heart rate), etc) determine if medication can be given.

11. Teaches about medications(i.e, purpose, side effects and safety issues)

12. IM and subcut injection -( for recheck include steps 1-12)

a. choose correct syringe and needle syringe and for injection.

b. hand hygiene and dons glove. Administer injection using correct site and degree of angle.

c. discards syringe correctly using safely shield and does not recap the needle.

13. Administers all medications following correct procedure/technique.

14. Removes gloves and performs hand hygiene.

15. Documents on MAR immediately and accurately( initials, signature, time and site) before leaving room

16. Maintains medical asepsis. Maintain safety(i.e, side rail up, bed in low position, call light within reach)

17. Perform hand hygiene.

I would like to know in detail in written each step and correct injection site and location and what to find the lab before the injection. I want to know step by step in written. Thank you so much.

Initial Management of a Patient with Burns (Q: 5, 6, 7)

Patient Profile

M.J. is a 23-year-old white woman transferred via ambulance to the hospital after a fire in her apartment. She was asleep when the fire started and managed to make her way out of the apartment through the smoke. She sustained second- and third-degree burns over the right side of her face and neck, right side of the anterior trunk, two thirds of the lower right thigh, and the right arm. In the emergency department, she received a tetanus shot, morphine for pain, and 2 L of IV fluids.

Subjective Data

• Single; lives alone
• Attends local college part time while working full-time as a server
• Denies tobacco, alcohol, and drug use

Objective Data

Physical Examination

• Blood pressure 190/80, pulse 88, temperature 99°F, respirations 28
• Height 5’4”, weight 180 lb
• Voice is hoarse; singed nose hair
• Productive cough with moderate amounts of gray sputum
• Pupils equal, round, reactive to light and accommodation; right eye swollen
• Heart rate and rhythm regular; no murmur
• Lungs with wheezes throughout
• Bowel sounds diminished in all four quadrants
• Restless, states pain is at a level 10 on 10-point-scale
• Urinary catheter draining burgundy-colored urine
• Nasogastric tube is draining yellow-green drainage

Discussion Questions

5) The nurse is concerned about smoke inhalation. What assessment findings would support her concerns?

6) M.J.’s pain level is a 10. Outline a pain management plan for M.J. at this time.

7) Describe other nursing and interprofessional management that is important during this phase.

A patient is taking a commercial lithium carbonate capsule that contains 600 mg of lithium carbonate. They have developed a sensitivity to one of the inactive ingredients in the commercial capsule, and their doctor has prescribed lithium citrate instead. You have been asked to compound lithium citrate capsules such that each capsule has the same strength, expressed as milliequivalents of lithium, as the commercial tablet. How many milligrams of lithium citrate should each capsule contain? Round your final answer to the nearest milligram. MW Lithium carbonate = 74; MW Lithium citrate = 210.

Bed Sores and Ulcerations

1- Briefly distinguish between a "bed sore" and a "venous ulceration"

2- Most cases of bed sores and venous ulcerations in immobile patients is blamed on neglect and abuse. Do you agree this is the most likely cause? Why or why not?

3- Typically, moving / rolling patients is assigned to entry level staff (e.g. Orderly, NA, CNA, LVN, LPN) as opposed to executive level staff (RN, BSN, MSN, NP, DNP, MD, DO). Since this task is essential to proper patient care, why do you think it isn't a "typical" duty of the higher level medical staff?

Describe the different data methods used by clinicians. which methods are the most efficient and why are some approaches favored over others by clinicians? How is information stored and retrieved in the EHR?

What are the benefits associated with reconciliation of health care data? What are the challenges associated with reconciliation of health care data?

1.Risk factors for psychosis.

2.Patient education for discharge.

3.Crisis intervention techniques for aggression and anger .

4,Legal and ethical responsibility of nurse,

5.LPN role as part on the care team Mandatory reporting.

identify 5 Administrative professionals who work within healthcare facilities. Briefly describe their job and explain how they are important to a healthcare organization

You are an assistant administrator in a nonprofit hospital that receives Medicare and Medicaid funding. Your boss has asked you to make a presentation to other leadership about one of the above policies. She would like for you to provide an overview of the policy, the implications for your organization for non-compliance, as well as recommendations about what you should be doing to ensure compliance.

• The requirement to reduce hospital readmissions

A. What is the impact of labelling a person "a schizophrenic" rather than "a person with schizophrenia?"

B. How does mental health disorder impacted their quality of life?

c. What are your thoughts and opinions about people who live with server mental illness.

Why is organizational structure important?

How do nurses evaluate the clinical significance within the literature?

What is the purpose of the RE-AIM framework?

A. To limit resources B. Work with stakeholders to identify indicators of success

C. Formulate hypothesis from data and research

D. To broaden the criteria used to evaluate programs to include generalizability

What event was the turning point in occupational health and safety that resulted in establishing fundamental rights for workers and eventually the Occupational Health & Safety Act of 1979 as we know it today?

Question 1 options: