how to administrate oral medication

1. ADMINISTRATION
OF ORAL
MEDICATION

2. DEFINITION
• Drug given by the oral are absorbed
into blood stream through the gastric
or intestinal mucosa by swallows the
drug.

3. PREVENTION PLAN
• Three way check :
✔ Physician order
✔ Pharmacy label
✔ Medical administration record
• Check each item three time.

4. BEFORE ADMINISTRATION
ANY MEDICATION

5. RIGHT PATIENT
• Always check patient’s identification
bracelet.
• Ask patient to state their name and birth
date.
• Compare medication order to identification
bracelet and patient’s state name and birth
date.
• Verify patient allergies with chart and
patient.

6. RIGHT MEDICATION
• Perform a triple check of the medication
label.
✔ When preparing the medication.
✔ Before administering medication to patient.
✔ Always checked the medication label with
physician’s orders.
✔ Never administer medication prepared by
another person.
✔ Never administer medication that is not
labeled.

7. RIGHT DOSE
• Check label for medication concentration.
• Compare prepared dose with medication
order
• Triple all medication calculations.
• Check all medication calculation with
another nurse.

8. RIGHT TIME
• Verify schedule of medication with order.
✔ Date
✔ Time
✔ Specified period of time
❑ Checked last dose of medication given to patient.
❑ Administer medication within 30 minutes of
schedule.

9. RIGHT ROUTE
• Correct method of consuming various type
oral medication; example chewable or
sublingual.
• Verify medication route with medication
order before administering.
• Medication may only be administered via
route specified in order.

10. RIGHT EDUCATION
• Inform patient of medication being
administered.
• Inform patient of desired effect of
medication.
• Inform patient of side effects of
medication.
• Ask patient if they have known allergies to
medication.

11. RIGHT TO REFUSE
• To identify reason for refusal and reinforce
explanation on importance of taking that
particular drug.
• If still refuse, to inform doctor.
• Document on drug refused and
explanation given.

12. RIGHT ASSESMENT
• Properly assess patient and tests to
determine if medication is safe and
appropriate.
• If deemed unsafe or inappropriate, notify
ordering physician and document
notification.
• Document that medication was not
administered and the reason that dose
was skipped.

13. •AFTER MEDICATION
HAVE BEEN
ADMINISTERED.

14. RIGHT EVALUATION
• Asses patient for any adverse side effects.
• Asses patient for effectiveness of
medication.
• Compare patient's prior status with post
medication status.
• Document patient's response to
medication.

15. RIGHT
DOCUMENTATION

16. • Document assesment's finding (if
applicable).
• Document medication served or
omitted-date,time and signature.
• Document ommision for refusal( if
applicale)

17. AUDIT
1. Greet / acknowledge patient.
2. Identify right patient.
3. Verify written prescription.
4. Asses patient.
a) Explaination prior to assesment.
b) Performed assesment.

18. 5. Dish out correct medication.
a) Read patient's medication profile.
b) Select required medication from patient's
drawer of medication chart.
c) calculate dosage before dishing out.
6. Respond promptly and politely to patient's
carer's questions.

19. 7. Administer medication.
a) Re-verify identify of right patient.
b) Serve medication.
8. When patient refuse to take medication,
the nurse need to take the following
actions.
a) Document omission for refusal.
9. Accurate other completeness of
documentation.