Medication administration is route is often classified by the location at which the drug is administered, such as oral or intravenous. nurses have a unique role and responsibility in medication administration, in that they are frequently the final person to check to see that the medication is correctly prescribed and dispensed before administration. It is standard during nursing education to receive instruction on a guide to clinical medication administration and upholding patient safety known as the ‘five rights’ or ‘five R’s’ of medication administration. the medication is correctly prescribed and dispensed before administration.[1] It is standard during nursing education to receive instruction on a guide to clinical medication administration and upholding patient safety known as the ‘five rights’ or ‘five R’s’ of medication administration.These ‘rights’ came into being during an era in medicine in which the precedent was that an error committed by a provider was that provider’s sole responsibility and patients did not have as much involvement in their own care. The traditional framework used in teaching the rights has remained largely unchanged, but there has been no significant reduction in error rates reported in the literature since their introduction.[3] Sole reliance on the ‘five rights,’ the necessity of adding additional rights, and the lack of consideration for the role of the patient are a few of the points of contention named in the medical literature concerning the traditional ‘five rights.’

1. MEDICATION
ADMINISTRATION

2. Types of
medicines
Liquid
1
2 Tablet
3 Capsules
4 Topical Medicines
Suppositories
5
6 Drops
7 Inhalers
8
Injections
9
Implants or Patches

3. Types of Medicines
Liquid
A liquid may also be called a ‘mixture’,
‘solution’ or ‘syrup’.
Tablet
The active ingredient is combined with
another substance and pressed into a
round or oval solid shape.

4. Types of Medicines
Capsules
The active part of the medicine is contained
inside a plastic shell that dissolves slowly in
the stomach.
Topical medicines
Creams, lotions or ointments applied directly
onto the skin. They come in tubs, bottles or
tubes depending on the type of medicine.

5. Types of Medicines
Suppositories
The active part of the medicine is
combined with another substance and
pressed into a ‘bullet shape’ so it can be
inserted into the bottom.
Drops
These are often used where the active
part of the medicine works best if it
reaches the affected area directly. They
tend to be used for eye, ear or nose.

6. Types of Medicines
Inhalers
The active part of the medicine is
released under pressure directly into the
lungs.
Implants or patches
Medicines are absorbed through the skin,
such as nicotine patches for help in giving
up smoking, or contraceptive implants.

7. Types of Medicines
Injections
Subcutaneous or SC injections are given just under the surface of the skin.
Intramuscular or IM injections are given into a muscle.
Intrathecal injections are given into the fluid around the spinal cord.
Intravenous or IV injections are given into a vein.
There are different types of injection, in how and where they're injected.
1.
2.
3.
4.
Some injections can be given at home, but most are given at your doctor’s surgery or in hospital.

8. Rights for Drug
administration

9. Rights For Drug
administration
Right Drug
Ensuring that the medication to be administered
is identical to the drug name that was prescribed.
Right Patient
Ascertaining that a patient being treated is, in
fact, the correct recipient for whom medication
was prescribed.
Right Dose
Check the medication sheet and the doctor’s
order before medicating. Be aware of the
difference between an adult and a pediatric dose.

10. Rights For Drug
administration
Right Route
Check the order if it’s oral, IV, SQ, IM, etc..
Right Time and Frequency
Check the order for when it would be given and
when was the last time it was given.
Right History and Assessment
Secure a copy of the client’s history to drug
interactions and allergies.

11. Rights For Drug
administration
Right Refuse
Give the client enough autonomy to refuse the
medication after thoroughly explaining the effects.
Right Documentation
Make sure to write the time and any remarks on
the chart correctly.
Right Evaluation
Review any medications previously given or the
diet of the patient that can yield a bad interaction
to the drug to be given. Check also the expiry date
of the medication being given.

12. Rights For Drug
administration
Right Education and Information
Provide enough knowledge to the patient of what
drug he/she would be taking and what are the
expected therapeutic and side effects.

13. Questions?