Six Rights of Medication Administration


1. Six Rights of Medication Administration

Medication

Route

Time

Client

Dosage

Documentation


2. Routes of Administration

Oral

By mouth

By Gastric tube

By Nasogastric tube

Buccal

Sublingual


3. Routes of Administration

Topical - to treat skin or mucous membrane (oral, nasal, ear, eye, vaginal, rectal)

Transdermal - for systemic dosage


4. Routes of Administration

Parenteral

Intradermal - testing

Subcutaneous

Intramuscular

Intravenous medications, RN only

Direct intravenous push

Intermittent "piggy back"

Continuous infusion


5. Nursing Responsibilities

Only administer meds you have prepared

Know the purpose and expected outcomes

Do not leave meds at bedside

Check armband before administering

Some meds need checking by another nurse

IM injections - no more than 3ml at one site


6. Responsibilities cont.

Consult with supervisor or MD if dosage is outside of recommended range

Do not administer medications calculated by someone else except pharmacist

Extra caution with pediatric patients

IV pump does not replace the responsibility of the nurse


7. Standard Precautions

Wear gloves for parenteral injections

Wash hands before beginning medication pass

Keep medication cart clean

If you do more than hand the pills to a patient, wash hands before leaving the room

Wear gloves if helping put pills in mouth