A4 Medication Administration

Question 1

1. Confirm ______ and establish _______(4 words)______ with _____________

Answer 1

Diagnosis
Need to administer medication
Your partner

Question 2

2. Check for any ________ to administration such as ________

Answer 2

Contraindications

Life threatening allergic reactions

Question 3

3. Select medication and confirm with partner:
   - correct _____ (look/sound)
   - within its _____
   - medication is not _____ or ______.
   Fentanyl check?

Answer 3

Medication is selected - looks alike/sounds alike
Expiry date
Damaged or unusable
RIPE - Removal Integrity Penetration Effervescence

Question 4

4. Draw up or prepare the medication to be administered. Medications must not be mixed or administered together unless _______
   Note:
   - With the exception of __________ due to __________, all clinical decisions to vary ________ stated in the pharmacology must have a ________ submitted
   - No medications are to be used to assist _______
   - Paediatric bolus doses should not exceed __________ unless specified in ______
   - The total maximum dose is inclusive of __________

Answer 4

• Authorised by protocol or pharmacology
• Reduced analgesic and sedative doses; patient safety concerns; doses stated in the pharmacology; Variation to Clinical Practise (VCP) notification
• Intubation
• Adult doses; the pharmacology
• All routes of administration combined

Question 5

5. Confirm the “5 Rights” of medication administration with your partner prior to administration:

Answer 5

Right patient
Right medication
Right dose
Right route
Right time

Question 6

6. Administer medication and ______ patient for _________ prior to administering subsequent ______ and/or _________

Answer 6

Observe
Desired response
Subsequent medications
Repeat doses

Question 7

7. Documentation

What needs to be recorded?

Answer 7

Record medication administration and patient response