Skills Medication Administration

Question 1

Patient’s 6 Rights?

Answer 1

Right patient
Right drug
Right dose
Right route
Right time
Right documentation

Question 2

What is Parenteral route?

Answer 2

Anything administered not orally

EX: ID, Subq, IM, IV, Topical, etc

Question 3

What is ID used for?
mL?
Angle?
Test results?
Layer of skin?

Answer 3

TB
0.1 mL
15 degree angle
Test results read in 48-72 hours
Dermis layer

Question 4

What is Subcutaneous used for?
Angle?
Gauge?
Length?

Answer 4

Insulin & Heparin (Pinch skin)
45-90 degree angle
25 gauge
1/2- 5/8 inch
(Abdomin/Belly-NOT stomach)

Question 5

What is IM used for?
Angle?
mL?
Wait time?
Gauge for adult?
Gauge for peds?
Length?

Answer 5

Immunizations & vaccinations Taut skin)
90 degree angle
1mL/Sec
Wait 10 sec to take needle out
21-22 gauge for adult
22-25 gauge for peds
1-1/2 inch

Question 6

IM deltoid gauge and length?

Answer 6

23-25 gauge

1-1/2 inch

Question 7

IM injection sites? *3

Track?

Answer 7

Deltoid: Top arm by shoulder
Ventrogluteal: Above butt, love handle area
Vastus Lateralis: Sideline, middle thigh (Common in children)
(Can use Z track method)

Question 8

Topical medications? *4

Answer 8

Dermatologic preparations (lotions, creams ex: fungle, psoriasis) 
Transdermal patch (Nicotine)
Eye drops/ointment
Ear (Otic) (Stay in position 5 min)

Question 9

Other ways to administer meds? *6

Answer 9

Nasal
Sublingual (under tongue)- Most common Nitro
MDI(metered dose inhaler)/Nebulizer- Best practice spacer
Rectal- Lay Left side
Vaginal
Buccal (Inside cheek)

Question 10

What is enteral?
HOB?
Temp of water?
Form of med?
Gravity?

Answer 10

Tube feeding
HOB 30-45 degrees for intermittent and continuous
Warm water
Liquid
No higher than 18 inches above stomach

Question 11

How long to wipe with alcohol?

Answer 11

15 sec

Question 12

What should you NOT do after injecting Heparin?

Answer 12

Don’t rub site

Question 13

True or False. You should recap a used needle.

Answer 13

False: Never recap a used needle

Question 14

Which is a common IM injection for peds?

Answer 14

VL (Vastus Lateralis)

Question 15

What do you know about Controlled release (CR), sustained release (SR), extended release (XR, XL, ER)?

Answer 15

Do not crush

Question 16

How often do you change IV tubing?

Answer 16

72 hours

Question 17

Secondary med in what size bag?

Answer 17

Mini bag- 50-100 mL

Question 18

What’s commonly given as secondary IV med?

Answer 18

Antibiotics

Question 19

What should you never do with Potassium?

Answer 19

Never give IV push or Bolus. (Given slowly)

Question 20

Phlebitis Definition?

Answer 20

Pain, tenderness, erythema along IV insertion site

Discontinue & restart

Question 21

How often are IV sites rotated?

Answer 21

72-96 hours

Question 22

How often do you check IV site when infusing?

Answer 22

Document every 2 hours.

*Once a shift if saline locked

Question 23

How often do you flush saline locks?

Answer 23

BID or TID

Question 24

How often are pumps cleared?

Answer 24

Every shift