Special Concideration In Admnistartion

SPECIAL CONCIDERATION IN ADMNISTARTION

In order to avoid the complications and risk of medication, a nurse should follow some rules

1.WHILE PREPARING MEDICINE

          Read the physicians order carefully before preparing the drug. No medicine should be prepared without a written order. Verbal order is considerable in case of emergency.

·        Check the medicine card against the physician's order.

·        Concentrate the mind and avoid conversation while preparing medication.

·        Calculate the fractions of drug accurately.

·        Give the medicine only from a labelled container,

·        Shake the fluid medicine well before pouring it to the ounce glass.

·        Pour the medicine from the bottle only on the side opposite to the label.

·        Wipe the mouth of the bottle, close it tightly and replace it after use.

·        When taking tablets and capsules. Never touch them with hands.

·        Once the medication is poured, never pour it back to the same bottle.

·        Prepare the drug just before the time of administration.

2.       REGARDING THE ADMINISTRATION

·        Observe and follow the rights of administration.

·        Observe the symptoms of over dosage before it is administered.

·        Identify the client carefully, by name, identification number and identification band.   Give the drugs one by one.

·        Stay with the client until he has taken the medicine completely.

·        Observe for any contraindication like nausea, vomiting, giddiness etc.

·        Always give the medicine that you have prepared.

·        Do not allow the medication glass to touch the mouth.

·        Always provide a glass of water after oral medication.

·        Report an error in medication immediately to the physician or in charge nurse.

·        Do not leave the medicine with the client.

·        Never give water after the administration of cough syrup,

·        If the client has nasogastric tube for feeding, the nurse can powder the medicine and dissolve it in a solution and feed the client.

·        Enteric-coated tablets should never be chewed or crushed for ease administration. 

·        The lozenges are to be suck and and not chewed until they are completely discharged in mouth.

3.       REGARDING THE RECORDING

·        Record each dose of drug, soon after it is administered.

·        Use standard abbreviations in recording the medicine.

·        Record only the medicine which you have administered.

·        Never record a medicine before its administration.

·        Record the effects observed. Local and systemic effect.

·        Record the medicine that have been refused or vomited by the patients.

·        Record the medicine that you have not given, and the reason for non-administration.