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.