Академический Документы
Профессиональный Документы
Культура Документы
1010-1015 BREAK/ROTATE
1015-1105 Med Math PowerPoint and practice
Clinical Simulation Center Room 6
1105-1110 BREAK/ROTATE
1110-1150 (Group A) (Group B)
Administering Oral Medications, Administering Derm, Ophthalmic, Otic, Nasal, Inhaled,
Administering Medications by Enteral Tube Vaginal, and Rectal Medications
& &
Three Checks in Medication Administration The Ten Rights of Medication Administration
Pyxis Training CSC 6
CSC 6
(Group B) (Group A)
Administering Derm, Ophthalmic, Otic, Nasal, Inhaled, Administering Oral Medications,
Vaginal, and Rectal Medications Administering Medications by Enteral Tube
& &
The Ten Rights of Medication Administration Three Checks in Medication Administration
CSC 6 Pyxis Training
CSC 6
1150-1200 Recap and Documentation Review
CSC 6
**NOTE ATI SKILLS MODULES MUST BE COMPLETED PRIOR TO 0700 ON day of scheduled lab experience!
Content specifically covered in Administering Oral Medications & The Ten Rights of Medication Administration:
Medication Administration window is 30 minutes before and after time on MAR otherwise med error
Always check for allergies from patient and bracelet before administering medications
Review briefly oral, buccal, sublingual, swish/spit, swish/swallow use MAR and actual medications to drive discussion
HOB up
When to hold meds nausea, vomiting, gastric suctioning
Extended Release/Enteric Coated
Fresh water at bedside
10 Rights Berman p. 412
Content specifically covered in Administering Derm, Ophthalmic, Otic, Nasal, Inhaled, Vaginal, and Rectal Medications:
Use mannequins to administer/apply medications
Rotate sites; avoid areas of abrasions, irritation, cuts, burns as may absorb too much and have systemic reaction
Topical wear gloves, remove old, clean site with soap/water, apply topical
Transdermal Patches remove old patch and clean skin thoroughly; select new site and apply patch; Date/time/initial patch before placing;
document placement as well as time. Check for allergy to materials in patch
Ophthalmic lower conjunctival sac hold pressure on nasolacrimal duct for 30 seconds
Otic pull pinna upward and back (down and back for infants and children under 3)
Nasal have patient blow nose first; tip head back, not done often (quick review only); nasal spray hold head down
Inhaled
o Shake aerosol inhaler for 3-5 seconds, exhale, hold 1-2 inches from open mouth (spacer placed IN mouth), inhale when MDI depressed
for 3-5 seconds, hold breath for 10 seconds, exhale through pursed lips, rinse mouth with water and spit out
o Wait 1-2 minutes between inhalations.
o Some inhalers are not shaken, but use a medication in powder form that pt. inhales. Demo Advair used in Simulation next week
Vaginal vagina is a natural drain, have woman void prior to administration, lithotomy position, insert with index finger of gloved hand (3-4)
Rectal done with suppositories and enema rotation on earlier during Elimination Module 6 made like bullet, always lubricate
ID
o 15 degree angle, bevel up, bleb, leave Open To Air, hand placement and needle hold for administration (OK sign above needle/no fingers
above administration site as shown in ATI video module)
o TB syringe (1mL syringe) usually used
o Volume = 0.1mL
o Use ID arms brief practice/review