Administering Oral Medication Script

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ADMINISTERING ORAL MEDICATION SCRIPT

Good day, everyone! I’m __________ from BSN11-i and a student nurse at Davao Doctors
College. Today, I will be performing my return demonstration about administering oral
medication to provide a medication that has a systemic effect or local effects on the GI tract or
both.

ADMINISTERING ORAL MEDICATIONS

Prior to the conduct of the procedure, the first thing to do is to check for the physician's order to
know what medication should be administered to the assigned patient.
Rationale: To ensure the patient is receiving the correct medication for the correct reason.

Now, check for the medication administration record with the physician’s order for drug name,
dosage, frequency and route.
Rationale: Orders for certain medications, example antibiotics expire after a specified time
frame and they need to be reordered by the primary care provider.

Also, verify the client’s ability to take medication orally.


Rationale: To ensure that the patient can swallow the medicine orally.

Now, organize supplies and bring the requisites to the preparation area. The requisites include
the medicine cup, medicine tray and if needed, a stethoscope and a sphygmomanometer.
Rationale: To maintain proper organization and conserve time and energy.

Now, perform hand hygiene to protect the patient and ourselves from any spread of pathogenic
microorganisms.
Rationale: To protect the patient and ourselves from any spread of pathogenic microorganisms.

Now, read the MAR, take appropriate medicine in the box, read the label and remove medicine
from the box.
Rationale: To ensure that the right medication is given.

Compares the label of the medication against the order on the MAR or computer printout.
Rationale: This is a safety check to ensure that the right medication is given.

Now, rechecks the label of medicine with the MAR, and also notes the expiration date.
Rationale: To ensure the patient is receiving the correct medication for the correct reason.
Prepare the prescribed medications
Tablets or Capsules

Preparation of prescribed medication for tablets or capsules, if in a bottle then, gently shakes
the prescribed amount of tablets or capsules into the bottle cap. Bur if in a box, shakes
prescribed numbers of tablets or capsules into the medicine cup.
Rationale: To ensure the equal distribution of the medication within the liquid.

Liquids/Suspensions

Now for liquids or suspension first, thoroughly mix the medication.


Rationale: To ensure the equal distribution of the medication within the liquid.

Remove cap and place it upside down on the countertop.


Rationale: This avoids contaminating the inside of the cap.

Hold the bottle so the label is next to your palm and pour the medication away from the label.
Rationale: This prevents the label from becoming soiled and illegible as a result of spilled
liquids.

Place the medicine cup on a flat surface at eye level.


Rationale: This method ensures accuracy of measurements.

Place the thumb on the prescribed level and read it at the lower meniscus. The meniscus is the
curve in the surface of a molecular substance when it touches another material.
Rationale: To have an accurate reading of the measurement of the liquid medicine.

Now, pour the exact amount of medicine prescribed into the medicine cup.
Rationale: To ensure the right amount of medicine is given to the patient.

Wipe the rim of the bottle with a paper towel or tissue paper, before capping the bottle.
Rationale: This prevents the cap from sticking.

Drops

Now for drops, using a medicine dropper draw the amount needed of the medicine and place it
onto the filled medicine dropper inside the medicine cup.

Now, place the prepared medication and MAR together on the medication cart.

Check the room number against the MAR before entering the clients room.
Rationale: To ensure that the right patient will be given the medication.

Close the door to provide the client's privacy and fix the curtains.
Rationale: To protect the integrity of the client.

Good morning, Sir! I’m Katrina Allyn A. Cordero your student nurse for today.

May I see your hand, please? Your complete name and birthday?

This time, I will be giving you your medication as ordered by your attending physician Dr.
Hogwart. Are you aware of any allergies you may have from certain medications or drugs?
No, I don’t have any experience of adverse effects in any drugs.

If the medication is highly acidic (e.g. aspirin) can be given with a snack such as crackers if food
is not contraindicated.

Now, at clients' bedside match up the MAR (Medication Administration Record) with the names
of medication as shown on their labels and with the clients name.

Sir, before I give you your medicine I need to check first for your blood pressure, pulse and
respiratory rate.

Alright, Sir. Doctor Hogwart has prescribed you with lipitor. Its generic name is atorvastatin with
dosage of 40 milligrams to be taken every night after dinner around 8 pm in the evening and it is
in tablet form which means you’ll have to take it orally. Atorvastatin is used along with a proper
diet to help lower "bad" cholesterol and fats and raise "good" cholesterol (HDL) in the blood. He
also prescribed you atorvastatin with a dosage of 5ml to be taken every four hours and it is in
syrup form so you’ll have to take it orally.

Sir, you are sitting now. Are you fine taking your medicine in that position?

Administer the medicine to the client. Give the client sufficient water or preferred juice to
swallow the medication.

Stay with the client until all medications have been swallowed. Now that you have finished
taking your medicine I’m gonna leave you here so that you can have a proper rest. Do you need
anything? Alright. I’ll come back after a few minutes to check up on you, Okay?

Document the following:

Now that I’m done with the administration of the medication to my patient. I’m now going to
proceed to the documentation process of the procedure which I have just done. The
documentation would include the medication given, time, route given. I have given my patient
medication as per doctor’s order. The first one is a lipitor generic name of atorvastatin which is
in a tablet form with a dosage of 40mg frequency every night after dinner around 8 in the
evening and also atorvastatin in liquid form with a dosage of 5ml to be taken every four hours.
Also include in the documentation for any complaints from the patient and if medication was
refused or omitted and reason for omission. Lastly, never forget to affix your signature on the
documentation which signifies that you carried out the doctor’s order. Replenish stocks (e.g.
medications cups) and return the cart to the appropriate place. Also perform after care of
equipment by washing and returning them to the proper place.

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