EVALUATION TOOL FOR NRG 106

ORAL MEDICATION ADMINISTRATION

NAME YEAR/SEC
DATE GRP. # FINAL RATING:
Directions: Each student is to be rated on performance in the return demonstration. Careful evaluation to be
taken to compare the jobs and tasks actually performed by the student nurse with those expected from the full
performance of that assignment. Keeping the guidelines in mind, please complete the Performance Evaluation
Tool. Then determine an overall rating, giving weight to various performance categories as appropriate to the
particular assignment. Please indicate remarks in the space provided if needed. Overall rating must be
considered with the following standard definition.

PERFORMANCE 70% Clinical Instructors' Rating

PREPARATION 5 4 3 2 1
1 Checks the Doctor's order
2 Knows the reason why the client is receiving the medication.

3 Checks the Medication Administration Recored (MAR).

Checks for the drug name, dosage, frequency, route of administration, and
expiration date for administering the medication.
4 Verifies the client’s ability to take medication orally.
Determines whether the client can swallow, is NPO, is nauseated or vomiting,
has gastric suction, or has diminished or absent bowel sounds.
5 Performs hand hygiene.

Arranges and organize medication tray and cups in preparation area including
6
medication tickets, if not using eMAR.

Prepares medication for one patient at a time. Obtain the correct drug,
7 compare name of medication on label with eMAR (or medication ticket) and
exit ADS after removing drug(s).
Checks or calculate drug dose as necessary, double-check calculation, check
expiration date on all medications and return outdated medication to
8 pharmacy, if there are any. Check record for medication count and compare
current count with supply available especially if preparing a controlled
substance.
PERFORMANCE 5 4 3 2 1
Places packaged unit-dose capsules or tablets directly into the medicine cup.
9
Do not remove the medication from the package until at the bedside.
10 If using a stock container, pour the required number into the bottle cap, and
then transfer the medication to the disposable cup without touching the
tablets.
11 Breaks only scored tablets if necessary to obtain the correct dosage. Use a
cutting or splitting device if needed.
12 If the client has difficulty swallowing, check if the medication can be crushed.
13 If it is acceptable, crush the tablets to a fine powder with a pill crusher.
14 Places the prepared medication and MAR together on the medication cart.
15 Rechecks the label on the container before returning the bottle, box, or
envelope to its storage place.
16 Avoids leaving prepared medications unattended.
17 Locks the medication cart before entering the client’s room.
Checks the room number against the MAR if agency policy does not allow the
18
MAR to be removed from the medication cart.
19 Introduces self and verify the client’s identity using agency protocol.
20 Provides for client privacy.
Educates the client and client's family of the medication to be taken, its
21
purpose, route of administration, intended effect and possible side effects.

22 Assists the client to a sitting position or, if not possible, to a side-lying position.

23 If not previously assessed, take the required assessment measures, such as PR,
RR, BP.
Compares names of medication on lables with medication tickets at client's
bedside. If using the eMAR, scan the client's barcode to verify the
24
administration of medication. Pick up the due medication and compare the
labels with barcode on the drug and eMAR.

Administer the medication at the correct time. Takes the medication to the
25
client within the guidelines of the agency.

26 Gives the client sufficient water or preferred juice to swallow the medication.

a. If the client is unable to hold the pill cup, use the pill cup to introduce the
27 medication into the client’s mouth, and give only one tablet or capsule at a
time.
b. If an older child or adult has difficulty swallowing, ask the client to place the
medication on the back of the tongue before taking the water.
c. If the medication has an objectionable taste, ask the client to suck a few ice
chips beforehand, or give the medication with juice, applesauce, or pudding if
there are no contraindications.
d. If the client says that the medication you are about to give is different from
what the client has been receiving, do not give the medication without first
checking the original order.
28 Stays with the client until all medications have been swallowed.

29 Documents each medication given.

Records the medication given, dosage, time, any complaints or assessments of
30
the client, and your signature.
If medication was refused or omitted, record this fact on the appropriate
31 record; document the reason, when possible, and the nurse’s actions
according to agency policy.
32 Disposes of all supplies appropriately.
Replenishes stock and return the cart to the appropriate place and discard
33
used disposable supplies.

TOTAL 0 0 0 0 0 % 70%

TOTAL 0 40 28

OTHERS 5 4 3 2 1
1 Maintains body mechanics throughout the performance of the assessment.
2 Observes neatness and orderliness while performing the assessment.
3 Receptive to criticisms.
4 Observes courtesy.
5 Shows calmness and maintains composure while performing the procedure.
6 Exercises proper and fluent use of English language.
 7 Shows mastery of the procedure.

Comments: TOTAL 0 0 0 0 0 % 30%

TOTAL 0 40 12

Performance 70% = 28.0

Others 30% = 12.0

Final Rating = 40.0

Students' Signature CI's Signature

amo/cmf/03.07.2023