10 Rights of Drug

Administration

5TH ROTATION SKILLS LAB

Lorma Colleges
Right Patient
Use two different identifiers to
verify the patient: ask their
name (even if you know it)
and check the ID band before
giving the medication.
Right Drug
Check and verify the order,
the drug name, and its form.
Verify the expiration date.
Beware of sound-alike
medications.
 Look-alike Medications

Verapamil Used to reverse or reduce

Used to prevent chest pain the effects of opioids.
caused by angina as well as
irregular heart rhythms Naloxene
(arrhythmias).
Misreading Medication Names
Right Dose
Check the dosage against the
doctor’s prescription and the
medication sheet.
question whether this is the usual
dose for the drug (especially
among pediatric patients).
Right Route
Check on the order
whether the route
prescribed is oral, by
injection, intravenously, or
any other route.
Common Injection Routes:
Intramuscular : An intramuscular injection is a technique used to deliver a medication deep into the muscles. This
allows the bloodstream to absorb the medication quickly. Intramuscular injections are a common practice in modern
medicine. They’re used to deliver drugs and vaccines. Intramuscular injections are often given in the following areas:
Deltoid muscle of the arm, vastus lateralis of the thigh, ventrogluteal muscle of the hip, and dorsogluteal msucles of the
bottocks.
Intradermal: Are administered into the dermis just below the epidermis.These types of injections are used for sensitivity
testing. Examples of intradermal injections include tuberculosis (TB) and allergy testing.
Subcutaneous: Subcutaneous injection is the one which is
applied to the fatty layer of subcutaneous tissue just beneath
the skin. Medications that can be given subcutaneously
include insulin, some hormones, blood thinners, and
medications that stimulate blood cell production such as
filgrastim (Neupogen).
Intravenous: IV administration involves a single injection
followed by the insertion of a thin tube or catheter into a vein.
Doctors and nurses use IV therapy to administer anesthesia,
pain medications, antibiotics, fluids, and other vital fluids.
Examples of drug classes that are administered by IV
infusion are cancer chemotherapeutics, antibiotics,
antifungals, and antinociceptive drugs.
Administration of Oral Medication
Oral Medication
Drugs given by the oral or gastric
route are absorbed into the
bloodstream through the gastric or
intestinal mucosa. Usually, the
patient swallows the drug.

Forms of Oral Medication:

Tablets
Capsules
Liquid drugs like syrup
Also available as powder,
granules, or oil.
Administration of Medication
1.Wear gloves.
2. Placement:
Sublingual: Place the tablet under the
tongue.
Buccal: Place tablet between upper molar
& and cheek
3. Do not provide water.
4. Encourage the person to:
Allow the drug to dissolve.
Hold saliva in mouth until the tablet is
dissolved
5. Remove and discard glove.
6. Wash hands.
Administration of Otic Medication
It is used to treat steroid-responsive inflammatory conditions for
which a corticosteroid is indicated and in which bacterial infection
or a risk of bacterial infection exists. Examples of otic
medications:
Ofloxacin otic. It works by killing the bacteria that cause
infection.
Ciprofloxacin otic (Cetraxal) It works by killing and stopping
the growth of bacteria.
1.Gently shake the bottle.
2. Do not touch the tip of the bottle to your child's
ear.
3.Have your child lie down or tilt his or her head to
one side.
4.If your child is younger than 3 years: Gently pull
and hold your child's ear down and back.
5. If your child is older than 3 years: Gently pull and
hold your child's ear up and back.
Administration of Ophthalmic Medication
Use eye drops correctly
Follow these steps to put in your eye drops:
1. Tilt your head back and look up
2. With 1 hand, pull your lower eyelid down and away from your eyeball — this makes a “pocket” for the drops
3. With the other hand, hold the eye drop bottle upside down with the tip just above the pocket
4. Squeeze the prescribed number of eye drops into the pocket
5. For at least 1 minute, close your eye and press your finger lightly on your tear duct (small hole in the inner corner
of your eye) — this keeps the eye drop from draining into your nose.

Prevent infections when you use eye

drops. Follow these tips to protect your
eyes from infection:
Wash your hands with soap and
water before you use eye drops
Don’t touch the tip of the eye drop
bottle with your hands
Don’t let the tip of the eye drop
bottle touch your eye or eyelid
 Topical medications may also be inhalational, such as asthma medication, or
Administration of applied to the surface of tissues other than the skin, such as eye drops applied
Topical Medication to conjunctiva, or ear drops placed in the ear, or medication, topical medications
applied to the surface of a tooth.
Topical medications are
Cream Vapor
applied directly to the body
Sponge Transdermal patch
surfaces, including the skin
Gel Paste
and mucous membranes of
Tape Powder
the eyes, ears, nose, vagina, Foam Tincture
and rectum.
Topical medications differ
from many other type of drugs
because mishandling them
can lead to certain
complications in a patient or
administrator of the drug.
Many topical medications are
epicutaneous meaning that
they are applied directly to the
skin.
 1. Prepare and clean the skin to remove any dirt, lotions, oils, or powders. Dry
Administration of the skin with a clean towel or paper towel.
2. Open the package carefully by tearing it open or using scissors. Avoid
Transdermal Patch tearing or cutting the patch itself.
A transdermal patch is a 3. Take the patch out of the packaging. Remove the protective liner on the
patch. Be careful not to touch the sticky side of the patch.
patch that attaches to your
Note: If the patch’s protective liner contains two parts, first peel off one part of
skin and contains medication. the liner. Apply the exposed sticky part of the patch to the skin and press down.
The drug from the patch is Next, peel back the second part of the liner and press the entire patch down.
absorbed into your body over
a period of time.
Some of the drugs more often
used in patches include:
fentanyl to relieve pain
nicotine to help with
quitting smoking
clonidine to treat high
blood pressure
Administration of Rectal Suppository
Rectal suppositories are used for administering medications when you cannot
do so orally. Such methods may be especially helpful for young children and
older adults who cannot take medications by mouth.
Aside from these medications, rectal suppositories have been historically
used for the administration of substances including hemorrhoid treatments
and laxatives. Other medications that may be administered via rectal
suppository can include:
hydrocortisone
mesalazine for the treatment of inflammatory bowel disease(IBD)
bisacodyl or glycerol for constipation
promethazine or ondanestron for nausea and vomiting
certain pain medications, such as ibuprofen or oxycodone
Administration of Inhalation
Medications given by inhalers are inhaled into the lungs and absorbed there. In order to
get into the lungs, the medication must be in a mist and inhaled deeply. These airborne
medications can be delivered by different types of inhaler, a nebulizer, or atomizer.
Right Time
Check on the order when and
how frequently the medication
should be given and also on
the documentation when the
drug was las given.
Right Documentation
Document date, time, medication,
dose, route—including where it was
given.
Include a follow-up note to
document the patient’s response,
such as did the pain medication
work for the patient?
Right to Refuse
Give the client enough
autonomy to refuse to the
medication after
thoroughly explaining the
effects.
Right Education &
Information
Provide enough knowledge
to the patient of what drug
he/she would be taking and
what are the expected
therapeutic and side effects.
Right History &
Assessment
Secure a copy of the
client’s history to drug
interactions and
allergies.
Right Drug Interaction &
Evaluation
Review any medications
previously given or the diet of
the patient that can yield a bad
interaction to the drug to be
given.
References:
https://nurseslabs.com/wp-
content/uploads/2012/01/10-Rights-of-
Safe-Drug-Administration-Infographic-
Nurseslabs-scaled.jpg
https://www.vivian.com/community/he
althcare-education/medication-
administration/
https://www.slideshare.net/AnilKumar
Gowda/the-10-rights-of-drug-
administration
THANK YOU!
Prepared by:
PAHIGON, Krystelle Mei
LIPADAN, Louise Nathalie