The 10 Rights of Medications Administration
1. Right patient
Check the name on the prescription and wristband.
Ideally, use 2 or more identifiers and ask the patient to identify themselves.
2. Right medication
Check the name of the medication, brand names should be avoided.
Check the expiry date.
Check the prescription.
Make sure medications, especially antibiotics, are reviewed regularly.
3. Right dose
Check the prescription.
Confirm appropriateness of the dose using the BNF or local guidelines.
If necessary, calculate the dose and have another nurse calculate the dose as well.
4. Right route
Again, check the order and appropriateness of the route prescribed.
Confirm that the patient can take or receive the medication by the ordered route.
5. Right time
Check the frequency of the prescribed medication.
Double-check that you are giving the prescribed at the correct time.
Confirm when the last dose was given.
6. Right patient education
Check if the patient understands what the medication is for.
Make them aware they should contact a healthcare professional if they experience side-effects
or reactions.
7. Right documentation
Ensure you have signed for the medication AFTER it has been administered.
Ensure the medication is prescribed correctly with a start and end date if appropriate.
8. Right to refuse
Ensure you have the patient consent to administer medications.
Be aware that patients do have a right to refuse medication if they have the capacity to do so.
9. Right assessment
Check your patient actually needs the medication.
Check for contraindications.
Baseline observations if required.
10. Right evaluation
Ensure the medication is working the way it should.
Ensure medications are reviewed regularly.
Ongoing observations if required.