SKILLS ENHANCEMENT
Edna U. Robles, MAN, RN
FIVE – PLUS FIVE RIGHTS OF
MEDICATION ADMINISTRATION
• The rights for medication • Additional rights for
administration are the professional nursing practice
foundation for medication
safety 1. Right assessment
1. Right patient 2. Right documentation
2. Right drug 3. Right to education
3. Right dose 4. Right evaluation
4. Right route 5. Patient’s right to refuse
5. Right time
FIVE – PLUS FIVE RIGHTS OF MEDICATION
ADMINISTRATION
RIGHT PATIENT • PATIENT’S NAME
• BIRTHDAY
RIGHT DRUG CHECK THE LABEL AT LEAST 3X
1. WHEN PICKING UP THE DRUG
2. POURING/DRAWING UP THE DRUG
3. WHEN RETURNING THE DRUG
RIGHT DOSE • KNOW HOW TO COMPUTE
• FAMILIARIZE WITH THE DOSAGE OF THE DRUG
• COUNTERCHECK WITH HN/CN
• DO NOT GIVE MEDICATIONS THAT YOU DID NOT
PREPARED
RIGHT ROUTE • READ DR’s ORDER VS DRUG LABEL
RIGHT TIME • KNOW THE HOSPITAL’S POLICY ON MEDICATION
ADMINISTRATION
DRUG COMPUTATION
EXAMPLE:
• Paracetamol 750mg 1 tablet PO twice a day
• Stock Dose: 500mg/tablet
D
X V or Q
S
D – desired dose
S – stock dose/stock on hand
V – volume
Q - quantity
DRUG COMPUTATION
D
S X V or Q
EXAMPLE
(Community Health Center)
• Paracetamol 250mg/5ml in 60 ml
bottle (syrup), give 3.7ml PO every 4
hours for 5 days. Patient’s weight is
18.5 kg
• Recommended dose is
10-15mg/kg/dose
• How many mg/dose
• How mg/day
• How many bottle will you dispense?
DRUG COMPUTATION
D
S X V or Q
EXAMPLE
(Community Health Center)
• Amoxicillin 250mg/5ml in 60 ml bottle
(syrup) for 7 days
• Recommended dose is
30 – 50 mg/kg/day in 3 divided doses
• Patient’s weight is 18.5 kg
• How many mg/dose
• How mg/day
• How many bottle will you dispense?
FIVE – PLUS FIVE RIGHTS OF
MEDICATION ADMINISTRATION
• Additional rights for professional nursing practice
1. Right assessment
2. Right documentation
3. Right to education
4. Right evaluation
5. Patient’s right to refuse
FIVE – PLUS FIVE RIGHTS OF MEDICATION
ADMINISTRATION
RIGHT ASSESSMENT
1. Indication and signs and symptoms
RIGHT EDUCATION
1. What to expect during/after medication administration
2. Side effects/adverse effects
3. Drug-drug/Drug-food interaction
4. Limitations in ADL after administration of drug
RIGHT EVALUATION
1. Re assess the patient 30minutes to 1 hour after administration of
medication
RIGHT DOCUMENTATION
1. Document…. Document….document!!!
IV COMPUTATION
• What is the volume of IVF?
• 50cc or ml
• 100cc or ml
• 250cc or ml
• 500cc or ml
• 1000cc or ml
• What type of infusion set is used?
• Macroset/macrodrip • 15 or 20 drops/cc
• Microset/ microdrip • 60 microdrops/cc
• Blood administration set • 10 or 20 drops/cc
• Soluset or VCAS • 60 microdrops/cc
cc –ml
Drops – gtts
Microdrops - µgtts or mcgtts
CALCULATION OF BASIC IV DRIPS
Volume of IV fluid X drop factor
IV drip = ___________________________________________________________________________________________
# of hours to be infuse X 60 min/hour
EXAMPLE: Start IVF D5NSS 1 liter to run for 10 hours using IV infusion set of 15gtts/ml
(macroset/macrodrip)
1000 ml X 15gtts/ml
= __________________________________________________________
10 hrs X 60 min/hr
= 15000gtts
________________________________
600min
= 25 gtts/min
CALCULATION OF BASIC IV DRIPS
Volume of IV fluid X drop factor
IV drip = ___________________________________________________________________________________________
# of hours to be infuse X 60 min/hour
EXAMPLE: Start IVF D5NSS 1 liter to run for 10 hours during IV infusion set of
60mgtts/ml (microset/microdrip)
1000 ml X 60mcgtts/ml
= ___________________________________________________________________________________________________________________________________________________________
10 hrs X 60 min/hr
= 1000mcgtts
___________________________________________________
10min
= 100 mcgtts/min
CALCULATION OF BASIC IV DRIPS
EXAMPLE: Start IVF D5NSS 1 liter to run for 10 hours during IV infusion set of
60mgtts/ml (microset/microdrip)
IV drip = Volume of IV fluid X drop factor
___________________________________________________________________________________________
# of hours to be infuse X 60 min/hour
Volume of IV fluid
___________________________________________________________
= # of hours to be infuse
1000ml
= _____________________________
10hrs
= 100ml/hr or 100cc/hr or 100mgtts/min
