IV Piggyback Medication Administration – Skills

The only item that I would add to this is that most facilities do not allow any medication or IV fluid to run on gravity anymore. Please be sure to check your facilities policy and procedures for medication administration.

Six Rights Of Medication Administration

The Six Rights

When you are giving medication, regardless of the type of medication, you must
always follow the six rights.
Each time you administer a medication, you need to be sure to have the:
1. Right individual
2. Right medication
3. Right dose
4. Right time
5. Right route
6. Right documentation
Each time you give a medication, you must systematically and conscientiously
check your procedure against these six rights.
This is essential every time you administer any medication – including
medications that an individual has been taking for a long time.
You must check for all six rights every time you administer any drug to any
individual.
Each time that you give a medication, you also need to remember to do the
“Three Checks”. This means that you are going to do a “triple-check” to make
sure that the six rights are present each time that you give a medication. You must:
1. Remove the medication from the locked area and check the prescription
label against the medication log to make sure that they match: this is the 1st
check.
2. Before pouring the medication, check the prescription label against the
medication order to make sure that they match: this is the 2nd check.
3. After you pour the medication, but before you give it, check the prescription
label against the medication log entry again to make sure that they match:
this is the 3rd check.

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Anna C. RN-BC, BSN, PHN, CMSRN Anna began writing extra materials to help her BSN and LVN students with their studies. She takes the topics that the students are learning and expands on them to try to help with their understanding of the nursing process. She is a clinical instructor for LVN and BSN students along with a critical care transport nurse.

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