K: Medications

No.

Competency 

NO 

YB 

YS 

NA 

K-1 

I apply knowledge of pharmacology throughout the process of administration of medications. 

K-2

I know the principles of medication administration as related to assessment, evaluation, and documentation. 

K-3

I adhere to agency policy and procedures in the safe administration of medications. 

K-4

I assess the client's need for, and potential response to, medication by researching the client's record and observing the client's behavior.

K-5

I review the pertinent information regarding the client prior to preparing the medication.

K-6

I assess the appropriateness of the route of medication administration for the client.

K-7

I identify risk factors and contraindications to the medication and report appropriately. 

K-8

I document assessment and nursing actions related to risk factors.

K-9

I identify the components of a medication order.

K-10 I can accept, process, and initiate medication orders.

K-11 I know how to verify a medication order.

K-12

I know how to access appropriate resources for information on medications.

K-13 I know the types of information to be researched about a medication prior to administration.

K-14 I apply basic arithmetic to calculate medication dosages and solutions with 100% accuracy.

K-15 I am familiar with the common systems of measurement.

K-16 I can safely and accurately calculate dosages, concentrations, rates, and volumes.

K-17 I know how to prepare medication for administration.

K-18 I can prepare medications for injection.

K-19 

I know and apply the "rights" for administering medication, e.g. right person, right drug, right dosage, etc.

K-20

I review pertinent information related to the medication.

K-21

I check of the medication name, dose, time and route of administration, and expiration date.

K-22

I double check selected medications with another nurse prior to administration according to agency policy and protocol.

K-23

I identify the client by checking identification number and name.

K-24

I explain the steps of the procedure and the pertinent information regarding the medication to the client.

K-25

I prepare the environment for administering the injection.

K-26

I know how to select and landmark the site for injection.

K-27

I use proper techniques to administer injections.

K-28 I properly dispose of sharps, used equipment, and supplies.

K-29 I record the medication administration and client's response.

K-30 I document and report effects from medication appropriately.

K-31 I know the risks and precautions in the administration of nitrous oxide.

K-32 I am aware of the adverse reactions and interventions necessary when administering nitrous oxide.

K-33 I can teach and support the client / family regarding medications.

K-34 I know the therapeutic outcomes of the medication for the client.

K-35 I monitor the client while medication is being administered and intervene as necessary.

K-36 I evaluate the outcome of the medication on the client and seek appropriate intervention as necessary.

K-37 

I recognize, intervene, manage and report adverse and non-adverse (expected) drug reactions and document as appropriate.

K-38

I know how to recognize and manage anaphylaxis.

K-39

I properly store and dispose of medications and medication administration supplies.

K-40

I can conduct drug counts on controlled medications (i.e., narcotics) as per agency policy.

K-41

I have knowledge of the different types of diagnostic imaging contrast agents.

K-42

I am aware of adverse reactions and interventions necessary when administering diagnostic imaging contrast agents.

K-43

I accept full responsibility and accountability for my own actions in the preparation and administration of medications.

K-44

I identify and acknowledge a medication error immediately upon discovery and report appropriately to allow for timely intervention.

K-45

I know how to document and complete incident / occurrence reports regarding medication errors.

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