Lecture Notes: Nursing Role Play and Medication Administration

Introduction

• Facilitator: Sue Wong, Registered Nurse at UTS
  • Role-playing scenario for clinical placement experience.
• Participants:
  • Raza Zahidi: Third-year nursing student role-playing as a first-year student.
  • Jeanette Bryant: Patient who recently had a knee replacement.
  • Roman Bryant: Husband of Jeanette, visiting her in the hospital.

Patient Interaction

• Initial Assessment
  • Raza introduces herself to Jeanette and discusses her condition.
  • Jeanette reports pain in her knee, rated 6/10 on a pain scale.
  • Describes pain as aching and severe when moving.
  • Plan to manage pain and engage physiotherapy for exercises.

Medication Administration

• Medication Information

  • Panadeine Forte prescribed for Jeanette's pain.
  • Analgesic properties for moderate to severe pain.
  • Advised of potential side effects: GI upset, constipation, drowsiness.

• Medication Procedure

  • Medication to be checked out by two registered nurses or an endorsed nurse.
  • Process for checking medication in the schedule 4 book.
  • Verification steps include checking for expiration, dosage, and prescription details.

• Adverse Effects and Patient Education

  • Highlight the risk of constipation and methods to mitigate it (hydration, fiber).

Verification and Administration

• Verification Steps

  • Verify patient identity using full name, date of birth, and check for allergies.
  • Confirm with patient's ID band and match with prescription details.

• Administration

  • Jeanette takes Panadeine Forte with water.
  • Plan to review pain level after 30-45 minutes.

Follow-Up

• Post-Medication Assessment
  • Check pain level: reduced to a 2/10 on the pain scale.
  • Address issue of constipation, likely exacerbated by medication.
  • Recommendations to drink more water and increase dietary fiber.

Conclusion

• Role play demonstrates key nursing skills:
  • Patient communication and empathy.
  • Medication administration and verification protocols.
  • Managing and educating patients on medication side effects.