Wake Tech Community College Medication Administration Process

Participants

• Jacqueline Parker
• Shawnta Locus
• Angela Martin (Patient, Student Nurse, Faculty Instructor)

Patient Details

• Name: Annie Laduke
• Age: 32
• Hospital: Patient of Dr. Matterson
• Medical Record Number: 4852617
• Room Number: 434

Physician's Orders

• Medication: Lisinopril Zestril 5 mg PO daily
  • Check blood pressure before administration.
  • Hold if BP < 100/60.
  • Current BP: 135/80 (Safe to administer).
• Insulin Administration:
  • Check fasting blood sugar stat.
  • If blood sugar > 200, administer regular insulin subcutaneously.
  • Formula: (Fasting blood sugar - 130) / 30.
  • Current blood sugar: 250 → 4 units of insulin required.
  • Call physician if blood sugar > 400.

Medication Preparation

Lisinopril

• Confirmed with RN to administer saved dose.
• Check for expiration date.

Insulin

• Use Humulin R 100 units.
• Validate dosage and expiration date.
• Draw 4 units using insulin syringe.
• Label syringe with patient's name and date.

Medication Administration Process

Pre-Administration Checks

• Verify patient's ability to eat, potential hyper/hypoglycemia.
• Verify patient identity with medication record:
  • Patient Confirmation: Name, DOB, MR number.
  • Allergies: None reported.

Administration Steps

Insulin

• Administer in left arm (rotate sites).
• Validate no prior site issues (e.g., bruising).
• Use alcohol swab for site preparation.
• Injection technique: Hold for 10 seconds post-injection.

Lisinopril

• Administer PO; verify patient swallows.

Post-Administration Actions

• Ensure patient's comfort and safety.
• Document administration details:
  • Lisinopril: 5 mg PO, with BP 135/80.
  • Insulin: 4 units SC in left arm.
• Log out of medication systems.

Safety and Documentation

• Ensure accurate documentation of both medications.
• Maintain patient safety and comfort.
• Successful completion of medication administration check.