St. Vincent's Hospital Melbourne Information & Guidelines for ...

MEDICATION ADMINISTRATIONWhen administering medications you must ensure: -• The right patient• The right medication• The right dose• The right time• The right route• The right expiry date• The patient allergy historySTUDENTS MUST BE SUPERVISED AT ALL TIMES WHILE PREPARING ANDADMINISTERING MEDICATIONS.Pre registration student and re-entry nurses and Division 2 Registered Nursesundertaking a medication course, are permitted to administer medicationunder the direct supervision of a St. Vincent’s Health Registered Nurse Division1 Grade 2 or above, Division 3 Registered Nurse, or a Clinical Teacher also aRegistered Nurse Division 1 or 3 directly responsible for that student, employedby the education institution where the student is enrolled.Exceptions to this are: Injectable drugs (except S/C heparin) & intravenous drugs Drugs of addiction (S8) Drugs of Dependence (S11) Oral anticoagulants PRN medication Nurse initiated medicationFor these administrations the student must be under the direct supervision of aSt. Vincent’s Health Registered Nurse Division 1 or 3 responsible for thatpatient.• In instances where the Clinical Teacher is a Registered Nurse seconded fromSt. Vincent’s Health they must adhere to the policy as a Clinical Teacher.• If patient refuses medication, the student must inform the nurse responsiblefor the patient as well as document on medication administration chart.• If the patient is fasting the student must speak directly to the nurseresponsible for the patient in regards to which medications should beadministered.• Non St. Vincent’s Heath Registered Nurses undertaking clinical experience aspart of post graduate studies must be supervised by a St. Vincent’s HealthRegistered Nurse Division 1 or 3 in all aspects of medication administration.Any additives to IV fluids must have a label with details of: -• The IV fluid being used• Both nurses checking the mixture• The drug being added and its dose should sign it• The time the mixture wasprepared and givenResourcesIf unsure of the correct administration of any medication please refer to: -• Ward Pharmacist• St Vincent’s Hospital Drug• MIMS and MIMS OnlineAdministration Protocols folder.13