Having the Right Stuff for Medication Administration During Simulation

Discussing Medication Admin Rights

This is a summary of the article “The 5, 6, 7, 8, 9 Rights for Medication Administration During Simulation” by Kim Baily, Ph.D, MSN, RN, CNE, published at HealthySimulation.com. You can see the full article here. Dr. Baily is Simulation Coordinator for Los Angeles Harbor College.

Simulation provides the opportunity for learners to improve clinical judgement and prevent patient harm. One of the challenges of teaching medication administration is creating simulation scenarios that accurately assess students’ knowledge.

Adverse drug events (ADEs) account for 700,000 emergency department visits and 100,000 each year according to the Agency for Healthcare Research and Quality. In addition, up to 5 percent of hospitalized patients experience an ADE.

Over time, a series of “rights” have been identified to help with medication administration and avoid error. Nursing schools use a standardized sequence of checks to guide students through the complicated process of medication administration.

The original 5 rights:

  • Right patient – Patient affirms name and date of birth on the wrist band or chart
  • Right medication – Student checks the medication administration record (MAR) and the order sheet to make sure they match
  • Right dose – Dosage is appropriate given the patient’s age, weight, and diagnosis
  • Right route – Is the medication oral, topical, delivered via an I.V.? Make sure it’s correctly identified on the MAR
  • Right time – Administer the medication at the proper time(s) of day

Additional 5 rights:

  • Right documentation – Students need to keep accurate and up-to-date records for medication administration
  • Right reason – Make sure the medication is appropriate to the diagnosis
  • Right response – Students should be educated on possible allergic reactions to and contraindications of the medication
  • Right to refuse – Patients have the right to decline medications
  • Right education – Patients should be fully informed about their diagnosis, medications, possible risks, and side effects of treatment.

The article “The 5, 6, 7, 8, 9 Rights for Medication Administration During Simulation” includes ideas for scenarios to create to challenge each of these rights and give students the room to grow and learn in their roles. Novice learners should follow a standard pattern to learn the basics of medication administration. As knowledge is built, repeating the same scenario with the same group and challenging more advanced learners means changes become necessary to enhance learning. Read the entire article at HealthySimulation.com! Find simulation solutions and equipment for healthcare simulation at Pocket Nurse.

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