BASIC NURSING SKILLS
PSYCHOMOTOR SKILLS CHECKLIST
NON PARENTERAL MEDICATION
Objective: Upon completion of the nursing procedure, the student will be able to demonstrate
competence and acquire critical thinking skills on non parenteral medication administration.
Student’s Name: __________________________________ Date: ______________
1ST 2ND 3RD
ASSESSMENT ATTEMPT ATTEMPT ATTEMPT
1. Obtain health history, medical diagnosis including all disease
processes, medications, allergies, laboratory values, vital
signs that may affect medication administration, and physical
assessment data from the chart.
2. Validate medication to be given with MD’s order and
patient’s MAR. Ensure that MAR is consistent with
physician’s most recent order for each medication.
3. Identify any unfamiliar medications. Research any
unfamiliar medications using appropriate references.
4. Open medication cart and take out patient’s medication
5. Starting at the top of the medication record check each
medication in order against the medication packages in the
drawer. Ensure that all doses for your shift are there.
6. Compare the drug label with MAR. Check expiration date.
7. Retrieve medication to be given and inspect label to assure
that medication is indicated for ordered route of
8. Determine if any calculation is necessary to prepare the
correct dosage. Have another nurse check your calculation.
9. Prepare medication as indicated for nonparenteral route.
Check medication label before, during, and after
1. Identify expected outcomes.
a. Understand the medication’s action and rationale for
administration to the patient.
b. Know the desired therapeutic action of the medication,
side-effects and adverse reactions, and assess for
potential drug interaction with patient’s other
c. Patient is instructed and verbalizes understanding of
the significance of medications given.
Rev: SPRING 2009
2. Obtain needed supplies/equipment.
Disposable medication cups
Medication Administration Record (MAR), or
Straws to administer medications that might discolor
Drinking glass and water or juice
Applesauce or pudding to use for crushed medication
1. Check patient’s room number against the medication record;
take medication tray/cart. Lock the cart before
entering the patient’s room.
2. Introduce yourself to patient and explain what you plan to
3. Check patient’s ID band and ask patient to state his name
and date of birth if able to do so.
4. Wash hands.
5. Check vital signs if indicated before administering
ADMINISTERING ORAL MEDICATIONS
Place packaged unit-dose capsules or tablets directly
into the medicine cup. Do not remove the medication
from the wrapper until at the bedside.
If using a stock container, pour the required number
into the bottle cap, then transfer the medication to the
disposable cup without touching the tablets.
Keep narcotics and medications that require specific
assessments – such as pulse, respiratory rate, blood
pressure – separate from the others.
Avoid leaving prepared medications unattended.
Lock the medication cart before entering the patient’s
Break scored tablets only, if necessary to obtain the
If patient has difficulty swallowing, crush tablets if
indicated to a fine powder with a pill crusher, or
between two medication cups. Then mix the powder
with a small amount of soft food, such as applesauce.
Provide for patient privacy.
Explain the purpose of each medication using
language that the patient can understand. Include
relevant information about effects and side effects.
6. A. Tablets
Place patient in sitting position (if not
Explain what type of medication you are giving and
its purpose. If there are several tablets to be
administered, inquire about the patient’s preference
regarding the amount of tablets (s)he is able to take at
Rev: SPRING 2009
Ask the patient to swallow by offering sips of water.
Compare medication again to MAR.
Open the packet and place into medication cup.
Hand medication cup to patient.
Offer glass of water or other liquid if not
Make sure patient swallows medication.
Discard medication cup.
6. B. Liquid Medication
Thoroughly mix the medication before pouring.
Remove bottle lid and place it topside down.
Hold bottle so the label is next to your palm, and pour
the medication away from the label.
Set medication cup on firm surface and pour liquid
medication, read fluid dispensed at eye level at the
lowest point of meniscus.
Wipe the lip of bottle before replacing cap.
6. C. Crushed Medication/Capsules:
Leave pill in unit dose packaging and place it on a
Crush the pill with appropriate tool available,
pulverizing thoroughly or place pill between two
soufflé cups before crushing.
Remove any uncrushed pill coating if medication to be
given per feeding tube.
If giving orally, mix pulverized medication (or powder
from opened capsule) carefully in a small amount of
soft food (pudding, jelly, and applesauce).
7. Position patient for comfort. Place call bell within easy
8. Dispose soiled materials in appropriate container.
9 . Wash hands thoroughly.
1. Documentation (neat, legible, and concise). Document
medication on patient’s MAR according to agency policy.
Record important assessment findings in nurses’ progress
a. If medication was refused or omitted, record this fact on
the appropriate record; document the reason and the
b. Evaluate and assess patient for therapeutic drug action
and possible side effects or adverse reactions.
2. Identify and prioritize nursing diagnoses. Revise the
nursing care plan as necessary.
STUDENT’S SIGNATURE:__________________________________ DATE: ____________________
INSTRUCTOR’S SIGNATURE: _____________________________ DATE: ___________________
Rev: SPRING 2009