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Medication Administration
What is the Alabama Board of Nursing’s position on nurses administering
various medications?
The
Alabama Board of Nursing does not issue rulings on specific medications
but instead maintains rules in the ABN’s Administrative Code
generic to medication administration as follows:
Rule 610-X-6-.05(5): “The
RN or LPN shall not administer medications for anesthetic purposes or to
render an individual unconscious without meeting the requirements of
Chapter 610-X-9-.02.” (CRNA)
Rule 610-X-6-.05(6): “Administration
of medications by routes beyond basic educational preparation, including
but not limited to intrathecal, intracavitary, intraosseus, require a
standardized procedure.
For
administration of any medication, the nurse is expected to utilize a
complex set of knowledge, skills and abilities necessary to assure the
safety of the individual receiving the medication. The components of
medication administration are listed below.
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Knowledge
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Drug action, classifications
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Expected therapeutic benefit of medication
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Expected monitoring
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Illness or injury processes
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Developmental stages
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Possible side effects/adverse reactions &
interventions for same
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Emergency interventions for anaphylactic
reactions
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Seven rights of administration
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Drug/Drug and Food/Drug Interactions
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Calculation of drug dosages
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Federal and state legal requirements related to
storage, controlled substances, etc.
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Decision-Making
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When, how and if medications should be
administered
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Assessment of individual’s complaint prior to
administering PRN medications
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When to contact the prescriber
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Skills
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Dexterity to open medication packaging
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Read, write English
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Read, write, and comprehend Latin phrases
relevant to administration of medication
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Measuring medication dosages
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Math calculations
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Routes of administration
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Documentation
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Administration
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Therapeutic effect
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Principles of documentation
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Seven rights of administration
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Controlled drug records per federal and state
law.
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