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Skills Modules Include:

Ambulation, Transferring, and Range of Motion

Airway Management
Blood Administration
Central Venous Access Devices
Diabetes Management
Enemas
Enteral Tube Feedings
HIPAA - Health Insurance Portability and Accountability Act
Infection Control
Intravenous Therapy
Medication Administration 1
Medication Administration 2
Medication Administration 3 (injections)
Medication Administration 4 (intravenous administration)
Nasogastric Intubation
Nutrition, Feeding, and Eating
Ostomy Care
Oxygen Therapy
Pain Management
Personal Hygiene
Physical Assessment Adult
Physical Assessment Child

Specimen Collection and Point-of-Care Testing

Surgical Asepsis
Urinary Catheter Care
Vital Signs
Wound Care
Closed-Chest Drainage
Maternal-Newborn Care
Healthcare Fraud, Waste, and Abuse Prevention

Narcotic preparation
If pt refuses narcotic, another nurse witnesses the med being discarded.
to clarify an order, contact the health care provider as only the person who
wrote it can clarify it.
How do I administer a medication through an enteral feeding tube
when the tube is connected to suction or is delivering continuous
enteral feedings?
Patients who have a gastrointestinal tube, including a nasogastric,
nasointestinal, or percutaneous endoscopic tube (PEG) or a J tube, can
receive liquid medications or medications that can be crushed or combined
with liquid. If the tube is connected to suction, disconnect the tube and leave
it clamped and disconnected from the suction for 20 to 30 minutes after
administering the medication(s). If it is delivering continuous feedings,
disconnect the tube and leave it clamped for a short period of time (per
agency or organizational policy) after administering the medication and
before resuming the continuous feeding. Flush the tube with water before and
after administering each medication. How much water to use for the flush
depends on the patients age/size and the medication order. If the patient is
on fluid restrictions, document and record as intake the amount of water you
use.
The top five high-alert medications are insulin, opiates and narcotics,
injectable potassium chloride concentrate or potassium phosphate
concentrate, intravenous anticoagulants (heparin), and sodium chloride
solutions with concentrations higher than 0.9%.
NG or G-tube med admin
if residual is > than what was given past 2 hrs, return to stomach, hold meds

and contact physician.

what if pt has a continous feeding?
stop the feeding for 30 mins prior to med administration. Admin meds, flush,
and resume feeding after 1 hr (hosp policy and procedures).
Oral, sublingual, and buccal medications

Appearance of the sublingual or buccal area

Any problems the patient has with swallowing
If the medication was crushed or mixed with a liquid or with food

Topical medications

Appearance of the skin before applying the topical medication

Site of application of the medication
Time the medication is to be removed, if it is to be removed
If removed, the appearance of the skin after removal

Ophthalmic medications

Appearance of the eye(s) (redness, swelling)

Any drainage: amount, color, odor
If instilled in one eye only (and which one)
Changes in vision

Otic medications

Appearance of the outer ear and ear canal

Any drainage: amount, color, odor
If instilled in one ear only (and which one)
Any changes in hearingOtic medications

Otic irrigations

Appearance of the outer ear and ear canal

Any drainage: amount, color, odor
If instilled in one ear only (and which one)
Any changes in hearing

Nasal medications

Appearance of the inside and outside of the nose

Any drainage: amount, color, odor

Nasogastric tube medications

Method used to confirm placement of the nasogastric tube

Amount of residual

Appearance and pH of gastric contents

Total amount of fluid used for administering the medication(s)

Metered-dose inhaler (MDI)

Lungs sounds before and after the medication is administered

Respiratory rate and rhythm before and after the medication is
administered
Color and consistency of sputum
Teaching done for proper use of the device

Small-volume nebulizer

Lungs sounds before and after the treatment

Respiratory rate and rhythm before and after the treatment
Color and consistency of sputum
Peak-flow measurement before and after the treatment, if ordered

Vaginal medications

Appearance of the genitalia and vaginal canal

Any discharge: amount, color, odor, consistency
Teaching done for self-administration of the medication

Rectal medications

Appearance of the anus (redness, swelling, hemorrhoids)

Any pain, bleeding, or discharge
Teaching done for self-administration of the medication