Intravenous Medications Lab Station Critical elements

1. Complies with the established guidelines related to medication administration
2. Selects the Prescribed medication using the medication adminstration record (the Mar)
3. Identifies the patient Immediately before administering the medication by comparing two of the following pieces of patient Information against the MAR A-Patient Name, Date of Birth, and MR #.
4. Uses the prescribed route and/or site for administering the medication
5. Administers the prescribed medication to the designated patient
6. When  IV medication is to be administered by a secondary method: you will record the correct flow rate in drops per minute on the Simulation, Laboratory Recording Form before administering the medication, Assesses the insertion site for dislocation, infiltration or other complications Immediately before you administer the medication by using one of these methods:::
7. a- feeling the surrounding skin for changes in temperature or b- palpating the surrounding tissue for edema, c- clears air from tubing before initiating.-d. Regulates the flow to deliver the prescribed amount in the designated period of time( +/-5 drops per min)
8. Records the medication administered on the medication administration record (MAR)
9. Maintains asepsis
10. Completes all critical elements within 20 minutes...

HAVE YOU COMPLETED ALL THE CRITICAL ELEMENTS FOR THIS SECTION??

Respiratory Assessment Critical Element Example....

RESPIRATORY ASSESSMENT

Critical Elements from the Study Guide 17th Edition

Respiratory Assessment

The assessment of breath sounds and breathing patterns to determine respiratory status. (Respiratory Assessment will not be assigned in the same PCS with Respiratory Management, Oxygen Saturation, if assigned in Respiratory Assessment, will not be assigned i the same PCS with either Vital Signs or Oxygen Management.)

The Successful Student:

1. Complies with established guidelines
2. Positions the patient to facillitate assessment
3. Assesses the patient's respiratory status by a.) Instructing the patient specifically to breath in and out slowly and deeply. b.) Auscultating breath sounds over upper and lower lobes by systematically moving the stethoscope from side to side(left to right posteriorly) c.)  Observing breathing patterns d.) Measuring oxygen saturation, when assigned
4. Records data related to : a.) Comparison of breath sounds bilaterally b.) Abnormal breathing patterns c.) Oxygen saturation, when assigned

 Mneumonic for you....

• P-osition pt (upright)
• A-auscultate c CE for (rhythm, rate, accessory muscle use, and pattern Posteriorly, on SKIN!!!)
• I-instruct the patient to breathe slowly and deeply while you auscultate for breath sounds.
• R-ecord all

Reposition you patient for comfort, record RRAP, and B/S from L to R and Bilaterally, for each lobe posteriorly.  Note on PCS form narratives if the BS were Present or absent, and any SOB, or discomfort. If you do not auscultate on skin, you FAIL. Note also that your PCS is just for 2 upper and two lower auscultation spots

Verify against your 17th Edition Study Guide....I'm sure I missed somethin here...so feel free to add to comment :))