Student is then required to administer the medications following the 8 Rights.

Transcription

1 PNSG 2016: Medical Surgical Nursing II Medication Simulation Laboratory Guidelines Objective: To enhance student medication administration experience by administering multiple medications to multiple patients in a controlled environment. Additionally, this activity will provide an opportunity for the student to enhance time management and organizational skills. Guidelines: The student will receive a list of potential medications that a simulation patient may be prescribed and should review the following information: Classification, Adverse reactions, Contraindications, Affects on lab results, and Patient teaching. These medications are compiled from the Senior Medication List. Student will receive the Physician s Orders and a Medication Administration Record (MAR) once entering the Simulation Laboratory. The orders may contain a variety of medications and routes of administration, dosage calculations may be necessary. Student will be required to know any contraindications, nursing interventions, or therapeutic dosages related to the medication. Student will be required to remove the medications from the Pyxis machine in a timely and efficient manner as described on the Medication Administration List (see attached). Student is then required to administer the medications following the 8 Rights. Failure to adhere to the Medication Simulation Laboratory Guidelines will result in Unsatisfactory Progress (UP) on the Medication Administration List. Faculty will evaluate student performance based on the indicators of the Medication Administration List. Student will provide a self evaluation of performance on the Medication Simulation Laboratory using the Student Self Evaluation (see attached).

2 Simulation Lab Senior Medication Administration List Student Name: ID: Date: S = Satisfactory U = Unsatisfactory Student Activity S/U 1. Verify physician orders 2. Compare physician s order to MAR 3. Verify that patient can receive medication 3.1 NPO 3.2 Allergies 3.3 Contraindications 4. Access PYXIS correctly 5. Verify removing correct medication 5.1 checks medication as removing from PYXIS 5.2 compares medication to MAR 5.3 checks expiration date 6. Obtains necessary information prior to administration (lab) 7. Verbalizes medication information to instructor 8. Takes MAR to bedside 9. Verifies correct patient 9. Verbalizes how to locate injection site to instructor prior to administration 10. Verbalizes 8 right of medication administration 11. Completes administration in timely manner Instructor: Comments: Return date:

3 PNSG 2016 Medical Surgical Nursing II Medication Simulation Laboratory Medications 1. famotidine 2. tribiotic ointment 3. captopril 4. tobramycin 5. unasyn 6. allopurinol 7. acetominophen 8. pantoprazole 9. dexamethasone 10. diphenhydramine 11. furosemide 12. prochlorperazine 13. simethicone 14. thiethylperazine 15. warfarin 16. oxycodone/apap 17. morphine 18. lorazepam 19. promethazine 20. propoxyphene napsylate

4 PNSG 2016: Medical Surgical Nursing II Urinary Catheterization Simulation Laboratory Guidelines Objective: Demonstrate technical skill of performing urinary catheterization in the skills laboratory. Guidelines: Student will demonstrate the technical skill of performing urinary catheterization in the skills laboratory following the Urinary Catherization Guidelines (attached). Failure to adhere to the Urinary Catheterization Guidelines will result in Unsatisfactory Progress (UP). Faculty will evaluate student performance based on the indicators of the Urinary Catheterization guidelines. Student will provide a self evaluation of performance on the Urinary Catheterization Simulation Laboratory using the Student Self Evaluation (see attached).

5 Simulation Lab Urinary Catheterization Student Name: ID: Date: S = Satisfactory U = Unsatisfactory Student Activity S/U 1. Verify physician orders 2. Assemble necessary equipment 3. Identify patient 4. Wash hands thoroughly 5. Position and drape appropriately 5. Open catheter tray using sterile technique 6. Set up catheter equipment using sterile technique 7. Insert catheter using sterile technique 8. Verbalize how to secure indwelling catheter 9. Remove catheter 10. Completes catheterization in timely manner Instructor: Comments: Return Date:

6 PNSG 2016: Medical Surgical Nursing II Wet to Dry Dressing Change Simulation Laboratory Guidelines Objective: Demonstrate technical skill of performing a wet to dry dressing change in the skills laboratory. Guidelines: Student will demonstrate the technical skill of performing a wet to dry dressing change in the skills laboratory following the Wet to Dry Dressing Change Guidelines (attached). Failure to adhere to the Wet to Dry Dressing Change Guidelines will result in Unsatisfactory Progress (UP). Faculty will evaluate student performance based on the indicators of the Wet to Dry Dressing Change guidelines. Student will provide a self evaluation of performance on the Wet to Dry Dressing Change Simulation Laboratory using the Student Self Evaluation (see attached).

7 Simulation Lab Wet to Dry Dressing Change Student Name: ID: Date: S = Satisfactory U = Unsatisfactory Student Activity S/U 1. Verify physician orders 2. Assemble necessary equipment 3. Identify patient 4. Wash hands thoroughly 5. Open sterile supplies using sterile technique 6. Remove existing dressing while wearing clean gloves 7. Don sterile gloves using sterile technique 8. Complete dressing change while maintaining sterile technique 9. Completes dressing change in timely manner Instructor: Comments: Return date:

8 PNSG 2016: Medical Surgical Nursing II Student Self Evaluation Name: Date: ID #: 1. Identify specific skills/behaviors you have performed that you believe reflect Satisfactory Progression (SP) during the Simulation Laboratory/. 2. Identify specific skills/behaviors that you believe you need to develop for your professional growth and performance related to this activity.