Name: ________________________________________
Date: _________________________________________
POINT VALUE
✦ = 3–6 points
✶ = 7–9 points
GRADED
TRIAL
# 1
GRADED
TRIAL
# 2
NOTES
11. ✶ a. Liquid medication: Hold the
calibrated medicine cup at eye
level and pour the medication
into the cup, stopping at the
correct dosage line. Pour the
medication away from the label
side of the bottle. If too much
medication is poured into the
calibrated cup, do not return it
to the bottle. Discard it into a
sink.
b. Tablet or capsule medication:
Shake out the correct number
of tablets or pills into the
bottle cap. Then place them
in the medicine cup. If you
accidentally pour out an extra
tablet, do not return it to the
medication bottle; discard it.
12. ✦ Check the medication again to
make sure the dosage is the same
as the medication order.
13. ✦ Replace the cap on the
medication bottle and return the
bottle to the storage shelf.
14. ✶ Take the prepared medication and
a glass of water to the patient.
15. ✶ Warmly greet and identify the
patient both by stating his or
her name and examining any
printed identification such as
a wrist name band or medical
record, and ask the patient to
state his or her date of birth.
Introduce yourself to the patient
and ask if the patient has any
allergies.
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