Name: ________________________________________
Date: _________________________________________
Procedure 54-3:
Administering Sublingual or Buccal Medication
Objective: Administer a medication to a patient under the tongue or between the cheek and gums.
Equipment and Supplies: Medication order signed by physician on the patient’s medical record;
oral medication; paper cup or receptacle for medication; patient instruction sheet; waste
container; pen
Affective Behaviors: Affective behaviors provide a professional approach to a skill that enhances
the patient encounter. These behaviors may also display sensitivity to a patient’s rights and
enhance communication. Pay close attention to these skills, which will be in bold, italicized font.
Skills Assessment Requirements
Read and familiarize yourself with the procedure. Complete each procedure within a reasonable
amount of time, with a minimum of 85% accuracy.
Documentation
Use the area below for any documentation needed to complete the procedure.
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Name: ________________________________________
Date: _________________________________________
POINT VALUE
= 3–6 points
= 7–9 points
GRADED
TRIAL
# 1
GRADED
TRIAL
# 2
NOTES
1. Assemble equipment.
2. Perform hand hygiene.
3. Select the correct medication as
instructed in the “three befores.
If you are not familiar with the
medication, look it up in a
reference book, read the package
insert, or consult the physician.
4. Always double-check the label
to make sure the strength is
correct, because medications
are manufactured with dierent
strengths.
5. Correctly calculate the dosage
in writing. Double-check your
calculations.
6. Place a medicine cup/container on
a flat surface.
7. Shake the tablet ordered into
the bottle cap and then into a
medication container.
8. Check the dosage again against
the medication order.
9. Replace the cap on the
medication bottle, and return the
bottle to the storage shelf after
reading the label again.
10. Introduce yourself and 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.
Ask the patient to state his or her
date of birth. Ask if the patient has
any allergies.
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Name: ________________________________________
Date: _________________________________________
POINT VALUE
= 3–6 points
= 7–9 points
GRADED
TRIAL
# 1
GRADED
TRIAL
# 2
NOTES
11. Tell the patient the name of the
medication and dosage that
you are administering per the
physician’s order. Ask if the
patient has any questions before
taking the medication.
12. a. Sublingual medication: Have
the patient place the tablet
under the tongue. Instruct the
patient not to swallow until the
tablet has dissolved.
b. Buccal medication: Have
the patient place the tablet
between the cheek and gums.
Instruct the patient not to
swallow until the tablet is
dissolved.
13. Tell the patient not to take fluids
until the tablet is dissolved.
14. Remain with the patient until the
medication has dissolved.
15. Provide the patient with both oral
and written follow-up instructions
if further medication is to be taken.
16. Chart the medication
administration on the correct
patient’s record, noting the time,
medication name, dosage, route,
and your name. After giving the
medication to the patient, it is
best to have the patient wait in the
oce for 30 minutes.
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Name: ________________________________________
Date: _________________________________________
POINT VALUE
= 3–6 points
= 7–9 points
GRADED
TRIAL
# 1
GRADED
TRIAL
# 2
NOTES
GRADING
Points Earned
Points Possible 129 129
Percent Grade (Points Earned/
Points Possible)
PASS: YES
NO
N/A
YES
NO
N/A
Instructor Sign-O
Instructor: ______________________________________________ Date: _________________________
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