Administering Oral Medications

NCM 103: FUNDAMENTALS OF NURSING
PERFORMANCE EVALUATION TOOL

SKILL: ADMINISTERING ORAL MEDICATIONS
Name: ____________________________________________________________ Score: _________________
Clinical Instructor: ______________________________________________________ Date: _______________
RATING QUANTITATIVE DESCRIPTION

3 Excellent Efficiently performs tasks without supervision
2 Satisfactory Performs tasks with moderate supervision
1 Needs Practice Performs tasks with maximum supervision
Description: This is an evaluation tool designed to assess the competency level of nursing students regarding various
nursing skills.
Instruction: Check the appropriate box next to each indicator.
PURPOSES:
1. To provide a medication that has systemic effects or local effects on the GI tract or both.
EQUIPMENT:
● Medication cart
● Disposable medication cups:
small paper or plastic cups for tablets and capsules, or waxed or plastic calibrated medication cups for
liquids
● Medication administration record (MAR), or computer printout
● Pill crusher
● Straws to administer medications that may discolor the teeth, or to facilitate the ingestion of liquid
medication for certain clients
● Drinking glass and water or juice
PROCEDURE 1 2 3 REMARKS
Administering Oral Medications
1 Gather equipment. Check accuracy and completeness of the MAR or
computer printout with prescriber’s original medication order. Check
client’s name, medication name and dosage, route of administration,
and time of administration.
Check the client’s chart for allergies.
2 Assess risk for aspiration using a dysphagia screening tool if
available. Protect client from aspiration by assessing swallowing
ability.
3 Discuss the procedure with the client.
4 Perform hand hygiene and put on PPE, if indicated.
5 Prepare medications for one client at a time.
6 Read the MAR and select the required medication. Check the expiry
date and perform calculations.
Lock the medication cart before leaving it.
7 Empty the required dose into a medicine container. Avoid touching
the preparation.
8 Prepare the required medications:
1). Unit dose packages: Place unit dose-packaged
medications in a disposable cup. Do not open the wrapper
until at the bedside. Keep narcotics and medications that
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require special nursing assessments in a separate container.
2). Multidose containers: When removing tablets or capsules
from a multidose bottle, pour the necessary number into
the bottle cap and then place the tablets or capsules in a
medication cup. Break only scored tablets, if necessary, to
obtain the proper dosage. Do not touch tablets or capsules
with hands.
3). Liquid medication in multidose bottle: When pouring

liquid medications out of a multidose bottle, hold the bottle
so the label is against the palm. Use the appropriate
measuring device when pouring liquids, and read the
amount of medication at the bottom of the meniscus at eye
level. Wipe the lip of the bottle with a paper towel.
9 When all medications for one client have been prepared, recheck the
labels with the MAR before taking the medications to the client.
Replace any multidose containers in the client’s drawer or unit stock.
Lock the medication cart before leaving it.
10 Identify the patient. Usually, the patient should be identified using two
methods. Compare the information with the CMAR/MAR.
a. Check the name and identification number on the patient’s
identification band.
b. Ask the patient to state his or her name and birth date,
based on facility policy.
c. If the patient cannot identify him- or herself, verify the
patient’s identification with a staff member who knows the
patient, for the second source.
11 Assist the client to an upright or lateral position.
Have client stay in this position for 30 minutes after administration.
12 Administer medications:
1). Offer water or other permitted fluids with pills, capsules,
tablets, and some liquid medications.
2). Ask whether the client prefers to take the medications by
hand or in a cup.
3). If client has difficulty swallowing and liquid medications
are not an option, use a pill-crushing device. Clean device
before using. Mix ground tablet in small amount
(teaspoon) of soft food (custard or applesauce).
A. For tablets: Client may wish to hold solid medications in hand or

cup before placing in mouth. Offer water or preferred liquid to help
client swallow medications.
B. For sublingual medications: Have client place medication under

tongue and allow it to dissolve completely. Caution client against
swallowing tablet or saliva.
C. For buccal-administered medications: Have client place

medication in mouth against mucous membranes of cheek and gums
until it dissolves.
13 Remain with the client until each medication is swallowed. Never

leave medication at the client’s bedside.
14 Assist the client to a comfortable position. Remove PPE, if used.
Perform hand hygiene.
15 Document the administration of the medication immediately after
administration.
16 Evaluate the client’s response to medication within appropriate time
frame.
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PERSONAL COMPETENCE
1. Shows preparedness
2. Explains the rationale thoroughly
3. Wears complete uniform
4. Observes good grooming
5. Reports on time
LINK FOR VIDEO PRESENTATION

1. Administering Oral Medications [https://www.facebook.com/video/video.php?v=401975653150968]
Comments/Recommendation:______________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
TOTAL POINTS: _________
POINTS EARDNED: _________
SKILLS DEMO RATING: _________
REFERENCE:
- Skill Checklists for Taylor’s Clinical Nursing Skills: A Nursing Process Approach, 3rd Edition, Lippincott
Williams & Wilkins (2011).
- Mosby’s Pocket Guide to Nursing Skills and Procedures, 8th Edition, Perry, Potter. Elsevier (2015).
Computation of Grades:
Step 1: Get the sum of all the points for the entire procedure
Step 2: Use the formula below to get the final grade for particular competency checklist.
FORMULA: RAW SCORE/PERFECT SCORE X 60 + 40 = Final Score
Evaluated by: Conformed:

___________________________ _________________________________
Signature over printed name Signature over printed name
CLINICAL INSTRUCTOR STUDENT
Date: _________________ Date: __________________
Curriculum: Effectivity Course Name: Date Prepared by:

Bachelor of Science in Prepared: Page - 1 -
Nursing School Year NCM 104: COMMUNITY Perfect V. Orcasitas, RN, MAN of 3
CHED MEMORANDUM 2023-2024 HEALTH NURSING 1 February, Faculty
ORDER NO. 15 2024
Series of 2017
Page | 3

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NCM 103: FUNDAMENTALS OF NURSING

PERFORMANCE EVALUATION TOOL

Name: ____________________________________________ Score: _

Clinical Instructor: ________________________________________ Date: _

RATING QUANTITATIVE DESCRIPTION

3). Liquid medication in multidose bottle: When pouring

A. For tablets: Client may wish to hold solid medications in hand or

B. For sublingual medications: Have client place medication under

C. For buccal-administered medications: Have client place

13 Remain with the client until each medication is swallowed. Never

LINK FOR VIDEO PRESENTATION

Evaluated by: Conformed:

Date: _ Date: __

Curriculum: Effectivity Course Name: Date Prepared by:

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