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Medication Administration Safety — Five Rights Checklist

Medium 17 items · 15 min
testuser's avatar
testuser Published 4 months ago
Health

This checklist helps nurses and carers follow the five rights of medication administration and related safety checks to reduce errors. Inspired by World Health Organization guidelines on Medication Administration Safety. Always consult a qualified healthcare professional.

Inspired by World Health Organization (WHO) guidelines. Always consult a qualified healthcare professional where applicable.

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  1. Verify patient identity — Confirm two identifiers such as full name and birthdate or ID band.
  2. Check patient allergy status — Review chart and ask the patient about drug and food allergies.
  3. Perform hand hygiene and prepare supplies — Wash hands or use alcohol rub and gather gloves, syringes, and meds.
  4. Review the medication order — Read the full order to confirm intent before preparing meds.
  5. Confirm medication name and strength — Match exact drug name and concentration to the order.
  6. Confirm prescribed dose and frequency — Verify the numeric dose, units, and how often it should be given.
  7. Confirm intended route of administration — Ensure the order specifies oral, IV, IM, topical, or other route.
  8. Check medication expiry date and packaging integrity — Do not use expired or damaged products; check seals and vials.
  9. Check for drug interactions and duplicate therapy — Use the chart, pharmacy, or interaction tool to screen risks.
  10. Gather and prepare the correct dose using proper technique — Measure carefully and use clean, calibrated equipment.
  11. Use barcode or two-identifier check before administration — Scan wristband or read two identifiers aloud to match the order.
  12. Explain medication purpose and side effects to the patient — Use simple language and ask the patient to repeat key points.
  13. Administer medication via the prescribed route using correct technique — Follow recommended steps for the route and site selection.
  14. Observe and monitor patient for immediate adverse reactions — Stay with the patient for the recommended observation period and check vitals if needed.
  15. Document administration details in the patient record — Record time, dose, route, lot number if applicable, and any reactions.
  16. Dispose of sharps and packaging safely — Use approved sharps containers and follow facility disposal policies.
  17. Report and escalate any errors or adverse events immediately — Notify the supervisor and complete an incident report without delay.
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