Confirm the Six Rights of Medication Administration: patient, drug, dose, route, time, documentation.
Instruct the patient to lift the tongue.
Administer one spray (0.4 mg) or one tablet (0.4 mg) of nitroglycerin under the patient’s tongue.
Document the medication administration.
Reassess the patient for desired effects/adverse side effects and reassess vital signs.
Dispose of all equipment properly.
Accepts evaluation and criticism professionally.
Shows willingness to learn/asks appropriate questions.
Interacts with simulated patient and other personnel in a professional manner (ie, uses appropriate name, explains procedures, maintains modesty, is courteous to crew, etc).
Passing criteria:
Pass: At least 70% (? of ?) successfully completed above. Currently at 0% completed.
Fail.
Fails to take BSI precautions prior to performing procedure.
Did not explain and reassure the patient to allow informed consent.
Fails to ascertain any drug allergies prior to medication administration.
Fails to confirm the Six Rights of Medication Administration prior to administration.
Fails to DICE medication prior to administration.
Fails to ask about SED use.
Administers nitroglycerin when patient has used SEDs and/or has a systolic blood pressure less than 90 mm Hg.
Administers inappropriate amount of medication for patient/complaint.