MANUAL OF POLICIES AND OPERATING Page number:

PROCEDURES Policy number:

Effective date:
Rev. Date:
Negros Oriental Provincial Hospital NURSING SERVICE DEPARTMENT Rev. No.:
North National Highway, Daro Issued Date:
Dumaguete City

TITLE: Transcribing Medication Orders

PURPOSE: To establish a standard approach on transcribing medications

SCOPE: This procedure shall cover the verification of orders until the transcription on the medication
sheet and ticket.

PREREQUISITE EQUIPMENT: DOCUMENTATION FORM:

 Medication ticket
 Medication Sheet
REFERENCES:
 NOPH Nursing Manual
 Delmar’s Fundamental and Advanced Nursing Skills

RESPONSIBILTY PROCEDURE

Physician 1. Writes order for drug indicating dose, route, and timing
2. Verify physician’s order
3. Transcribes medication in the medication sheet indicating the ff:
a. Drug Name
b. Dosage
c. Route
Nurse d. Timing
4. Transcribes in medication ticket indicating:
a. Patient name
b. Drug Name
c. Dosage
d. Route
e. Timing
 MANUAL OF POLICIES AND OPERATING Page number:
PROCEDURES Policy number:
Effective date:
Rev. Date:
Negros Oriental Provincial Hospital NURSING SERVICE DEPARTMENT Rev. No.:
North National Highway, Daro Issued Date:
Dumaguete City

TITLE: Medication Administration – Oral Route

PURPOSE: To establish a standard approach on administration of medications Per Orem

SCOPE: This procedure shall cover the verification of order, the 10 rights of medication administration
until the documentation.

DOCUMENTATION FORM:
PREREQUISITE EQUIPMENT:
 Medication tray  Medication Sheet
 Hypo tray

REFERENCES:
 NOPH Nursing Manual
 Delmar’s Fundamental and Advanced Nursing Skills

RESPONSIBILTY PROCEDURE

Physician 1. Writes order for drug indicating dose, route, and timing
Nurse 2. Verify physician’s order
3. Wash hands and prepares equipment
4. Observing the 10 rights of medication administration. Explains indication of drug
to be administered.
5. Administers medication.
6. Disposes wrapping in appropriate waste disposal bin according to hospital
segregation policy.
7. Monitors for any adverse medication effect.
8. Document procedure in medication sheet.
 MANUAL OF POLICIES AND OPERATING Page number:
PROCEDURES Policy number:
Effective date:
Rev. Date:
Negros Oriental Provincial Hospital NURSING SERVICE DEPARTMENT Rev. No.:
North National Highway, Daro Issued Date:
Dumaguete City

TITLE: Medication Administration – Intravenous Through Tubing Route

PURPOSE: To establish a standard approach on administration of medications IVTT

SCOPE: This procedure shall cover the verification of order, the 10 rights of medication administration
until the documentation.

PREREQUISITE EQUIPMENT: DOCUMENTATION FORM:

 Hypo tray
 Medication Sheet
REFERENCES:
 NOPH Nursing Manual
 Delmar’s Fundamental and Advanced Nursing Skills

RESPONSIBILTY PROCEDURE

Physician 1. Writes order for drug indicating dose, route, and timing
2. Verify physician’s order
3. Wash hands and prepares equipment.
Nurse
4. Dissolves drugs in powder form with plain saline solution.
5. Breaks ampules with ampule breakers.
6. Observing the 10 rights of medication administration. Explains indication of drug
to be administered.
7. Disinfects Y-port of tubing with alcoholized cotton ball.
8. Administers medication.
9. Disposes wrapping in appropriate waste disposal bin according to hospital
segregation policy.
10. Monitors for any adverse medication effect.
11. Document procedure in medication sheet.
 MANUAL OF POLICIES AND OPERATING Page number:
PROCEDURES Policy number:
Effective date:
Rev. Date:
Negros Oriental Provincial Hospital NURSING SERVICE DEPARTMENT Rev. No.:
North National Highway, Daro Issued Date:
Dumaguete City

TITLE: Medication Administration – Intramuscular Route

PURPOSE: To establish a standard approach on administration of medications through intramuscular

injection

SCOPE: This procedure shall cover the verification of order, the 10 rights of medication administration
until the documentation.

PREREQUISITE EQUIPMENT: DOCUMENTATION FORM:

Hypo tray
 Medication Sheet
REFERENCES:
 NOPH Nursing Manual
 Delmar’s Fundamental and Advanced Nursing Skills

RESPONSIBILTY PROCEDURE

Physician 1. Writes order for drug indicating dose, route, and timing
Nurse 2. Verify physician’s order
3. Wash hands and prepares equipment
4. Observing the 10 rights of medication administration. Explains indication of drug
to be administered.
5. Administers medication.
6. Disposes wrapping in appropriate waste disposal bin according to hospital
segregation policy.
7. Monitors for any adverse medication effect.
8. Document procedure in medication sheet.
 MANUAL OF POLICIES AND OPERATING Page number:
PROCEDURES Policy number:
Effective date:
Rev. Date:
Negros Oriental Provincial Hospital NURSING SERVICE DEPARTMENT Rev. No.:
North National Highway, Daro Issued Date:
Dumaguete City

TITLE: Medication Administration – Subcutaneous Route

PURPOSE: To establish a standard approach on administration of medications through subcutaneous

injection

SCOPE: This procedure shall cover the verification of order, the 10 rights of medication administration
until the documentation.

PREREQUISITE EQUIPMENT: DOCUMENTATION FORM:

Hypo tray
 Medication Sheet
REFERENCES:
 NOPH Nursing Manual
 Delmar’s Fundamental and Advanced Nursing Skills

RESPONSIBILTY PROCEDURE

Physician 1. Writes order for drug indicating dose, route, and timing
Nurse 2. Verify physician’s order
3. Wash hands and prepares equipment
4. Observing the 10 rights of medication administration. Explains indication and
action of drug to be administered.
5. Administers medication.
6. Disposes wrapping in appropriate waste disposal bin according to hospital
segregation policy.
7. Monitors for any adverse medication effect.
8. Document procedure in medication sheet.
 MANUAL OF POLICIES AND OPERATING Page number:
PROCEDURES Policy number:
Effective date:
Rev. Date:
Negros Oriental Provincial Hospital NURSING SERVICE DEPARTMENT Rev. No.:
North National Highway, Daro Issued Date:
Dumaguete City

TITLE: Medication Administration – Intradermal Route

PURPOSE: To establish a standard approach on administration of medications through intradermal

injection

SCOPE: This procedure shall cover the verification of order, the 10 rights of medication administration
until the documentation.

PREREQUISITE EQUIPMENT: DOCUMENTATION FORM:

Hypo tray
 Medication Sheet
REFERENCES:
 NOPH Nursing Manual
 Delmar’s Fundamental and Advanced Nursing Skills

RESPONSIBILTY PROCEDURE

Physician 1. Writes order for drug indicating dose, route, and timing
2. Verify physician’s order
Nurse
3. Wash hands and prepares equipment
4. Observing the 10 rights of medication administration. Explains indication and
action of drug to be administered.
5. Administers medication.
6. Disposes wrapping in appropriate waste disposal bin according to hospital
segregation policy.
7. Monitors for any adverse medication effect.
8. Document procedure in medication sheet.
 MANUAL OF POLICIES AND OPERATING Page number:
PROCEDURES Policy number:
Effective date:
Rev. Date:
Negros Oriental Provincial Hospital NURSING SERVICE DEPARTMENT Rev. No.:
North National Highway, Daro Issued Date:
Dumaguete City

TITLE: Medication Administration – Inhalation

PURPOSE: To establish a standard approach on administration of medications through nebulization.

SCOPE: This procedure shall cover the verification of order, the 10 rights of medication administration
until the documentation.

PREREQUISITE EQUIPMENT: DOCUMENTATION FORM:

 Hypo tray
 Medication Sheet
REFERENCES:
 NOPH Nursing Manual
 Delmar’s Fundamental and Advanced Nursing Skills

RESPONSIBILTY PROCEDURE

Physician 1. Writes order for drug indicating dose, route, and timing
2. Verify physician’s order
Nurse 3. Wash hands and prepares equipment.
4. Observing the 10 rights of medication administration. Explains indication and
action of drug to be administered.
5. Plugs nebulizing kit. Attaches appropriate accessories and fills drug.
6. Administers medication.
7. Disposes wrapping in appropriate waste disposal bin according to hospital
segregation policy.
8. Monitors for any adverse medication effect.
9. Document procedure in medication sheet.
 MANUAL OF POLICIES AND OPERATING Page number:
PROCEDURES Policy number:
Effective date:
Rev. Date:
Negros Oriental Provincial Hospital NURSING SERVICE DEPARTMENT Rev. No.:
North National Highway, Daro Issued Date:
Dumaguete City

TITLE: Medication Administration – Topical Route

PURPOSE: To establish a standard approach on administration of medications Per Orem

SCOPE: This procedure shall cover the verification of order, the 10 rights of medication administration
until the documentation.

DOCUMENTATION FORM:
PREREQUISITE EQUIPMENT:
 Medication tray  Medication Sheet
 Hypo tray

REFERENCES:
 NOPH Nursing Manual
 Delmar’s Fundamental and Advanced Nursing Skills

RESPONSIBILTY PROCEDURE

Physician 1. Writes order for drug indicating dose, route, and timing
2. Verify physician’s order
Nurse
3. Wash hands and prepares equipment
4. Observing the 10 rights of medication administration. Explains indication of drug
to be administered.
5. Administers medication.
6. Disposes wrapping in appropriate waste disposal bin according to hospital
segregation policy.
7. Monitors for any adverse medication effect.
8. Document procedure in medication sheet.
 MANUAL OF POLICIES AND OPERATING Page number:
PROCEDURES Policy number:
Effective date:
Rev. Date:
Negros Oriental Provincial Hospital NURSING SERVICE DEPARTMENT Rev. No.:
North National Highway, Daro Issued Date:
Dumaguete City

TITLE: Medication Administration – Otic Route

PURPOSE: To establish a standard approach on administration of medications Per Orem

SCOPE: This procedure shall cover the verification of order, the 10 rights of medication administration
until the documentation.

PREREQUISITE EQUIPMENT: DOCUMENTATION FORM:

 Medication tray
 Medication Sheet
REFERENCES:
 NOPH Nursing Manual
 Delmar’s Fundamental and Advanced Nursing Skills

RESPONSIBILTY PROCEDURE

Physician 1. Writes order for drug indicating dose, route, and timing
Nurse 2. Verify physician’s order
3. Wash hands and prepares equipment
4. Observing the 10 rights of medication administration. Explains indication of drug
to be administered.
5. Administers medication.
6. Disposes wrapping in appropriate waste disposal bin according to hospital
segregation policy.
7. Monitors for any adverse medication effect.
8. Document procedure in medication sheet.
 MANUAL OF POLICIES AND OPERATING Page number:
PROCEDURES Policy number:
Effective date:
Rev. Date:
Negros Oriental Provincial Hospital NURSING SERVICE DEPARTMENT Rev. No.:
North National Highway, Daro Issued Date:
Dumaguete City

TITLE: Medication Administration – Rectal Route

PURPOSE: To establish a standard approach on administration of medications Per Orem

SCOPE: This procedure shall cover the verification of order, the 10 rights of medication administration
until the documentation.

DOCUMENTATION FORM:
PREREQUISITE EQUIPMENT:
 Medication tray  Medication Sheet
 Clean gloves

REFERENCES:
 NOPH Nursing Manual
 Delmar’s Fundamental and Advanced Nursing Skills

RESPONSIBILTY PROCEDURE

Physician 1. Writes order for drug indicating dose, route, and timing
Nurse 2. Verify physician’s order
3. Wash hands and prepares equipment
4. Dons clean gloves.
5. Observing the 10 rights of medication administration. Explains indication of drug
to be administered.
6. Administers medication.
7. Disposes wrapping in appropriate waste disposal bin according to hospital
segregation policy.
8. Monitors for any adverse medication effect.
9. Document procedure in medication sheet.
 MANUAL OF POLICIES AND OPERATING Page number:
PROCEDURES Policy number:
Effective date:
Rev. Date:
Negros Oriental Provincial Hospital NURSING SERVICE DEPARTMENT Rev. No.:
North National Highway, Daro Issued Date:
Dumaguete City

TITLE: Medication Administration – Vaginal Route

PURPOSE: To establish a standard approach on administration of medications in the vagina

SCOPE: This procedure shall cover the verification of order, the 10 rights of medication administration
until the documentation.

DOCUMENTATION FORM:
PREREQUISITE EQUIPMENT:
 Medication tray  Medication Sheet
 Clean gloves

REFERENCES:
 NOPH Nursing Manual
 Delmar’s Fundamental and Advanced Nursing Skills

RESPONSIBILTY PROCEDURE

Physician 1. Writes order for drug indicating dose, route, and timing
Nurse 2. Verify physician’s order
3. Wash hands and prepares equipment
4. Observing the 10 rights of medication administration. Explains indication of drug
to be administered.
5. Administers medication.
6. Disposes wrapping in appropriate waste disposal bin according to hospital
segregation policy.
7. Monitors for any adverse medication effect.
8. Document procedure in medication sheet.