DE LA SALLE LIPA
COLLEGE OF NURSING
Nursing Care Management 107
Maternal and Child Nursing 1 (Well Clients)
Procedural Checklist in
Administering Medications and Injections
Name: ___ Date: _____Year/Sec: ____ Rating:
General Objective:
• Given actual or simulated situations, the student will be able to systematically
demonstrate administering medications and injections aseptically
Specific Objectives:
• Discuss the different methods and medication administration
• Perform medication administration through the different routes following the ten (10)
R’s and aseptic technique
• Document the procedure and note patient responses
Item
Descriptors Verbal Interpretation
Weight
2 Excellent Performed the procedure with great ease and confidence,
observing work ethics (prudent, accepts criticisms and
suggestions), able to rationalize scientifically and shows
diligence in documenting observations at all times .
1.75 Very Performed the procedure with less confidence, observing work
Satisfactory ethics (prudent, accepts criticisms and suggestions), able to
rationalize scientifically and shows minimal diligence in
documenting observations.
1.5 Satisfactory Performed the procedure but requires close supervision and
shows potential for improvement.
1.25 Needs Failed to perform the procedure, unable to function well and
Improvement needs repeated specific/ detailed guidance or direction.
Skills (10) 2.0 1.75 1.50 1.25 Remarks
1. Check the doctor’s order regarding the medication to be
given and the medication administration record of the
patient.
2. Prepare the necessary materials needed in performing
medication administration:
medication card, medication glass, medication tray,
distilled water for injection, hypodermic needles,
COLLEGE OF NURSING
Nursing Care Management 107
Maternal and Child Nursing 1 (Well Clients)
Procedural Checklist in
Administering Medications and Injections
Name: ___ Date: _____Year/Sec: ____ Rating:
General Objective:
• Given actual or simulated situations, the student will be able to systematically
demonstrate administering medications and injections aseptically
Specific Objectives:
• Discuss the different methods and medication administration
• Perform medication administration through the different routes following the ten (10)
R’s and aseptic technique
• Document the procedure and note patient responses
Item
Descriptors Verbal Interpretation
Weight
2 Excellent Performed the procedure with great ease and confidence,
observing work ethics (prudent, accepts criticisms and
suggestions), able to rationalize scientifically and shows
diligence in documenting observations at all times .
1.75 Very Performed the procedure with less confidence, observing work
Satisfactory ethics (prudent, accepts criticisms and suggestions), able to
rationalize scientifically and shows minimal diligence in
documenting observations.
1.5 Satisfactory Performed the procedure but requires close supervision and
shows potential for improvement.
1.25 Needs Failed to perform the procedure, unable to function well and
Improvement needs repeated specific/ detailed guidance or direction.
Skills (10) 2.0 1.75 1.50 1.25 Remarks
1. Check the doctor’s order regarding the medication to be
given and the medication administration record of the
patient.
2. Prepare the necessary materials needed in performing
medication administration:
medication card, medication glass, medication tray,
distilled water for injection, hypodermic needles,
