![]() Since most medications can be administered by several routes, it's critical to make sure the proper route is used. You also need to ensure the medication isn't expired. Make sure you know when and how much to give the patient. ![]() Though most medications given in emergency situations are administered immediately, some medications are titrated over a period of time or given over a series of smaller dosages in specific time increments. If you feel the dosage you're about to give is higher or lower than the "usual" amount, double-check to make sure you have it right - you can't take it back once you give it! Medications given by IV infusion after being mixed into a solution require more focus to get the dosage correct. Make certain that you understand how to administer the medication to ensure you're not giving more or less than the amount that's required. Most drugs are supplied in unit-dose forms, so there's usually very little calculation to be done. Carefully read the medication label both on the outside box and the vial or ampule to confirm you have it right. Double-check your protocol, standing orders or medical control instructions to be certain of the name and concentration of the medication you're administering. Confirm the patient's name verbally and with family members if possible. Make sure you verify the patient's identity. One of the best ways to avoid mistakes is by using the "six rights" of medication administration. ![]() Medication administration is an essential skill for EMS providers but it is also one of the riskier procedures because of potential adverse effects due to errors.
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