10 Rights of Medication Administration
Injection Safety
Shingrix
PCV20
Master Injectables
100
This “Right” ensures you verify two patient identifiers before administering medication.
What is Right Patient?
100
This type of container must be used immediately after an injection to safely dispose needles.
What is a Sharps Container?
100
Shingrix prevents this condition.
What is shingles (herpes zoster)?
100
This is a common side effect of PCV20 occurs at the injection site.
What is soreness or redness at the injection site?
100
A medication used to treat vitamin B12 deficiency.
What is Vitamin B12 (Cyanocobalamin).
200
This Right ensures you verify the correct dose before administration.
What is Right Dose?
200
This injection route places insulin into the fatty tissue layer between the skin and the muscle, usually in specific areas of the thigh, arm, and abdomen at a 45–90-degree angle.
What is Subcutaneous (SQ)?
200
Shingrix is given as this type of series.
What is a 2‑dose series?
200
This muscle is the most common injection site for PCV20 in adults.
What is the Deltoid muscle?
200
An antibiotic that must be reconstituted with 1% lidocaine or sterile water.
What is (Ceftriaxone) Rocephin
300
This Right prevents giving an oral medication by injection.
What is Right Route?
300
Proper vaccine storage temperature range.
300
Timing for the second Shingrix dose after the first.
What is 2–6 months after dose 1?
300
PCV20 is typically administered how many times for eligible adults (per current order/policy)?
What is one dose (unless otherwise directed by provider/policy)?
300
A corticosteroid commonly used for joint injections that must be shaken well before use.
What is Triamcinolone acetate (Kenalog)
400
This Right includes documenting vaccine lot number, expiration date, site, route, and patient response.
What is Right Documentation?
400
After vaccination, patients should be observed for this long to reduce injury risk from syncope.
What is 15-30 minutes?
400
A common expected reaction after Shingrix.
What is injection‑site soreness/pain (accept: redness, fatigue, myalgia)?
400
Before giving PCV20, screen for this important history.
What is allergy to vaccine components or prior vaccine reaction?
400
A corticosteroid commonly used to treat inflammation, especially in conditions like upper respiratory infections.
What is Dexamethasone (Decadron)
500
This Right requires confirming correct timing, including series schedules like 2–6 months for Shingrix
What is Right Time?
500
Expired vaccines/medications should be handled in this way.
Should be discarded and given to the Clinical Manager or Clinical Coordinator per clinic policy?
500
Minimum routine age recommendation for Shingrix in immunocompetent adults.
What is 50 years old?
500
This group of patients is commonly recommended to receive PCV20 because they are at a higher risk of pneumonia?
What are adults 65 years and older?
500
True or False. During a medication preparation check, a nurse discards and gives vial to the Clinical Manager or Clinical Coordinator after she notices that a vial of Testosterone contains visible crystallization.
What is True.
A Testosterone vial with crystallization should be discarded and given to the Clinical Manager or Clinical Coordinator