Pharmacology
Medication Safety & the Nine Rights
FDA-regulated drug safety principles and the rights framework LPNs use before every administration.
Rights before every dose
Verify right patient, drug, dose, route, time, documentation, reason, response, and refusal when applicable. The FDA tracks medication errors involving approved drugs and issues safety communications to prevent harm.1
MedlinePlus reminds consumers and clinicians alike to read labels, understand side effects, and store medications properly—habits that start with nursing verification.2
High-risk situations
Look-alike/sound-alike drugs, pediatric liquid concentrations, and insulin require independent double checks when policy mandates. Never crush sustained-release formulations unless pharmacy approves.
The Medication Administration Record (MAR) is a legal document—chart immediately after administration, not before.
Scope and delegation
LPNs administer medications per state nurse practice act and facility policy. Intravenous therapy privileges vary by jurisdiction—know your limits and escalate when orders exceed scope.
Question unclear orders through proper channels; patient safety outweighs convenience.
Practice this skill
Apply what you read with a hands-on Medication Rights drill — instant feedback on every scenario.
