Licensed Practical Nurse how-to
How to Complete a Safe Medication Pass
Medication errors are among the most common preventable harms in healthcare. A consistent routine protects every patient.
Medication errors are among the most common preventable harms in healthcare. A consistent routine protects every patient. In short: review; perform; check, then complete the remaining steps below.
Step by step
Review the eMAR for new orders, allergies, holds and parameters before you start.
Perform hand hygiene and prepare medications for one patient at a time. Never pre-pour for multiple patients.
Check the medication label against the eMAR three times: when pulling, when preparing and at the bedside.
Identify the patient with two identifiers and check any required parameters, such as apical pulse before digoxin.
Explain each medication and stay until the patient has taken it.
Document immediately after administration, including refusals and PRN effectiveness.
Report any error, refusal or adverse reaction to the RN or provider per policy.
Safety reminders for licensed practical nurses
- Follow the rights of medication administration on every pass
- Practice safe patient handling and use lift equipment
- Follow standard and transmission-based precautions
- Stay within your state’s LPN scope of practice and ask when unsure
Key terms
NCLEX-PN · Scope of practice · eMAR · Five rights · PRN medication · Sliding scale insulin: see the full licensed practical nurse glossary.