University of Southern Indiana

Promotion of Patient Safety and Error Prevention


Students will have clinical experiences caring for patients in acute care.  The students are expected to prepare for clinical.  Students may NOT witness a will or sign legal documents such as surgery permits or nursery footprints.  Students may NOT administer or hang blood or any blood products.  Students may NOT pull central line catheters. Students may monitor vital signs and complete assessments while blood products are infusing.  All other clinical activities may be performed at the discretion of the clinical faculty and as directed by the nursing unit or agency.

Safe Medication Administration & Medication Administration Safety Exam

Regardless of the student course or level, all medications must be directly supervised by a registered nurse. Students must know: the action, indication, classification, safe dosage range, route of administration, required assessment if indicated, and safety monitoring of all administered medications. If the student is unable to  articulate the medication  information,  they shall not administer the medicine. Students must follow the medication administration policy of the facility. The student will be expected to communicate this knowledge to the registered nurse overseeing medication administration.

The following guidelines will be implemented concerning medication administration safety in the undergraduate courses:

  • A medication administration safety exam will be administered in the following courses.
    • Pharmacology (NURS356)
    • Introduction of Patient Care (NURS 357)
    • Nursing Care of Adults I (NURS358)
    • Nursing Care of the Adults II (NURS368)
    • Mental Health Nursing (NURS 363)
    • Care of Children and Families (NURS364)
    • Population-Focused Practice (NURS 455)
    • Nursing of Women and Families (NURS456)
    • Care of Adults through Lifespan (NURS 461)
    • Nursing Care of Adults III (NURS468)
    • Leadership in Care Delivery (NURS488)


Other nursing courses may include a medication administration safety exam. The number of points on the exam will be at the course faculty’s discretion.  Other exams in the courses listed above will have a minimum of 5% medication administration questions independent of the medication administration safety exam.


  • The score received on the first medication administration safety exam will be the score included in the course exam average.
  • The student must obtain a minimum of 90% on the medication administration safety exam. A student who is unsuccessful on the medication administration safety exam will be required to complete remediation designated by the course faculty.
  • Students who do not obtain a 90% on the medication administration safety exam or complete remediation prior to clinical will be unable to administer medication without a USI clinical faculty. Failure to complete these requirements could result in a clinical failure.
  • Students should refer to their course syllabus for information regarding medication administration safety exam information and remediation.

Contact Dr. Constance Swenty


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