2/17/16 Student was assigned 1 patient and assigned medication administration for this patient. Multiple meds were scheduled for 0800. Prior to 0800, instructor noticed student standing in the hall, instructor stated, \"Did you look up all the meds for your patient?\" Student replied, \"I know most of them\" and went to a computer to look up meds. Student pulled meds in the med room.  At the bedside, it was noted that the student was disorganized for the following reasons: pulled meds not due at 0800,  and scanning meds but not verifying the meds on the computer screen by not knowing that 2 pills needed to be scanned instead of 1 pill to complete the ordered dose. Also, the patient had multiple questions regarding the timing of her meds and wanted to schedule these meds at different times, the student should have made documentation at the bedside of the patient\'s requests to provide to the primary nurse. When instructor discussed the errors with the student, the student responded that her performance today \"was worse than at med pass in Level 2.\"  Later in the day, the student was reporting off to the instructor that she was going on break and her patient was off the unit for a test.  Instructor asked what test, student responded, \" I don\'t know.\" Clinical performance is unsatisfactory for a Level 3 student at this time. Another occurrence of unsafe medication administration may result in a recommendation of clinical failure.


Plan for improvement: 1. Follow competencies for safe medication administration. 2. Demonstrate knowledge of patient\'s plan of care by reviewing the patient kardex.