Traditionally, clinical education has relied on random opportunity to teach preparation and administration of medications to a vulnerable population. Well-designed simulations can provide structure for learning this complex critical intervention, including safety measures beyond the “five rights.”


Students were observed administering medications pre and post intervention.


Pre-intervention results revealed 4 out of 18 (22%) students provided correct medication administration; 29% safely diluted an IV medication. Postintervention, 96% (25 of 26) were successful in dilution techniques, 88% were able to provide accurate IV pump rates, and 90% accurately assessed patient medication allergies.


Intense training within a simulated setting can improve nursing students' ability to accurately administer medication to a complex pediatric patient.