SIM Scenario Exchange

Medication administration & safety: Geriatric

Contributed on July 4, 2022, last updated July 21, 2022.



Lynne Neis, NorQuest College

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The learner will apply the principles of safe medication administration of a narcotic using different routes in the Geriatric population. You will be required to use clinical judgement, reasoning, critical thinking skills, and pas knowledge when choosing the appropriate narcotic based on the patient’s history and background knowledge. This scenario is not about the actual skill/technique itself. The focus is around the 10 rights of medication administration and the 4 checks. 3 checks at medication cart and 1 check bedside.

Learning Objectives:

Apply knowledge of the 10 rights of safe drug administration according to nursing program and competencies.

Identify proper procedures to confirm drug orders prior to administration.

Choose the most effective and safest drug, dose and route to administer medication based on patient history and physical assessment.

Discuss age-related changes that impact the patients ability to take medications and explore ways to help ensure they take them

Simulation Modality:

Virtual gaming simulation / virtual patient


This simulation’s scenario and script were formally peer-reviewed by two external institutions, then the final simulation was pilot tested by several students on a student testing committee then as part of the Virtu-WIL Student Program’s rollout.


002c, Affinity Learning


Neis L. Medication administration & safety: Geriatric. Simulation resource published by Simulation Canada; 2022. Available from

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Target Learners






Undergraduate / post-secondary

Fields / Disciplines:


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