Abstract: Errors in medication administration are the most prevailing in medicine and can cause harm to the patient, morbidity and mortality as a result of negligence and failure to adhere to guidelines. A descriptive cross-sectional study was carried out among 117 nurses working at a mission hospital in Meru. A sample of 106 nurses was chosen using stratified and simple random sampling methods. Data was collected using a self-administered questionnaire and an observational checklist formulated from the Nursing Council of Kenya (NCK) manual of clinical procedures were used to collect data. Analysis was done using SPSS Version 21 software.