Injections Med Skills (Prep., Pulse., Resp., 2-Step BP, and Post Procedure)
Help!
|
|
||||
|---|---|---|---|---|---|
| Step 1 | Review patient’s chart for Provider’s orders, patient history and allergies. Discuss any noted concerns with provider before proceeding
🗑
|
||||
| Step 2 | Perform hand hygiene
🗑
|
||||
| Step 3 | ***Select the correct medication and demonstrate O-ICE (Order, Integrity, Consistency, Expiration date)
🗑
|
||||
| Step 4 | ***Firmly and briskly wipe the top of vials with an alcohol pad for each vial. Allow to air dry
🗑
|
||||
| Step 5 | ***Attach sleeved needles to syringe. Note that "there is no contamination"
🗑
|
||||
| Step 6 | ***Draw plunger back to take in the equivalent amount of air to the medication orders [EX: 5ml ordered, 5ml of air], then remove needle cap. NOTE "THERE IS NO CONTAMINATION"
🗑
|
||||
| Step 7 | Insert aerated needle into vial while it is on a flat surface, inject the air into the vial, invert the vial with needle still inserted while firmly holding the plunger
🗑
|
||||
| Step 8 | Pull back plunger to take the needed amount of medication into syringe. Take a very small amount over the ordered amount to allow for air removal
🗑
|
||||
| Step 9 | With needle in the vials air space, tap syringe to remove air bubbles
🗑
|
||||
| Step 10 | Eject remaining air out of the top of syringe into the vial without losing medication
🗑
|
||||
| Step 11 | Recap the needle with one-handed scoop method or engage safety device and get new needle
🗑
|
||||
| Step 12 | Tilt the needle 90 degrees to see what air/bubbles remain to be removed and confirm the proper volume of medication is present
🗑
|
||||
| Step 13 | ***Label syringes for injection type and medication before leaving the preparation area
🗑
|
||||
| Step 14 | ***Have another staff member check your work - confirm the Provider’s orders, syringe with drawn medication, and the medication vial
🗑
|
||||
| Step 15 | ***Ensure the correct needle size was used for each injection (IM is 1 inch, SQ is 5/8th inches, and PPD syringe already has needle attached)
🗑
|
||||
| Step 16 | ***Ensure each drawn dose is correct for the injection
🗑
|
||||
| Step 17 | Perform hand hygiene
🗑
|
||||
| Step 18 | Introduce self to patient
🗑
|
||||
| Step 19 | Confirm patient's identity with full first and last name, and date of birth
🗑
|
||||
| Step 20 | ***Provide VIS sheet to patient and confirm they understand they'll be receiving vaccination (VIS, TB, and Screening questionnaire)
🗑
|
||||
| Step 21 | Determine patient’s comfort with procedure
🗑
|
||||
| Step 22 | Don proper sized gloves
🗑
|
||||
| Step 23 | ***For Intramuscular Injections (IM), the deltoid, located 2-3 fingers below the Acromion Process, is used.
🗑
|
||||
| Step 24 | ***Cleanse the site with alcohol in a circular motion and allow to air dry
🗑
|
||||
| Step 25 | ***Ensure skin is taut at intended sight of injection
🗑
|
||||
| Step 26 | ***Insert needle at 90 degree angle
🗑
|
||||
| Step 27 | ***Aspirate all IM injections save for vaccines
🗑
|
||||
| Step 28 | Inject medication slowly (at 0.5ml per second)
🗑
|
||||
| Step 29 | Slowly and steadily withdraw needle, release skin, and apply cotton ball or 2x2 pad
🗑
|
||||
| Step 30 | Engage safety mechanism correctly
🗑
|
||||
| Step 31 | ***Do not massage injection site, apply band aid if needed
🗑
|
||||
| Step 32 | Properly dispose of needle and syringe
🗑
|
||||
| Step 33 | ***For Subcutaneous Injections (SQ), the fatty tissue on the back of the arm is used
🗑
|
||||
| Step 34 | ***Cleanse site with alcohol swab and allow to air dry
🗑
|
||||
| Step 35 | ***To properly inject, pinch up on the fatty tissue at back of arm and insert at 45 degree angle. DO NOT ASPIRATE
🗑
|
||||
| Step 36 | You may release the skin once needle is inserted or maintain pinching up, and inject the medication slowly (at 0.5ml per second)
🗑
|
||||
| Step 37 | Withdraw needle at proper at 45 degree angle and cover injection site with cotton ball or gauze
🗑
|
||||
| Step 38 | Engage safety mechanism
🗑
|
||||
| Step 39 | ***Do not massage the injections site, cover with band aid if needed
🗑
|
||||
| Step 40 | Dispose of needle and supplies
🗑
|
||||
| Step 41 | For PPD Inj. ***Using proper landmarks of 4 finger widths below antecubital area and one hand width above the wrist, select the injection site. Avoid any areas with rashes, bruises, knots, etc
🗑
|
||||
| Step 42 | ***Cleanse the site with alcohol and let air dry
🗑
|
||||
| Step 43 | With non-dominant hand, stretch skin taut with C-hold, hold syringe between thumb and forefinger of dominant hand with bevel pointed up
🗑
|
||||
| Step 44 | ***Insert needle at 5-15 degree angle with bevel up until resistance is felt
🗑
|
||||
| Step 45 | ***Advance the needle 1/8th inch below the skin's surface. Needle tip should be visible under the skin.
🗑
|
||||
| Step 46 | Inject solution slowly to obtain a wheel (6-10mm)
🗑
|
||||
| Step 47 | ***“If the medication leaks out or no wheal is obtained, I would attempt the test again 2 inches from the first site distal from the elbow, or preferably switch to the other arm”
🗑
|
||||
| Step 48 | Withdraw the needle at the same angle of insertion
🗑
|
||||
| Step 49 | Engage safety device
🗑
|
||||
| Step 50 | Gently dab the site with gauze if blood appears. Do not apply pressure by massaging, nor a band aid
🗑
|
||||
| Step 51 | Dispose of used supplies properly
🗑
|
||||
| Step 52 | Perform hand hygiene
🗑
|
||||
| Step 53 | Observe for any adverse reactions
🗑
|
||||
| Step 54 | Report any undesirable effects to provider
🗑
|
||||
| Step 55 | Document procedure
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
MrsLaceUp
Popular Medical sets