Injections Med Skills (Prep., Pulse., Resp., 2-Step BP, and Post Procedure)
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| show | Review patient’s chart for Provider’s orders, patient history and allergies. Discuss any noted concerns with provider before proceeding
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| show | Perform hand hygiene
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| show | ***Select the correct medication and demonstrate O-ICE (Order, Integrity, Consistency, Expiration date)
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| Step 4 | show 🗑
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| show | ***Attach sleeved needles to syringe. Note that "there is no contamination"
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| show | ***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"
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| show | 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
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| show | 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
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| Step 9 | show 🗑
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| show | Eject remaining air out of the top of syringe into the vial without losing medication
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| show | Recap the needle with one-handed scoop method or engage safety device and get new needle
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| show | Tilt the needle 90 degrees to see what air/bubbles remain to be removed and confirm the proper volume of medication is present
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| show | ***Label syringes for injection type and medication before leaving the preparation area
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| show | ***Ensure each drawn dose is correct for the injection
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| show | Perform hand hygiene
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| show | Introduce self to patient
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| Step 21 | show 🗑
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| show | Don proper sized gloves
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| show | ***Cleanse the site with alcohol in a circular motion and allow to air dry
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| Step 28 | show 🗑
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| show | Slowly and steadily withdraw needle, release skin, and apply cotton ball or 2x2 pad
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| show | Engage safety mechanism correctly
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| Step 34 | show 🗑
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| show | ***To properly inject, pinch up on the fatty tissue at back of arm and insert at 45 degree angle. DO NOT ASPIRATE
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| Step 36 | show 🗑
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| show | Withdraw needle at proper at 45 degree angle and cover injection site with cotton ball or gauze
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| show | Engage safety mechanism
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| show | ***Do not massage the injections site, cover with band aid if needed
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| show | Dispose of needle and supplies
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| show | ***Cleanse the site with alcohol and let air dry
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| show | With non-dominant hand, stretch skin taut with C-hold, hold syringe between thumb and forefinger of dominant hand with bevel pointed pointed up
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| show | ***Insert needle at 5-15 degree angle with bevel up until resistance is felt
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| Step 46 | show 🗑
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| show | ***“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”
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| show | Withdraw the needle at the same angle of insertion
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| Step 49 | show 🗑
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| Step 50 | show 🗑
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| show | Dispose of used supplies properly
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| Step 52 | show 🗑
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| show | Observe for any adverse reactions
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| Step 54 | show 🗑
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| show | Document procedure
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Created by:
MrsLaceUp
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