Patients are where it's at
What is done once medication site has been carefully selected
What is do hand hygiene, don clean gloves, aseptically clean site, verify integrity of needle and volume, inject into correct landmark, angle and rate and withdraw needle at same angle injected
Every medication is compared to this
What is the eMar (including the drug, dose, time, volume, reason, etc)?
The nurse should not do these things when giving medications
What is to not place trash or items on the patient bed or leave used equipment or items on the patient food tray or bedside table?
The muscle used for smaller volumes and less irritating medications
What is the deltoid?
Purpose of z-track method
What is the zigzag path seals the needle track and prevents drug leakage into the subcutaneous tissue and helps seal the drug in the muscle, minimizing skin irritation?
Subcutaneous injection rule of thumb
What is inject at a 90º angle if skin can be "bunched" more than 2", otherwise inject at a 45º angle?
What a nurse does when they enter a patient room
What is AIDET, assess patient readiness?
After the scan of the medication barcode, this is what the nurse should do
What is look at the screen to acknowledge and address all popups?
The process for selecting the appropriate syringe and needle
What is base the selection on the medication, volume, injection site and the patient?
Angle that IM medications are given
What is 90 degrees?
Z-track technique
What is cleanse site with alcohol (turn pad over & leave tip of pad pointed toward injection site), assess syringe, place heel of hand next to injection site and z-track, insert needle quickly to hub and aspirate for 3-5 seconds (if blood returns with aspiration-discard and start over)?
This drug has it's own unique syringe & needle (very fragile and permanently attached to syringe)
What is insulin?
Next steps once the patient profile and eMar is open
What is scan the armband and CONFIRM "Scanned" on the screen, ID the patient (name, DOB, allergies) and acknowledge/verify information on the screen?
The process of saving documentation of a medication in EPIC
What is once the med has been scanned, the screen will say given and is saved?
Post injection, the nurse should not do this
What is do not rub or massage?
Maximum volume recommended, recommended needle length and syringe for deltoid
What is 1ml, 1" and 3ml?
Rate of z-track injection
Two common types of drugs that subcutaneous injections are used for
What is Insulin and Anticoagulants?
The procedure after injection
What is Discharge the safety mechanism immediately away from the patient, dispose of in sharps and never recap contaminated needles?
What is landmark, visualize, palpate and consider medication, age, muscle/tissue mass?
After the patient has been properly positioned, landmarks found and appropriate muscle decided on the nurse should do this
What is visualize and palpate for "belly" of a well developed and relaxed muscle?
These muscles are used for thicker, painful or irritating meds (deep IM)
What is ventrogluteal (1st) or Vastus Lateralis?
The nurse should/should not do these things when completing a z-track
What is to NOT rub or massage the injection site and engage the safety device and place the used syringe/needle in Sharp's container?
Needle size for subcutaneous injections
What is 3/8" to 5/8"?
Process for patient teaching
What is provide the what and why for each med?
Once documentation is done, the nurse should do these things as indicated
What is Monitor effects and re-assess patient (meds such as insulin, BP/HR/Respiratory med, PRN meds)?
The things a nurse should avoid when injecting in a muscle
What are scars, irritations, bruises, lesions, etc?
Maximum volume, recommended needle length and syringe for ventrogluteal or vastus lateralis injection
What is 3ml, 1" to 1½", and 3ml (unless you need to aspirate)?
Reason to avoid Dorsogluteal muscle
What is there are major veins, arteries and nerves in the DG region?
The appropriate syringe for a subcutaneous injection
What is insulin syringe (for insulin) or 1ml syringe?