MAs, LPNs, RNs, CRNPs, PAs, Dentists, Phamacists, and (as last choice) physicians
Who can administer injections at Penn Medicine?
100
the first step in injection prcedure
What is hand hygiene?
100
the most common site for vaccine administration
What is the deltoid muscle?
100
point in vaccination procedure when you aspirate the needle
What is never?
100
'bunching' technique
How do you pull up muscle tissue for an IM injection in a very slender patient?
200
Most likely to have vaso-vagal episodes after injections
Who are adolescents and young adults?
200
the landmark for an IM deltoid injection
What is the acromial process?
200
recommended site for IM injections of > 2 mL volume
What is the ventral gluteal site?
200
use 5/8 inch needle
What is the recommended needle length for a deltoid IM injection when your patient is a female who weighs <60Kg (130#)?
200
pulling skin before injection to displace subcutaneous tissue and allow medication to be 'sealed' in muscle
What is the "Z-Track Technique"
300
Should receive influenza immunizations
Who is everyone except individuals with known allergies to vaccine component?
300
appropriate needle length for an IM injection for a 60 -118 kg (130 to 260 #) male
What is one inch?
300
description of location of deltoid injection site
What is 4 cm (~1 1/2 inches) below acromium?
300
needle length when the patient is female over 90 kg (200#) or a male who weighs over1128 kg (260#)
When do you use a 1 1/2 needle?
300
to place depot of injected medication below skin levels and above muscle (subcutaneous)
Why do you use a 45 degree insertion angle?
400
individuals who should not receive live-virus immunizations
Who are immune-compromised and pregnant paients?
400
the angle for an IM injection
What is 90 degrees?
400
location for Penn Medicine standards for giving injections
What is the Penn medicine nursing website?
400
the earliest you should allow a patient to leave the office after an immunization
According to the ACIP, what is 15 minutes?
400
gate theory of pain transmission
Why do we 'flick' around the injection site and use other distractors during an injection?
500
group which makes recommendations for immunization schedules
What is the Advisory Committee on Immunization Practices (ACIP)?
500
processes of reporting untoward reaction to immunization
What is filing a Vaccine Adverse Event Reporting System (VAERS)?
500
how you identify the vg injection site
What is the "V" between your fingers when the heel of he hand is on the greater trochanter, the index finger is on the anterior superior iliac spine and the long finger is on the iliac crest?
500
when you document the temperature of the medication refrigerator
What is daily?
500
ritual, to disinfect skin, and to reassure patient