MEDICATIONS

NAME: DATE:

ORAL MEDICATIONS

AMINISTERING ORAL MEDICATION PERFORMED

PREPERATION YES NO RATIONALE

1. ASSESS:
 ALLERGIES TO MEDICATION
 CLIETS ABILITY TO SWALLOW
 PRESENCE OF VOMITING OR
DIARRHEA THAT WOULD
INTERFERE WITH THE ABILITY TO
ABSORD THE MEDICATION
 SPECIFIC DRUG ACTION, SIDE
EFFECTS, INTERACTIONS, AND
ADVERSE REACTIONS
 CLIENTS KNOWLEDGE OF AND
LEARNING NEEDS ABOUT THE
MEDICATIONS
 PERFORM APPROPRIATE
ASSESSMENTS SPECIFIC TO THE
MEDICATON.

2. ASSEMBLE EQUIPMENT AND SUPPLIES:

 MEDICATION TRAY. MEDICATION
CUPS, PILL CRUSHERS,
MEDICATION ADMINISTRATIONS
RECORD (MAR), DRINKING GLASS
AND WATER OR JUICE.

3. KNOW THE MAR FOR THE DRUG NAME,

DOSAGE, FREQUENCY, ROUTE OF
ADMINISTRATION THE CLASSIFICATION,
CONTRAINDICATIONS, USUAL DOSE
RANGE, SIDE EFFECTS, AND NURSING
CONSIDERATION FOR DMINISTRERING
AND EVALUATING THE INTENDED
OUTCOMES FOR THE MEDICATIONS.
 4. CHECK THE MAR FOR THE DRUG NAME,
DOSAGE, FREQUENCY, ROUTE OF
ADMINSTRATION AND EXPIRATION
DATE FOR ADMINISTERING THE
MEDICATION.

5. DETERMINE WHETHER THE CLIENT IS

NPO, IS NAUSEATED OR VOMITING, HAS
GASTRIC SUCTION, OR HAS
DIMINISHED OR ABSENT BOWEL
SOUNDS.
6. PROCEDURE:
 WASH HANDS AND OBSERVE
OTHER APPROPRIATE INFECTION
CONTROL PROCEDURES
 COMPARE THE LABEL OF THE
MEDICATION CONTAINER OR
UNIT DOSE PACKAGE AGAINST
THE ORDER ON THE MAR.
 CHECK THE EXPIRATION DATAE
OF THE MEDICATON.
 USE ONLY MEDICATION THAT
HAVE CLEAR, LEGIBLE LABELS.
 PREPARE THE CORRECT
AMOUNT OF MEDICATOIN FOR
THE REQUIRED DOSE, WITHOUT
CONTAMINATING THE
MEDICATION.
 WHILE PREPARING THE
MEDICATION, RECHECK EACH
PREPARED DRUG AND
CONTAINER WITH THE MAR
AGAIN.

TABLETS OR CAPSULES
 PLACE PACKAGED UNIT DOSE
CAPSULES OR TABLETS DIRECTLY INTO
THE MEDICINE CUP, DO NOT REMOVE
THE MEDICATION FROM THE WRAPPER
UNTIL AT THE BESIDE.
 IF USING STOCK CONTAINER, POUR
THE REQUIRED NUMBER INTO THE
BOTTLE CUP WITHOUT TOUCHING THE
TABLETS.
  IF THE CLIENT HAS DIFFICULTY
SWALLOWING, CRUSH THE TABLETS TO
FINE POWDER WITH A PILL CRUSHER,
OR BETWEEN TWO MEDICATION CUPS.
THEN MIX THE POWDER WITH A SMALL
AMOUNT OF SOFT FOOD, SUCH AS
APPLESAUCE.

LIQUID MEDICATION
 THROUGHLY MIX THE MEDICATION
BEFORE POURING. DISCARD ANY
MEDICATION THAT HAS CHANGED
COLOR OR TURNED CLOUDY.
 REMOVE THE CAP AND PLACE IT
UPSIDE DOWN ON THE COUNTERTOP.
 HOLD THE BOTTLE SO THE LABEL IS
NEXT TO YOUR PALM, AND POUR THE
MEDICATION AWAY FROM THE LABEL.
 HOLD THE MEDICATION CUP AT EYE
LEVEL AND FILL IT TO THE DESIRED
LEVEL, USING THE BOTTOM OF THE
MENISCUS TO ALIGN WITH CONTAINER
SCALE.
 BEFORE CAPPING THE BOTTLE, WIPE
THE LIP WITH A PAPER TOWEL.
 WHEN GIVING A SMALL AMOUNTS OF
LIQUIDS (5ml), PREPARE THE
MEDICATION IN STERILE SYRINGE
WITHOUT THE NEEDLE.
 KEEP UNIT DOSE LIQUIDS IN THEIR
PACKAGES, AND OPEN THEM AT THE
BEDSIDE.

7. PROVIDE FOR CLIENT PRIVACY.

8. PREPARE THE CLIENT

 CHECK THE CLIENTS
IDENTIFICATION BAND
  ASSIST THE CLIENTS TO SITTING
POSITIONS OR, IF NOT POSSIBLE.
TO A SIDE LYING POSITION.
 IF NOT PREVIOUSLY ASSESSED,
TAKE THE REQUIRED
ASESSEMENT MEASURES, SUCH
AS PULSE AND RESPIRATORY
RATES OR BLOOD PRESSURE.

9. EXPLAIN THE PURPOSE OF THE

MEDICATION AND HOW IT WILL HELP,
USING LANGUAGE THAT THE CLIENT
CAN UNDERSTAND, INCLUDE REEVANT
INFORMATION ABOUT EFFECTS.

10. ADMINISTER THE MEDICATION AT THE

CORRECT TIME
 TAKE THE MEDICATON TO THE
CLIENT WITHIN 30 MINUTES
BEFORE OR AFTER THE
SCHEDULED TIME.
 GIVE THE CLIENT SUFFICIENT
WATER OR PREFERED JUICE
TOSWALLOW THE MEDICATION.
BEFORE USING JUICE, CKECK
FOR ANY FOOD AND MEDICATION
INCOMPATIBILITIES.
 IF THE CLIENT IS UNABLE TO
HOLD THE PILL CUP, USE THE
PILL CUP TO INTRODUCE THE
MEDICATION INTO CLIENTS
MOUTH, AND GIVE ONLY ONE
TABLE OR CAPSULE AT A TIME.
 IF AN OLDER CHILD OR ADULT
HAS DIFFICULTY SWALLOWING,
ASK THE CLIENT TO PLACE THE
MEDICATON ON THE BACK OF
THE TONGUE BEFORE TAKING
THE WATER.
 STAY WITH THE CLIENT UNTIL
ALL MEDICATIONS HAVE BEEN
SWALLOWED.
11. DOCUMENT EACH MEDICATION GIVEN

12. DISPOSE OF ALL THE SUPPLIES

APPROPRIATELY

13. EVALUATE THE EEFECTS OF THE

MEDICATION.
 PREPARING MEDICATIONS FROM AMPULES AND VIALS

PREPARATION YES NO RATIONALE

1. ASSEMBLE EQUIPMENT AND SUPPLIES: Preparing
 MAR appropriate
 AMPULE OF STERILE MEDICATION equipment and
 SMALL GAUZE supplies in the
 ANTISEPTIC SWABS right place and
 NEEDLE AND SYRINGE time are needed
to execute a good
quality of care to
clients. Further,
this prevent the
needle from
touch unsterile
surfaces.
2. CHECK MAR Safety checks
 CHECK THE LABEL ON THE must be done, for
AMPULE CAREFULLY AGAINST this refers to the
THE MAR TO MAKE SURE THAT verifying the drug
THE CORRECT MEDICATION IS label and MAR, to
BEING PREPARED. see if the right
 FOLLOW THE 3 CHECKS FOR client is given the
ADMINISTERING MEDICATIONS. right drug, right
READ THE LABEL ON THE dose, and at a
MEDICATION: right time.
 WHEN IT IS TAKEN FROM Checks are
THE MEDICATION CHART essential in
 BEFORE WITHDRAWING THE medication
MEDICATION administration for
 AFTER WITHDRAWING THE the safety of the
MEDICATION client.
3. ORGANIZE THE EQUIPMENT The equipment
must be in
position, where
they will be used
to avoid going
from one place to
another, thus the
instruments are
arranged in a way
that will be easier
for the personnel
to perform the
administration of
 medication
through arranging
based on
usability.
PROCEDURE: Performing hand
4. WASH HANDS AND OBSERVE OTHER hygiene before
APPROPRIATE INFECTION CONTROL and after
PROCEDURES. administering
medication
prevent the
spread of
infections. It
ensures that the
personnel’s hand
is not
contaminated
with any
chemicals or
other previously
touched
substance.
5. PREPARE THE MEDICATION AMPULE This will bring all
FOR DRUG WITHDRAWAL medication down
 FLICK THE UPPER STERN OF THE to the main
AMPULE SEVERAL TIMES WITH A portion of the
FINGERNAIL, OR HOLDING THE ampule. The
UPPER STEM OF THE AMPULE, sterile gauze
SHAKE THE AMPULE SIMILAR TO protects the
SHAKING DOWN A MERCURY fingers from the
THERMOMETER. broken glass, and
 PARTIALLY FILE THE NECK OF THE any glass
AMPULE, IF NECESSARY, TO fragments will
START A CLEAN BREAK. spray away from
 PLACE A PIECE OF STERILE the nurse. To
GAUZE BETWEEN YOUR THUMB ensure that all
AND THE AMPULE NECK, OR glass fragments
AROUND THE AMPULE NECK, fall into the
BREAK OFF THE TOP BY BENDING packet and
IT TOWARD YOU. reduces the risk
 DISPOSABLE OF THE TOP OF THE of cuts.
AMPULE IN THE SHARPS
CONTAINER.
6. WITHDRAW THE MEDICATION There is a
 PLACE THE AMPULE ON A FLAT appropriate
SURFACE. USING A FILTER procedure to
 NEEDLE TO WITHDRAW THE withdraw
MEDICATION, DISCONNECT THE medication, which
REGULAR NEEDLE, LEAVING ITS must be done in a
CAP ON, AND ATTACH THE FILTER rigorous manner
NEEDLE TO THE SYRINGE. that must keep
 REMOVE THE CAP FROM THE the needle
FILTER NEEDLE, AND INSERT THE centered and not
NEEDLE INTO THE CENTER OF touching the
THE AMPULE. DO NOT TOUCH THE sides of the
RIM OF THE AMPULE WITH THE ampule to wholly
NEEDLE TIP OR SHAFT. acquire the fluid
WITHDRAW THE AMOUNT OF into syringe.
DRUG REQUIRED FOR THE
DOSAGE.
 WITH A SINGLE DOSE AMPULE,
HOLD THE AMPULE, SLIGHTLY ON
ITS SIDE, IF NECESSARY, TO
OBTAIN ALL THE MEDICATION.
 REPLACE THE FILTER NEEDLE
WITH A REGULAR NEEDLE, AND
TIGHTEN THE CAP AT THE HUB OF
THE NEEDLE BEFORE INJECTING
THE CLIENT.
VIALS: Checking the
1. ASSEMBLE EQUIPMENT AND SUPPLIES: client’s health
 MAR record before
 VIAL OF STERILE MEDICATION administering any
 ANTISEPTIC SWABS medication for the
 NEEDLE AND SYRINGES client’s safety and
 FILTER NEEDLE considering the
 STERILE WATER OR NORMAL appropriateness
SALINE of the medication.
Gathering the
medication
supply to be
easily accessible
when the
following
procedures are
being conducted.
2. CHECK THE MAR Read MAR to
select the correct
medication that
will be used from
the medication
 supply system,
including the
expiration dates.
The personnel
must be able to
determine the
medication and
client’s condition
before
proceeding.
3. WASH HANDS AND OBSERVE OTHER The utmost
APPROPRIATE INFECTION CONTROL priority of the
PROCEDURES personnel is to
control the
spread of
infectious
disease, and
cleanliness
measures are
vital for the
environment
wherein the drug
will be withdrawn.
4. PREPARE THE MEDICATON VIAL FOR The personnel
DRUG WITHDRAWAL must be able to
 MIX THE SOLUTION, IF deliver the safest
NECESSARY, BY ROTATING THE practice in drug
VIAL BETWEEN THE PALMS OF withdrawal, this
THE HANDS, NOT BY SHAKING. method ensures
 REMOVE THE PROTECTIVE CAP, effectively
OR CLEAN THE RUBBER CAP OF A perform the
PREVIOUSLY OPENED VIAL WITH extraction of the
AN ANTISETIC WIPE BY RUBBING medication from
IN A CIRCULAR MOTION. the vial.
5. WITHDRAW THE MEDICATION The medicine
 ATTACH A FILTER NEEDLE, AS must be sterile,
AGENCY POLICY DICTATES, TO and should only
WITHDRAW UP PREMIXED LIQUID withdraw the right
MEDICATION FROM MULTIDOSE amount from the
VIALS. vial, by following
 ENSURE THAT THE NEEDLE IS the steps
FIRMLY ATTACHED TO THE correctly, the
SYRINGES personnel
 REMOVE THE CAP FROM THE ensures that they
NEEDLE, THEN DRAW INTO THE don’t touch the
needle, and
 SYRINGES THE AMOUNT OF AIR double check
EQUAL TO THE VOLUME OF THE whether the
MEDICATION TO BE WITHDRAWN. appropriate dose
 CAREFULLY INSERT THE NEEDLE is in the syringe.
INTO THE UPRIGHT VIAL
THROUGH THE CENTER OF THE
RUBBER CAP. MAINTAINING THE
STERILITY OF THE NEEDLE.
 INJECT THE AIR INTO THE VIAL,
KEEPING THE BEVEL OF THE
NEEDLE ABOVE THE SURFACE OF
THE MEDICATION.
 WITHDRAW THE PRESCRIBED
AMOUNT OF MEDICATION USING
EITHER OF THE FOLLOWING
METHOD:
 HOLD THE VIAL DOWN,
MOVE THE NEEDLE TIP SO
THAT IT IS BELOW THE
FLUID LEVEL, AND
WITHDRAW THE
MEDICATION. AVOID
DRAWING UP THE LAST
DROPS OF THE VIALS OR
INVERT THE VIALS, ENSURE
THE NEEDLE TIP IS BELOW
THE FLUID LEVEL, AND
GRADUALLY WITHDRAW
THE MEDICATION.
 HOLD THE SYRINGE AND VIAL AT
EYE LEVEL TO DETERMINE THAT
THE CORRECT DOSAGE OF DRUG IS
DRAWN INTO THE SYRINGES. EJECT
AIR REMAINING AT THE TOP OF THE
SYRINGES INTO THE VIAL.
 WHEN THE CORRECT VOLUME OF
THE MEDICATION IS OBTAINED,
WITDRAW THE NEEDLE FROM THE
VIAL, AND RPLACE THE CAP OVER
THE NEEDLE USING THE SCOOP
METHOD, THUS MAINTAINING ITS
STERILITY.
 IF NECESSARY, TAP THE SYRINGES
BARREL TO DISODGED ANY AIR
BUBBLES PRESENT IN THE SYRINGE.
 REPLACE THE FILTER NEEDLE, IF
USED, WITH A REGULAR NEEDLE
AND COVER OF THE CORRECCT
GAUGE AND LENGTH BEFORE
INJECTING THE CLIENT.
 ADMINISTERING AN INTRADERMAL INJECTION

PRCEDURE YES NO RATIONALE

Proper position
contributes to the
proper landmarking
of the site, thus the
personnel must be
1. ASSESS able to observe the
 APPEARANCE OF INJECTION SITE injection site. The
 SPECIFIC DRUG ACTION AND client must be
EXPECTED RESPONSE informed about the
 CLIENTS KNOWLEDGE OF DRUG side effects of the
ACTION AND RESPONSE drugs and know that
it is normal to
experience certain
response to prevent
them from any rash
thoughts.
In organizing the
needed medical
2. ASSEMBLE EQUIPMENT AND SUPPLIES supplies, the
 VIAL OR AMPULE OF THE personnel must take
CORRECT MEDICATION note of the correct
 STERILE 1Ml SYRINGE drug that will be
(TUBERCULIN SYRINGES) AND A administered to
25 – 27 GAUGE NEEDLE prevent any error
 ALCOHOL SWABS that can harm the
 STERILE GAUZE (OPTIONAL) client and prepare
 NON STERILE GLOVES the necessary
supplies for safety
measures.
3. CHECK THE MAR Assessing by
 CHECK THE LABEL ON THE review of lab
MEDICATION CAREFULLY AGAINST values, pain,
THE MAR TO MAKE SURE THAT respiratory or
THE CORRECT MEDICATION IS cardiac assessment
BEING PREPARED. through the MAR
 FOLLOW THW 3 CHECKS FOR prior to medication
ADMINISTERING MEDICATIONS administration
guarantees that the
patient is receiving
the correct
medication for the
correct reason. This
 avoids mistake in
the administrating
medication.
By preparing the
equipment, it
enables the
personnel to reach
4. ORGANIZE THE EQUIPMENT for the supplies that
would be easier for
them to follow
through the
procedure.
Proper hygiene and
cleanliness are vital
in preparation for
injection, as
personnel are in
5. PROCEDURE: touch with the
 WASH HANDS medication and they
may contaminate it.
 PREPARE THE MEDICATION FORM
Double checking
THE VIAL OR AMPULE OF THE
the client ensure
DRUG WITHDRAWAL
that they are the
 PREPARE THE CLIENT
right person to
 CHECK THE CLIENTS receive the
IDENTIFICATION BAND medication and
letting them know
about the procedure
allows them to be
involved with the
procedure
Providing
information to client
allows them to be
aware of the usage
6. EXPLAIN TO THE CLIENT THAT THE
of the drug and for
MEDICATION WILL PRODUCE A SMALL
what purpose the
WHEAL, SOMETIMES CALLED BLEB.
medication is, and
this must be done
before
administering it.
7. PROVIDE CLIENT PRIVACY. Through drawing
curtains around an
area, closing a hall
door or turning back
to the client to allow
 them.
8. SELECT AND CLEAN THE SITE There are specific
 SELECT THE SITE proper sites, which
 AVOID USING SITES THAT ARE is necessary for
TENDER, INFLAMMED, OR effective absorption
SWOLLEN, AND THOSE THAT depending what
HAVAE LESIONS. medication will be
 PUT ON GLOVES injected that
 CLEANSE THE SKIN AT THE SITE wouldn’t cause any
USING A FIFRM CIRCULAR injury. Cleaning the
MOTION, STARTING AT THE site is essential to
CENTER AND WIDENING THE disinfect the area.
CIRCLE PUTWARD. ALLOW THE
AREA TO DRY THOROUGHLY.
9. PREPARE THE SYRINGR FOR INJECTION It is important that
 REMOVE THE NEEDLE CAP WHILE the needle is not
WAITING FOR THE ANTISEPTIC TO contaminated once
DRY. the needle cap has
 EXPEL ANY AIR BUBBLES FROM been removed and
THE SYRINGE prevent air bubbles
 GRASP THE SYRINGE IN YOUR from forming by
DOMINANT HAND, HOLDING IT holding the barrel at
BETWEEN THUMB AND FORE an angle.
FINGER. HOLD THE NEEDLE
ALMOST PARALLEL TO THE SKIN
SURFACE, WITH THE BEVEL OF
THE NEEDLE UP.
10. INJECT THE FLUID Depending on the
 WITH THE NON DOMINANT HAND, type of injection
PULL THE SKIN AT THE SITE UNTIL used, the needle to
IT IS TAUT be inserted must be
 INSERT THE TIP OF THE NEEDLE in a proper angle,
FAR ENOUGH TO PALCE THE through entering the
BEVEL THROUGH THE EPIDERMIS skin smoothly and
INTO THE DERMIS. THE OUTLINE fast it can reduce
OF THE BEVEL SHOULD BE the pain during
VISIBLE UNDER THE SKIN injection. The
SURFACE syringe must be in
 STABILIZE THE SYRINGE AND steady once the
NEEDLE, AND INJECT THE needle is in to avoid
MEDICATION CAREFULLY AND tissue damage.
SLOWLY SO THAT IT PRODUCES A
SMALL WHEAL IN THE SKIN.
 WITHDRAW THE NEEDLE QUICKLY
AT THE SAME ANGLE THAT IT WAS
 INSERTED
 DO NOT MASSAGE THE AREA
 DISPOSE THE NEEDLE AND
SYRINGE SAFELY
 CIRCLE THE INJECTION SITE WITH
INK TO OBSERVE FOR REDNESS.
It is vital to
document the
medication given to
the client to monitor
their condition and
11. DOCUMENT ALL THE RELEVANT
serve as the basis
INFORMATION
for their health. This
 RECORD THE TESTING MATERIAL
ensures the
GIVEN, THE TIME, DOSE ROUTE,
patience safety
SITE AND NURSING
because it avoids
ASSESSMENTS.
duplication of doses
or providing
maximum
medication to the
client.
 PROCEDURE YES NO RATIONALE
The
personnel
must be
aware of the
health
1. ASSESS background
 CLIENT ALLERGIES TO MEDICATION of the client,
 SPECIFIC DRUG ACTION, SIDE EFFECTS, in order to
AND ADVERSE REACTION make
 CLIENTS KNOWLEDGE OF AND LEARNING calculations
NEEDS ABOUT THE MEDICATION depending
 TISSUE INTEGRITY OF THE SELECTED SITE on the
 CLIENTS AGE WEIGHT, TO DETERMINE SITE medication
AND NEELE SIZE or type of
 CLIENTS ABILITY OR WILLINGNESS TO equipment
COOPERATE that will be
used, and
they must
be well-
informed
about it.
There is a
limit volume
of
medication
based on
the size of
2. DETERMINE WHETHER THE SIZE OF THE
muscle, as
MUSCLES IS APPROPRIATE TO THE AMOUNT OF
MEDICATION TO BE INJECTED. there is wide
array of
needles with
various
gauges and
lengths.

3. ASSEMBLE EQUIPMENT AND SUPPLIES: Organizing

 MAR the
 STERILE MEDICATION equipment
 SYRINGE AND NEEDLE OF A SIZE and supplies
APPROPRIATE OR THE AMOUNT OF beforehand
SOLUTION TO BE ADMINISTERED saves time
 ANTISEPTIC SWABS and avoid
 accidents as
it is
considered
as an error-
prone
process.
The
rightness of
the
 DISPOSABLE GLOVES medication
because not
every client
can handle
the same
amount of
solution
hence one
must be
vigilant.
Determine
whether the
client is
receiving the
4. CHECK THE LABEL ON THE MEDICATION
right
CAREFULLY AGAINST THE MAR TO MAKE SURE
medication
THAT THE CORRECT MEDICATION IS BEING
that is
PREPARED AND FOLLOW THE 3 CHECKS FOR
inclined with
ADMINISTERING THE MEDICATION AND DOSE.
their MAR to
avoid any
discrepancie
s.
5. PROCEDURE: This
 WASH HANDS AND OBSSERVE OTHER standard
APPROPRIATE INFECTION CONTROL process is
PROCEDURES. done to
 PREPARE THE MEDICATION FROM THE safely
AMPULE OR VIAL FOR DRUG WITHDRAWAL conduct the
 WHENEVER FEASIBLE, CHANGE THE administerin
NEEDLE ON THE SYRINGE BEFORE g of
THE INJECTION medication
 INVERT THE SYRINGE NEEDLE in a way that
UPPERMOST, AND EXPEL ALL would
EXCESS AIR. prevent any
 PROVIDE FOR CLIENT PRIVACY harm to the
 PREPARE THE CLIENT client.
Through
  CHECK THE CLIENTS IDENTIFICATON following the
BAND right
 ASSIST THE CLIENT TO SUSPINE, measureme
LATERAL, PRONE, OR SITTING nts, it allows
POSITION, DEPENDING ON THE the
CHOSEN SITE. personnel to
 OBTAIN ASSISSTANCE IN HOLDING understand
AN UNCOOPERATIVE CLIENT the condition
 EXPLAIN THE PURPOSE OF THE of the client,
MEDICATION AND HOW IT WILL HELP, and provide
USING LANGUAGE THAT THE CLIENT the care
CAN UNDERSTAND INCLUDE RELEVANT they need.
INFORMATION ABOUT EFFECTS OF THE
MEDICATION.
 SELECT, LOCATE, AND CLEAN THE SITE.
 SLECT A SITE FREE OF SKIN
LESIONS, TENDERNESS,
SWELLING, HARDNESS, OR
LOCALIZED INFLAMMATON, AND
ONE THAT HAS NOT BEEN USED
FREQUENETLY.
 IF INJECTIONS ARE TO BE
FREQUENT, ATLERNATE SITES.
AVOID USING THE SME SITE TWICE
IN A ROW
 LOCATE THE EXACT SITE FOR THE
INJECTION
 PUT ON CLEAN GLOVES
 CLEAN THE SITE WITH ANTISEPTIC
SWAB. USING A CIRCULAR
MOTION, START AT THE CENTER
AND MOVE OUTWARDS ABOUT
5cm.
 TRANSFER AND HOLD THE SWAB
BETWEEN THE THIRD AND
FOURTH FINGERES OF YOUR NON
DOMINANT HAND IN READINESS
FOR NEEDLE WITHDRAWAL, OR
POSITION THE SWAB ON THE
CLIENTS SKIN ABOVE THE
INTENTED SITE. ALLOW THE SKIN
TO DRY PRIOR TO INJECTING
MEDICATION.
 PREPARE THE SYRINGE FOR
INJECTION
 REMOVE THE NEEDLE COVER
 WITHOUT CONTAMINATING THE
NEEDLE
 INJECT THE MEDICATION USING THE
Z TRACK METHOD
 USE THE ULNAR SIDE OF THE
NON DOMINANT HAND TO PULL
THE SKIN APPROXIMATELY 2.5
CM TO THE SIDE.
 HOLDING THE SYRINGE STEADY
BETWEEN THE THUMB AND
FOREFINGER, PIERCE THE SKIN
QUICKLY AND SMOOTHLY AT 90
DEGREE ANGLE, AND INSERT
THE NEEDLE INTO THE MUSCLE.
 HOLD THE BAREL OF THE
SYRINGE STEADY WITH YOUR
NON DOMINANT HAND, AND
ASPIRATE BY PULLING BACK ON
THE PLUNGER WITH YOUR
DOMINANT HAND. ASPIRATE
FOR 5-10 SECONDS, IF BLOOD
APPEARS IN THE SYRINGE,
WITHDRAW THE NEDDLE,
DISCARD THE SYRINGE AND
PREPARE A NEW INJECTION.
 IF BLOOD DOES NOT APPEAR,
INJECT THE MEDICATIONS
STEADILY AND SLOWLY WHILE
HOLDING THE SYRINGE STEADY.
 WITHDRAW THE NEEDLE
 WITHDRAW THE NEEDLE
SMOOTHLY AT THE SAME
ANGLE OF INSERTATION
 APPLY GENTLE PRSSURE AT
THE SITE WITH A DRY SPONGE.
DO NOT MASSAGE THE
AREA/SITE.
 IF BLEEDING OCCURS, APPLY
PRESSURE WITH A DRY
STERILE GAUZE UNTIL IT
STOPS.
6. DISCARD THE UNCAPPED NEEDLE AND The used
ATTACHES SYRINGE INTO THE PROPER needle must
RECEPTACLE. REMOVE GLOVES. WASH HANDS. be disposed
immediately
to reduce
 risk of
contaminatio
n from the
person that
was
injected,
thus hand
hygiene
must follow
to decrease
contracting
any disease.
It is
important to
take note of
the
medication
intake of the
client and
given that
7. DOCUMENT ALL RELEVANT INFORMATION they may
 INCLUDE THE TIME OF experience
ADMINISTRATION, DRUG NAME, DOSE, adverse
ROUTE, AND THE CLIENT’S REACTION. drug
reactions
that are
unforeseeab
le, the
personnel
must
monitor their
condition.
8. ASSESS THE EFFECTIVENESS OF THE Each
MEDICATION AT THE TIME IS EXPECTED TO ACT. medication
has different
reaction
towards
clients,
hence when
it turns out
to be
ineffective,
the
personnel
examine the
client, and
ensure to
provide the
best
possible
outcome for
them.