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    Z-TRACK-METHOD Checklist

    Uploaded by

    Daniela Villanueva Rosal
    The document provides instructions for administering magnesium sulfate and parenteral iron injections using the Z-track method, which creates a zigzag path through tissues to prevent medication from tracking back up the needle tract. It describes each step of preparing the injection site, inserting the needle at a 90 degree angle, aspirating to check for blood vessels, injecting the medication, and sealing the injection site. The rationale for each step aims to safely and properly administer the injections while reducing patient discomfort.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Z-TRACK-METHOD Checklist

    Uploaded by

    Daniela Villanueva Rosal
    64 views5 pages
    The document provides instructions for administering magnesium sulfate and parenteral iron injections using the Z-track method, which creates a zigzag path through tissues to prevent medication from tracking back up the needle tract. It describes each step of preparing the injection site, inserting the needle at a 90 degree angle, aspirating to check for blood vessels, injecting the medication, and sealing the injection site. The rationale for each step aims to safely and properly administer the injections while reducing patient discomfort.

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    © © All Rights Reserved

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    The document provides instructions for administering magnesium sulfate and parenteral iron injections using the Z-track method, which creates a zigzag path through tissues to prevent medication from tracking back up the needle tract. It describes each step of preparing the injection site, inserting the needle at a 90 degree angle, aspirating to check for blood vessels, injecting the medication, and sealing the injection site. The rationale for each step aims to safely and properly administer the injections while reducing patient discomfort.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    64 views5 pages

    Z-TRACK-METHOD Checklist

    Uploaded by

    Daniela Villanueva Rosal
    The document provides instructions for administering magnesium sulfate and parenteral iron injections using the Z-track method, which creates a zigzag path through tissues to prevent medication from tracking back up the needle tract. It describes each step of preparing the injection site, inserting the needle at a 90 degree angle, aspirating to check for blood vessels, injecting the medication, and sealing the injection site. The rationale for each step aims to safely and properly administer the injections while reducing patient discomfort.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 5

    Republic of the Philippines

    Laguna State Polytechnic University


    Province of Laguna

    College of Nursing and Allied Health

    Name: __________________________________________ Date: ______________________________

    Year & Section: _______________________________ Score: _____________________________

    Z-TRACK METHOD: INJECTING MAGNESIUM SULFATE AND PARENTERAL IRON


    Steps Rationale Performed Mastered Comments
    1. Wash hands  Reduces Yes No
    thoroughly before transmission of
    preparing infection.
    medication. Prepare  Hospitals must
    medication for adopt
    administration as medication
    ordered. Observe administration
    the 5 R's: right policy and
    drug/medicine, procedure for
    right dose, right timing of
    time, right route of medication
    administration, and administration
    right patient. that considers
    nature of
    prescribed
    medication,
    specific clinical
    application, and
    patient needs
    (DHHS, 2011;
    ISMP, 2011)

    2. Draw medication
    into the syringe
    using an aspirating
    needle. Remove
    needle.

    3. Apply a new needle


    to the syringe. The
    injection needle
    should be
    appropriate for the
    size of the woman:
    gauge 19 to 23, 1to
    1.5 in. On the
    average, the large,
    edematous,
    preeclamptic
    woman uses a gauge
    21 needle that is 1.5
    inches long.

    4. Draw up to 0.2 to 0.3


    mL of air to create an
    air lock that
    prevents tracking
    medication into the
    subcutaneous tissue
    that favors its escape
    onto the surface,
    causing tissue
    irritation (in the
    case of magnesium
    sulfate) and
    tattooing of the skin
    (in the case of iron).

    5. Bring medication to
    the bedside.

    6. Provide essential  Injection into


    explanations, select correct
    an intramuscular anatomical site
    site, preferably the prevents injury
    gluteal muscles to nerves, bone,
    (dorsal gluteal or and blood
    ventrogluteal). vessels

    7. Prepare the site  Mechanical


    with an antiseptic action of swab
    swab. removes
    secretions
    containing
    microorganisms

    8. Pull the skin and


    subcutaneous
    tissues 1 to 1.5
    inches laterally.

    9. Using the non-  Z-track creates


    dominant hand, hold zigzag path
    the skin taut; then, through tissues
    with the dominant that seals
    hand, inject the needle track to
    needle at a 90- avoid tracking
    degree angle deep medication. A
    into muscle tissue. quick dartlike
    injection
    reduces
    discomfort. Use
    Z-track for all
    IM injections
    (Hopkins and
    Arias, 2013;
    Nicoll and
    Hesby, 2002;
    Ogston-Tuck,
    2014b).

    10. Aspirate on syringe  Aspiration of


    to make sure the blood into
    needle is not in a syringe
    blood vessel. indicates
    possible
    placement into
    a vein.
    Aspiration of
    blood into
    syringe
    indicates
    intravenous
    (IV) placement
    of needle. Slow
    injection rate
    reduces pain
    and tissue
    trauma and
    reduces chance
    of leakage of
    medication
    back through
    needle track
    (Hockenberry
    and Wilson,
    2015; Nicoll and
    Hesby, 2002).
    The CDC (2015)

    11. Inject the


    medication if no
    blood return is
    noted. Remove the
    needle and locate
    another site if blood
    return is noted,
    which means that a
    blood vessel is hit.
    Use a fresh syringe
    and needle for re-
    injection.

    12. Withdraw the  Allows time for


    needle, then medication to
    release the skin absorb into
    immediately to muscle before
    leave a zigzag path removing
    that seals the syringe. Dry
    medication within gauze
    the muscle tissue. minimizes
    discomfort
    associated with
    alcohol on non-
    intact skin

    13. Do not massage the


    injection site and
    have no tight
    clothing over it to
    prevent escaping of
    the medication
    from the
    muscle
    tissue. Just apply
    pressure for a few
    minutes.
    14. For parenteral iron  This is because
    preparation, use two parenteral iron
    needles, one for the tattoos the skin.
    aspiration of the
    drug from the vial
    and other one for
    injection.

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