Hold syringe between thumb and forefinger of dominant hand like a dart Insert

Hold syringe between thumb and forefinger of dominant

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Hold syringe between thumb and forefinger of dominant hand (like a dart) Insert needle quickly at a 45- to 90-degree angle depending on the amount of subcutaneous tissue Release bunched skin or keep bunched and inject medication slowly Hold syringe in dominant hand and gently pull skin distal to injection site taut with nondominant hand Withdraw needle quickly while placing antiseptic swab or gauze gently over site; do not recap needle Gently apply pressure; do not massage area Apply bandage, if necessary Assist patient to comfortable position Dispose of equipment per agency protocol Perform follow-up assessments, as necessary
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7 of 8 Day 3 Medication Administration: Intramuscular Injection Pass Fail Observe overriders Review medication reference information Obtain medication and equipment necessary for administration Check medication for expiration date and condition of fluid Check necessary assessment parameters prior to medication administration Prepare medication from prefilled syringe, ampule, or vial Apply clean gloves Administer medication to patient Draw up specified amount of medication to be injected Select appropriate injection site based on adequate muscle size and minimal blood vessels in area(common sites include ventrogluteal, dorsogluteal, deltoid, vastus lateralis) Assist patient to comfortable position and position depending on chosen site Keep sheet or gown draped over body parts not requiring exposure Apply clean gloves Locate anatomical sites associated with muscle site selected Clean skin with antiseptic swab and allow to dry Remove needle cap/guard from needle Pull skin flat 1½ inches below site of injection with nondominant hand to administer by z-track technique; hold position until medication is injected Hold syringe between thumb and forefinger in dominant hand (like a dart) Insert needle quickly at a 90-degree angle Stabilize the barrel of the syringe with nondominant hand while continuing to hold skin tightly Move the dominant hand to the end of plunger and pull back on plunger for 5 to 10 seconds and note any blood return; do not aspirate when administering vaccines Inject medication slowly if no blood returns; remove needle, replace with new one, and start again if blood appears Remove the needle and release the skin; do not recap needle Apply gentle pressure to injection site with alcohol swab or gauze; apply bandage, if necessary Assist patient to comfortable position
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8 of 8 Pass Fail Dispose of equipment per agency protocol Perform follow-up assessments, as necessary
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  • Fall '15
  • Pharmacology, Hypodermic needle, Syringe, injection, vial, Ampules

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