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18 Cards in this Set
- Front
- Back
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1
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1. Verifies physician’s order
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2
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2. Assesses client’s history of allergies, responses towards receiving injection, contraindications.
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3
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3. Prepares correct medication dose from ampule or vial.
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4
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4. Identifies client, checks identification bracelet with MAR & asks client’s name.
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5
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5. Explains steps of procedure & tells client injection will cause a slight burning or sting; closes door or pulls room curtain; washes hands; applies disposable gloves; drapes patient appropriately.
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6
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6. Selects appropriate injection site. Inspects skin surface over site for bruises, inflammation or edema. Palpates sites for masses or tenderness. Avoids these areas. For daily insulin, rotates site daily. Ensures that needle is correct size by grasping skinfold at site with thumb and forefinger. Needle should be ½ length.
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7
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7. Has client relax arm, leg or abdomen, depending on site chosen for injection. Relocates site using anatomical landmarks.
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8
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8. Cleanses site with an antiseptic swab, applying swab at centre and rotating outward in a circular fashion for about 5 cm (2 in)
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9
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9. Holds swab between third or fourth fingers of nondominant hand.
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10
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10. Removes needle cap by pulling it straight off. Holds syringe between thumb & forefinger of dominant hand as if grasping a dart, holding syringe across tops of fingertips.
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11
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11. Administers injection:
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12
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a) For average size client, spreads skin tightly across injection site or pinches skin with nondominant hand.
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13
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b). Injects needle quickly & firmly at 45- to 90- degree angle. Then releases skin, if pinched.
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14
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c) For obese client, pinches skin at site & injects needle at 90- degree angle below tissue fold.
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15
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d) After needle enters site, grasps lower end of syringe barrel with nondominant hand. Moves dominant hand to end of plunger, and slowly injects medication. Avoids moving syringe.
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16
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12. Withdraws needle while applying alcohol swab gently over site. Does not massage site after SQ injection of heparin or insulin.
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17
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13. Assists client to comfortable position. Discards equipment into appropriate receptacle. Removes disposable gloves; washes hand. Stays with client 3 minutes to observe for any allergic reactions. Returns to room and assesses client and site. Charts in MAR & reports any undesirable side effects.
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18
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14. Returns to evaluate client’s response to medication in 10-30 minutes.
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