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15 Cards in this Set

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WHEN/WHAT DO YOU DOCUMENT ABOUT MEDICATIONS?
1.AFTER THE PATIENT HAS RECEIVED THE MEDS
2. TO TELL WHY A MED WAS OMITTED
3. WHEN THE PATIENT REFUSES MEDS
4. TO EXPLAIN THE INJECTION SITE THAT WAS USED
5. REMEMBER TO DOCUMENT ALL CLIENT EDUCATION GIVEN
WHAT IS MEDICATION ACCOUNTABILITY?
1. DO NOT LEAVE MEDS SITTING ON TOP OF MED CART
2. DO NOT LEAVE MED CART UNCLOCKED
3. DO NOT LEAVE MEDICATION IN PATIENT'S ROOM -UNLESS A WRITTEN ORDER IS PROVIDED
4. DO NOT GIVE A MEDICATION PREPARED BY ANOTHER NURSE
HOW DO YOU DECREASE DISCOMFORT IN ADMINISTERING INJECTIONS?
1. USE THE SMALLEST GAUGE NEEDLE
2. CHANGE NEEDLE TO MAKE SURE IT IS STILL SHARP
3. HELP THE PATIENT TO RELAX
4. USE QUICK/DART-LIKE MOTION
5. INJECT SLOWLY
6. ONLY ADMINISTER RECOMMENDED DOSES
7. AVOID HARD OR TENDER AREAS
8. ROTAT SITES
9. USE Z-TRACK TO REDUCE IRRITATION
WHAT ARE THE IM INJECTION SITES?
VASTUS LATERALIS
DELTOID MUSCLE
VENTROGLUTEAL
DORSOGLUTEAL
WHAT IS THE Z-TRACK?
NURSE PULLS SKIN IN ONE DIRECTION AND GIVES SHOT;THEN RETURNS SKIN INTO PREVIOUS POSITION....IT REDUCES IRRITATION TO THE SKIN/OR STAINING
THINGS TO REMEMBER ABOUT IM INJECTIONS:
RAPID: ABSORPTION
ANGLE:90 DEGREES
GAUGE: 21-23
NEEDLE: 1 TO 1 1/2
ASPIRATE: YES
MAX AMOUNT: 1CC
THINGS TO REMEMBER ABOUT SQ INJECTIONS:
ABSORBED SLOWLY
ANGLE: 45-90 DEGREES
NEEDLE: 3/8 - 1 INCH
ASPIRATE: YES EXCEPT WITH HEPARIN OR INSULIN
MAX AMOUNT PER SITE- 1CC
WHAT ARE THE INJECTION SITES FOR SQ:
ABDOMEN
UPPER ARM
THIGH
SCAPULAR AREA
UPPER DORSOGLUTEAL AREA
THINGS TO KNOW ABOUT INTRADERMAL INJECTIONS:
USED FOR DIAGNOSTIC TESTS SUCH AS ALLERGY OR TB TESTING
ABSORBED SLOWLY
ANGLE: 10 TO 15 DEGREES
GAUGE: 25-27
NEEDLE LENGTH 1/4 TO 1/2
ASPIRATE: NO
MAX AMOUT OF MEDS IS: 0.5CC
WHAT ARE THE SIX RIGHTS OF MED ADMINISTRATION:
RIGHT PATIENT
RIGHT ROUTE
RIGHT DOSE
RIGHT TIME
RIGHT MEDICATION
RIGHT DOCUMENTATION
WHAT ARE THE 3 SAFETY CHECK TIMES WHEN GIVING MEDS?
1. WHEN COLLECTING THE PACKAGE TO TAKE TO THE PATIENT
2. WHEN POURING THE MEDICATION
3. WHEN RETURNING THE PACKAGE
WHAT ARE THE STERILE PARTS OF THE SYRINGE?
1. HUB
2. INSIDE OF THE BARREL
3. SHAFT
4. RUBBER PLUNGER
WHAT FACTORS INFLUENCE THE TYPE OF NEEDLE YOU USE ON A PATIENT?
IT DEPENDS ON THE:
ROUTE OF ADMINISTRATION
VISCOSITY OF SOLUTIONS
QUANITY TO ADMINISTER
BODY SIZE OF PATIENT
TYPE OF MEDICATION
HOW DO YOU OPEN AN AMPULE?
USE A GUAUZE/ALCOHOL AND BREAK AWAY FROM BODY
DO NOT TOUCH RIM
USE A FILTER NEEDLE

THE AMPULE WILL CONTAIN A SINGLE DOSE OF A DRUG
WHAT DO YOU ASSESS WHEN YOU ARE ABOUT TO ADMINISTER A MEDICATION?
1. ALLERGIES
2. MEDICAL HISTORY
3. DO THEY HAVE LIVER OR KIDNEY ISSUES?
4. DO THEY KNOW WHAT THE MEDICATION IS? WHAT DOES IT DO?
5. DO YOU TAKE THEM WITH OR WITHOUT FOOD?
6. WHO PRESCRIBED IT?
7. IS THE PATIENT PREGNANT?
8. IS THERE ANY HISTORY OF DRUG OR ALCOHOL USES IN THE FAMILY?