Medicated Transdermal Patch Application Procedure
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Questions and Answers

Why is it important to rotate application sites when applying a transdermal patch?

  • To ensure the medication is absorbed more quickly.
  • To minimize the risk of skin irritation and allow optimal skin contact. (correct)
  • To make it easier to remember where the patch was last applied.
  • To increase the effectiveness of the medication over time.

What is the MOST important reason for folding the used transdermal patch inward (adhesive to adhesive) before disposal?

  • To prevent accidental exposure of the medication to others. (correct)
  • To prevent the spread of infection.
  • To make it easier to handle the patch.
  • To reduce the size of the patch for disposal.

According to the procedure, where should the medicated transdermal patches be stored?

  • In the refrigerator to maintain potency.
  • In a cupboard beside or above the fridge, beside or above the kitchen sink or in a lock box. (correct)
  • On the client's bedside table for easy access.
  • In the freezer to prolong shelf life.

What is the PRIMARY purpose of writing the current date and time on the medicated patch before applying it to the client?

<p>To clearly indicate when the patch was applied and ensure it is the correct days patch. (B)</p> Signup and view all the answers

Which of the following observations MUST be reported after applying or removing a transdermal patch?

<p>Skin irritation at the application site or a change in the client's condition. (D)</p> Signup and view all the answers

What should the caregiver do if they find an incorrect number of patches on the client's body during the patch change?

<p>Report the discrepancy immediately and follow facility protocol. (A)</p> Signup and view all the answers

Before administering the transdermal patch, the care giver must check the 'Rights of Medication Assistance'. What does this entail?

<p>Checking they have the correct client, medication, dose, route, and time. (D)</p> Signup and view all the answers

The client has a private carer, who may have already applied the patch. What is the implication of this?

<p>The standard DOT procedure should be followed as normal to ensure medication guidelines are adhered to. (C)</p> Signup and view all the answers

Flashcards

Transdermal Patch Procedure

Applying or removing a medicated transdermal patch while following safety steps.

Hand Hygiene Importance

Wash hands before and after the procedure to avoid infection.

Rights of Medication Assistance

Ensuring you have the right medication, dose, route, time, and patient.

Patch Disposal

Fold the old used patch inward so the adhesive sides stick together, and discard it properly.

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Patch Labeling

Write the current date and time on the new patch after it is applied.

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Rotating Patch Sites

Applying a new patch to a different spot each time.

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Optimal Application Site

Applying patches on clean, dry, and hairless skin.

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Reportable observations

Any skin irritation, incomplete task, wrong patch number, or a change in the client's condition.

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Study Notes

  • Standard procedure for applying or removing a medicated transdermal patch
  • Goal: To apply/remove medicated transdermal patch.

DIPPS

  • DIPPS should be maintained throughout the procedure

Supplies

  • Medicated transdermal patch
  • Gloves
  • Washcloth

Schedule

  • Check if the patch has been applied in the morning, and if not, apply it

Placement

  • Rotating sites should be used

Storage Space

  • Cupboard beside or above the fridge
  • Cupboard beside or above the kitchen sink
  • Lock box

Reportable Observations

  • Inability to complete the task
  • Skin irritation
  • Incorrect number of patches found on the client's body
  • Change in the client's condition

Procedure and Rationale

  • Wash hands to maintain cleanliness as per standard precautions.
  • Gather supplies and assemble on a clean, dry surface, to complete the task in an organized manner.
  • Check #1 to identify the rights of medication assistance for safety.
  • Put gloves on to maintain cleanliness as per standard precautions.
  • Check #2 to identify the rights of medication assistance for safety.
  • Remove the old patch as needed; fold the old patch inward, adhesive to adhesive, and discard it in a pharmacy approved container to prevent overdose of medication, maintain clean and healthy skin, and prevent the transfer of medication to the caregiver.
  • Wash and dry the skin where the patch has been.
  • Check #3 to identify the rights of medication assistance for safety
  • Using an ink pen, write the current date and time on the medicated patch to show once the patch is applied, it is the correct days patch on the client
  • Apply the new patch, using rotating sites, and do not apply to irritated or noticeably hair-covered skin to reduce the incidence of skin irritation and allow optimal skin contact.
  • Remove gloves and discard in garbage, and wash hands to maintain cleanliness as per standard precautions.
  • Sign the flow sheet and report and record any reportable observations to maintain accurate records.

Client Specific Instructions

  • The client may have a private carer who may have already applied the nitro patch; check with the client first before applying the patch.

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Description

Step-by-step instructions for applying and removing medicated transdermal patches, including necessary supplies, storage guidelines, and reportable observations. Maintaining safety via hygiene and correct placement/removal is emphasized.

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