Podcast
Questions and Answers
What is the purpose of the self-sealing stopper in a vial?
What is the purpose of the self-sealing stopper in a vial?
- To prevent the medication from escaping
- To indicate the expiration of the medication
- To provide a means of entrance after the cap is removed (correct)
- To allow for multiple entries without contamination
What should be done before each entry into a multidose vial?
What should be done before each entry into a multidose vial?
- Confirm the presence of discoloration in the medication
- Check the vial for expiration date only
- It should be labeled with the patient's name
- Clean the top of the vial with an antimicrobial swab (correct)
Which is true about single-dose vials?
Which is true about single-dose vials?
- They can be used multiple times without risk
- They require reconstitution before use
- They should be discarded after the first use (correct)
- They contain powdered medications only
What is NOT an appropriate action when preparing medication from a vial?
What is NOT an appropriate action when preparing medication from a vial?
What is a recommendation from the CDC regarding multiuse vials?
What is a recommendation from the CDC regarding multiuse vials?
Which of the following is true about powdered medications in a vial?
Which of the following is true about powdered medications in a vial?
What equipment is optional when preparing medication from a vial?
What equipment is optional when preparing medication from a vial?
What should be assessed in a vial before administration?
What should be assessed in a vial before administration?
What is the purpose of swabbing the rubber top of the vial with an antimicrobial swab?
What is the purpose of swabbing the rubber top of the vial with an antimicrobial swab?
Why is it important to draw back an amount of air into the syringe before withdrawing medication from a vial?
Why is it important to draw back an amount of air into the syringe before withdrawing medication from a vial?
What should be done to prevent accidental needlestick injuries when removing the cap from a needle?
What should be done to prevent accidental needlestick injuries when removing the cap from a needle?
What is the recommended sequence for preparing medication from a vial?
What is the recommended sequence for preparing medication from a vial?
Why is it necessary to compare the medication label with the CMAR/MAR?
Why is it necessary to compare the medication label with the CMAR/MAR?
What can occur if air is injected directly into the solution of a vial?
What can occur if air is injected directly into the solution of a vial?
What role does using a filter needle play when drawing medication from multidose vials?
What role does using a filter needle play when drawing medication from multidose vials?
What is a critical reason to prepare medications for one patient at a time?
What is a critical reason to prepare medications for one patient at a time?
What is the first step in preparing for medication administration?
What is the first step in preparing for medication administration?
Why is it important to check the patient's chart for allergies?
Why is it important to check the patient's chart for allergies?
What is the primary reason for performing hand hygiene before medication administration?
What is the primary reason for performing hand hygiene before medication administration?
What is the purpose of locking the medication cart or drawer?
What is the purpose of locking the medication cart or drawer?
What action should be taken if there are inconsistencies in the medication order?
What action should be taken if there are inconsistencies in the medication order?
How does knowing the actions and adverse effects of medications aid nurses?
How does knowing the actions and adverse effects of medications aid nurses?
Why is it important to check the amount of medication in the syringe before administration?
Why is it important to check the amount of medication in the syringe before administration?
What is the rationale for using a pass code and scanning employee identification?
What is the rationale for using a pass code and scanning employee identification?
What is the main benefit of preparing for medication administration in a designated area?
What is the main benefit of preparing for medication administration in a designated area?
What is the rationale for labeling a multidose vial with the date and time opened?
What is the rationale for labeling a multidose vial with the date and time opened?
What is the primary purpose of performing hand hygiene before medication administration?
What is the primary purpose of performing hand hygiene before medication administration?
What requirement is typically mandated by hospital accrediting organizations regarding medication carts?
What requirement is typically mandated by hospital accrediting organizations regarding medication carts?
What step should be taken after all medications for one patient have been prepared?
What step should be taken after all medications for one patient have been prepared?
Why is it necessary to proceed with administration based on the prescribed route?
Why is it necessary to proceed with administration based on the prescribed route?
What should be done if a surplus of medication is detected in the syringe?
What should be done if a surplus of medication is detected in the syringe?
What is not necessary to document after removing the medication from the ampule?
What is not necessary to document after removing the medication from the ampule?
What is the first step in preparing powdered medication for administration?
What is the first step in preparing powdered medication for administration?
Which of the following is required after administering medication?
Which of the following is required after administering medication?
What should be checked as part of the second check of the medication label?
What should be checked as part of the second check of the medication label?
What is an important safety step before mixing the powdered medication?
What is an important safety step before mixing the powdered medication?
Before injecting the diluent into the powdered medication vial, what should be done?
Before injecting the diluent into the powdered medication vial, what should be done?
Which action helps to ensure medication safety before administration?
Which action helps to ensure medication safety before administration?
What is necessary to verify before preparing the medication?
What is necessary to verify before preparing the medication?
What should be done after swabbing the self-sealing tops of the vials?
What should be done after swabbing the self-sealing tops of the vials?
Study Notes
Vials
- Vials are glass bottles with self-sealing stoppers used for storing and transporting medications
- Single-dose vials are designed for one-time use, regardless of the amount of medication used
- Multidose vials contain multiple doses and can be used for more than one administration, but the CDC recommends assigning them to a single patient whenever possible
- Clean the vial top with an antimicrobial swab before each entry and use a new sterile needle and syringe for each entry
- Medication in vials can be in liquid or powder form
- Powders must be dissolved in an appropriate diluent before administration
Reconstituting Powdered Medication
- Reconstitution involves mixing dry powder medication with a diluent solution
- The vial label, package insert, drug reference, online pharmacy source, or pharmacist provide information about the correct amount and type of diluent for each medication
- The vial is labeled with the date and time opened and stored according to facility policy for future administrations
Administration & Safety
- Medication preparation from a vial is not delegated to NAP or UAP
- Depending on the state’s nurse practice act and organization’s policies, LPN/LVNs may be able to prepare medication from a vial
- Delegate tasks based on patient needs and the qualifications of the person receiving the delegation
Equipment Needed
- Sterile syringe and needle or blunt cannula
- Second needle (optional)
- Filter needle (optional)
- Vial of medication
- Antimicrobial swab
- Computer-generated Medication Administration Record (CMAR) or Medication Administration Record (MAR)
Assessment
- Assess the medication for discoloration or particles
- Check the expiration date before administering
- Verify patient name, dose, route, and time of administration
- Assess the appropriateness of the drug for the patient
- Review assessment and laboratory data that may influence drug administration
Nursing Diagnoses
- Risk for Infection
- Deficient Knowledge
- Risk for Injury
Procedural Steps
- Perform hand hygiene before preparing any medications
- Compare the medication order with the original order in the medical record and clarify inconsistencies
- Read the CMAR/MAR and select the medication
- Compare the label with the CMAR/MAR and check expiration dates
- Perform calculations and verify with a second nurse
- Remove the cap from the medication vial and diluent vial
- Swab the self-sealing tops with an antimicrobial swab and allow them to dry
- Draw up the appropriate amount of diluent into the syringe
- Inject the diluent into the powdered medication vial
Documentation
- Record medication administration immediately after it is administered
Important Considerations For Administration
- Ensure the patient’s allergies have been assessed before medication administration
- Be aware of the actions, special nursing considerations, safe dose ranges, purpose of administration, and adverse effects of the medications
- Withdraw medication into the syringe in a sterile manner
- Ensure the correct dose is prepared and measured accurately
- Follow facility policies for third checks of labels
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Description
Test your knowledge on the use of vials for storing and transporting medications, including single-dose and multidose vials. Learn about the importance of vial cleanliness and proper reconstitution of powdered medications to ensure safe administration. This quiz will cover critical safety practices and guidelines.
