Podcast
Questions and Answers
Why is it important to hold the syringe with the bevel pointing upward during an intradermal injection?
Why is it important to hold the syringe with the bevel pointing upward during an intradermal injection?
- To minimize patient discomfort during injection.
- To ensure the medication reaches the muscle tissue.
- To prevent leakage of medication from the injection site.
- To facilitate the formation of a bleb on the skin surface. (correct)
After administering an intradermal injection, it is recommended to massage the injection site to promote medication absorption.
After administering an intradermal injection, it is recommended to massage the injection site to promote medication absorption.
False (B)
At what angle should the needle be inserted for an intradermal injection?
At what angle should the needle be inserted for an intradermal injection?
5-15 degrees
After withdrawing the needle, activate the needle ______ before discarding it in a sharps container.
After withdrawing the needle, activate the needle ______ before discarding it in a sharps container.
Match the action with the rationale during intradermal injection administration:
Match the action with the rationale during intradermal injection administration:
During medication preparation, at which point is the first check performed to compare the MAR (Medication Administration Record) with the medication label and patient's full name?
During medication preparation, at which point is the first check performed to compare the MAR (Medication Administration Record) with the medication label and patient's full name?
According to the guidelines, it is acceptable to remove the medication from its wrapper before placing it into the medication cup.
According to the guidelines, it is acceptable to remove the medication from its wrapper before placing it into the medication cup.
Before administering oral medication, the guidelines state that the nurse should use how many patient identifiers?
Before administering oral medication, the guidelines state that the nurse should use how many patient identifiers?
Before administering medication, the MAR is compared with the medication label and patient's full name a total of __________ times.
Before administering medication, the MAR is compared with the medication label and patient's full name a total of __________ times.
Why should medications requiring specific assessments or different routes of administration be placed in a separate cup?
Why should medications requiring specific assessments or different routes of administration be placed in a separate cup?
For intradermal injections, it is unnecessary to discuss potential adverse effects with the patient, as these injections are generally mild.
For intradermal injections, it is unnecessary to discuss potential adverse effects with the patient, as these injections are generally mild.
Match the following actions with their corresponding rationale during medication administration:
Match the following actions with their corresponding rationale during medication administration:
What is the recommended injection site for allergy and TB tests, according to the provided guidelines?
What is the recommended injection site for allergy and TB tests, according to the provided guidelines?
Flashcards
Cleaning Injection Site
Cleaning Injection Site
Clean the injection site using a circular motion, moving outward from the center about 5 cm (2 inches). Allow to dry.
Needle Bevel Position
Needle Bevel Position
Hold the syringe with your dominant hand, positioning the bevel (the slanted opening of the needle) to face upwards.
Injection Angle
Injection Angle
Insert the needle at a shallow angle of 5-15 degrees until you feel slight resistance.
Needle Depth
Needle Depth
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Post-Injection Care
Post-Injection Care
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First Medication Check
First Medication Check
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Second Medication Check
Second Medication Check
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Third Medication Check
Third Medication Check
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Patient Identification
Patient Identification
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Position for Oral Meds
Position for Oral Meds
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Medication Education
Medication Education
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Intradermal Site
Intradermal Site
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Hand Hygiene
Hand Hygiene
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Study Notes
- Outlines the steps for oral medication and intradermal checks
Preparing Medications
- Verify healthcare provider's orders using the six rights of administration
- Compare the MAR with the medication label and the patient's full name after removal from dispensing system (FIRST CHECK); confirm the drug is not expired
- Gather equipment and supplies
- Transfer medication to a cup without unwrapping
- Place medications requiring specific assessments (heart rate, blood pressure) or different routes (sublingual, buccal) in a separate cup as a reminder
- Compare the MAR with the medication label and the patient's full name before going into the room (SECOND CHECK)
Preparing the Patient for Oral Medications
- Perform hand hygiene
- Provide patient privacy/drape as needed
- Introduce yourself to the patient/family
- Use two patient identifiers (armband and verbalization) and compare to the MAR for verification
- Explain the procedure to the patient and ensure they agree
- Ask the patient about any allergies
- Discuss the medication's purpose, action, and potential adverse effects
- At the bedside, compare the MAR with the patient's full name and medication label again (THIRD CHECK)
Administering the Medication in Pill Form
- Explain to the patient what medication is being administered
- Open and administer tablets/capsules with the patient in a sitting or side-lying position
- Offer a compatible liquid to help swallow the medications
Preparing the Patient for Intradermal Injection
- Perform hand hygiene
- Provide patient privacy/drape as needed
- Introduce yourself to the patient/family
- Use two patient identifiers with both armband and verbalization and compare to MAR
- Explain the injection procedure to the patient and ensure they agree
- Ask the patient about allergies and site preferences for injection
- Discuss the injection's purpose, action, and potential adverse effects
- Inform the patient that the injection may cause burning/stinging
- Ask the patient to report any itching or difficulty breathing following injection
- Raise the bed to a comfortable height
- Compare the MAR with the patient's full name and medication label again (THIRD CHECK) at the bedside
Preparing the Site for Injection
- Select an appropriate site, such as the palm side of the forearm 5-10 cm (2-4 inches) below the elbow for allergy and TB tests
- Support the patient's elbow and forearm on a flat surface
- Apply clean gloves
- Clean the site with an antiseptic swab, starting from the center and rotating outward in a circular motion for about 5 cm (2 inches), then let it dry
Giving the Injection
- Remove the needle cap by pulling straight off
- Hold the syringe between the thumb and forefinger of the dominant hand, with the bevel pointing UP
- Stretch the skin over the site with the forefinger and thumb of the non-dominant hand
- Insert the needle slowly at a 5-15 degree angle, with the needle almost against the patient's skin and bevel facing upward, until you feel resistance
- Advance the needle through the epidermis about 3mm (1/8 inch) beneath the skin
- You should be able to see the bulge of the needle tip through the skin
- Inject medication slowly; a small bleb (approximately 6mm or 1/4 inch) should form on the skin surface
- Withdraw the needle and activate the needle safety mechanism
- Discard the needle and syringe in a sharps container
- Do not massage, apply pressure, or disrupt the bleb
After the Injection
- Remove gloves and perform hand hygiene
- Help the patient to a comfortable position
- Place personal items and the call light within reach
- Raise the appropriate number of side rails and lower the bed to the lowest position
- Document and report the patient's response and any expected or unexpected outcomes
- Stay with the patient for several minutes to observe for allergic reaction
- Return to the patient's room in 15-30 minutes to assess for acute pain, tingling, burning, or numbness at the site
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Description
Learn the correct steps for preparing and administering oral medications, including double-checking the medication label against the MAR. Review patient preparation and necessary safety checks. Also includes the steps to prepare the patient for intradermal checks.
