Skills for the SILLY goose MA club

What's the first step always before performing a procedure/skill?

Identify and greet the patient. Explain Procedure to patient. HAND HYGIENE. Close the door for privacy.

What should be taken last as a vital sign?

Blood Pressure

What's the FOUR main vital signs? Also, the two measurements of BMI?

Pulse, Respirations, Temperature, and Blood Pressure.

Height and Weight

Average BP (Adult)

120/80 mmHg

Respirations (Adult)

12 to 20 breaths per minute.

Pulse (Adult)

Count for 30 seconds, then times it by 2 if regular. If irregular count for 1 minute.

What is the Average Pulse for an Adult

60 - 100 beats per minute

What is the color of thermometer for rectal temperature?

Red

What do you verify first before ANY injection?

7 Rights of medication administration. Check order 3x

For Intradermal Injection, where is the landmark?

The Left Arm (Preferred)

For Intradermal Injection, what degree should you insert needle?

10 to 15 degree angle

For Intradermal Injection, what gauge should you use?

27g

For Intradermal Injection, what length should the needle be?

3/8-inch TB syringe

For Subcutaneous Injection, where is the landmark?

Back of the arm (fatty tissue)

For Subcutaneous Injection, what degree should you insert needle?

45 degree angle

For Subcutaneous Injection, what gauge should you use?

25 - 27g

For Subcutaneous Injection, what length should the needle be?

3/8 to 5/8

You can ONLY pinch the skin for...

SUBCUTANEOUS!

For Intramuscular Injection-Deltoid, where is the landmark?

Below the acromion process (3 fingers placed underneath) arm

For Intramuscular Injection - Deltoid, Vastus Lateralis, Ventrogluteal,

what degree should you insert needle?

90 degree angle

For Intramuscular Injection-Deltoid, what gauge should you use?

22-25g

For Intramuscular Injection-Deltoid, Vastus Lateralis, Ventrogluteal, what length should the needle be?

1 inch - 1/2 inch

For Intramuscular Injection-Deltoid, what can you do to skin when giving injection?

Pull the skin TAUT

For Intramuscular Injection-Vastus Lateralis, where is the landmark?

Outer thigh muscle between the greater trochanter and the knee.

For Intramuscular Injection-Vastus Lateralis, what gauge should you use?

18 - 25g

For Pediatrics Intramuscular Injection-Vastus Lateralis, what needle do you use for 18lbs and under?

1/2 - 5/8 needle

For Pediatrics Intramuscular Injection-Vastus Lateralis, what needle do you use for 18lbs and over?

1 inch needle

For Intramuscular Injection-Ventrogluteal, where is the landmark?

Greater Trochanter/Iliac crest/Iliac spine

For Intramuscular Injection-Ventrogluteal, what gauge should you use?

18 - 25g

For Intramuscular Injection-Ventrogluteal, what method do you use?

z-track. holding skin taut then release skin

For Drawing Up Medications, what angle should you inject the needle into the vial to prevent coring?

45 degree angle bevel up

Performing EKG, what are some methods to decrease artifacts?

- Have patient undress from waist up. Women must remove bra

- Use fresh, clean electrodes

- allow slack in wire

- have patient to remain quiet

- have patient sit on hands to decrease tremors or shaking

- remove all jewelry and electronics

Performing EKG, where is V1 located?

4th ICS to the right of the sternum border

Performing EKG, where is V2 located?

4th ICS to the left of sternum border

Performing EKG, where is V3 located?

Between V2 and V4.

Place this after placing V2 and V4

Performing EKG, where is V4 located?

5th ICS and Midclavicular line

Performing EKG, where is V5 located?

5th ICS and Anterior Axillary line

Performing EKG, where is V6 located?

5th ICS and MId-Axilliary line

For Pediatric, where do you check their pulse?

The Apical pulse count for 30 seconds multiply 2