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Ventro Gluteal Injection VS Dorso Gluteal Injection
Less Chance to Hit a Nerve, More Muscle Mass, Less Painful
The Preferred Deep IM Injection Site
Ventrogluteal
When Do You Clean the Clean Injection Area
Before AND After Drawing Up Injections
What Goes in the Clean Injection Area
Only Injection Supplies
Baby Head Circumfrence
Measured In CM
Baby Length
Measured in Inches
Rectal Thermometer Color
Red
POCT QC Passed
Fill Out QC Log, Write The Date Your Initials, and QCA on the Box
POCT QC Failed
Run the QC again, Read the Package Insert for Directions, Storage and Stability, and Exp Date, Notify your coordinator or manager, Do Not Use That Box of Tests
Normal Range for O2 Sats
95-100%
What to do if O2 is Low
1. Recheck 02, 2. Finish Vitals, 3. Notify Provider
What to do if Patient Is Coughing
1. Offer Mask or Tissue, 2. Have Patient cough into Elbow
Sterile Instrument Check
Rips & Tears, Moisture, Exp Date
Sterile Instrument Exp Date
5 Years from Manufacture Date Unless Labeled Otherwise
7 Rights of Patient Medication Administration
Right Patient, Right Medication, Right Dosage, Right Route, Right Time, Right Technique, Right Documentation
When do You Provide the VIS to the Patient
Before Vaccine Administration
Safe Injection Practices
One needle, One syringe, only one time
Use of single-dose vials is preferred over multiple-dose vials - always clean the septum of the vial regardless
If you must use the same site inject 1 inch apart
Check Your Order 3 Times
Vaccine Storage
1. Check your temp log twice a day
2. If using a commercial fridge, take out any drawers and place water bottles labeled do not use on the top and bottom shelves, and in the door
3. Place the vaccines in the center of the fridge separated to allow for air flow around the vials
Single Dose Vial
A vial or container that can only be used once and does not contain an antimicrobial preservative
Multidose Vial
Vial containing multiple doses of medication. Contains an antimicrobial preservative
BUD Sticker
BUD = Beyond Use Date
Write the date opened, your initials and BUD on the sticker
BUD dates are typically 28 days past the opened date unless the package insert states otherwise OR the product expiration date comes first
Protect Against Look/Sound A-Likes
1. Keep Original Packaging
2. Label Bins
3. Keep Look/Sound A-like Meds/Vaccines Separate
4. Keep Adult and Peds Dosages Separate
Hand Hygine
#1 Way to Prevent the Spread of Germs
6 Moments of Hand Hygine
1. Before Patient Contact
2. Before Aseptic Technique
3. Before moving from a soiled area to a clean area on the same patient
4. After Patient Contact
5. After Glove Removal
6. After contact with Blood or Bodily Fluid
4 Moments of Soap and Water Only
1. Before Eating
2. After Using the Restroom
3. After Contact with c.Diff or Norovirus
4. When Hands or Gloves are Visibly Soiled
Number of Epipens Needed
2 per patient population
Signs of Anaphylaxis (must be able to list 4)
-difficulty breathing, wheezing, or shortness of breath, hoarseness
-swelling of face, neck, or tongue
-weakness, dizziness, or confusion
-rash or hives
-low blood pressure
-cardiac arrest
- high heart rate
- sense of doom
- abdominal pain or cramping
- nausea/vomiting
- diarrhea
First Step of Aseptic Technique
Hand Hygine
2 Measurements Needed for BMI
Height and Weight
Universal Standard for TB Test
Left Arm
Items to have Patient Remove Before Measuring Height
Shoes and Hats
When do you clean the patient exam room
After every patient visit
How many times do you check the providers order for meds
3
can you give O2 without an order
no
Can you give regular injections with a verbal order
no
Can we pack/dress deep wounds as an MA
No
How long are wound supplies good for
One use