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TO & VO
Telephone Order, Verbal Order
AC, HS, PC
Before meal, Bedtime, After meal
On call
Requested by operating/procedure room
5 mL
500,000 units
A check includes Comparison (7 Rights)
Medication (Chart, expiration date)
Patient (name, DOB, Allergies, barcode)
Dose (Docs order, safe?)
Indication
Route
Time (30 min within order time)
Indication (Any pre-labs or vitals; check patient history)
Documentation (Pain Scale, Injection/patch site, Double-Check: MJ (SN)
AMDS, BCMA, CPOE
Automated Medication Dispensing System, Bar Code Medication Administration, Computerized provider order entry
Intradermal injections
Placed shallowly, low angle of 5-15 degrees, smallest amount max 0.1 mL
Subcutaneous Injections (SQ)
45-90 degrees into fatty tissue, max is 1 mL, pinch and then release
Intramuscular (IM) injection
Deep muscle, 90 degrees max is 2 mL, needle length 1-1.5, Aspirate, z track