Treatment Administration
| Site: | EHC | Egyptian Health Council |
| Course: | Nursing Procedure Guidelines for the Reception and Emergency Department |
| Book: | Treatment Administration |
| Printed by: | Guest user |
| Date: | Tuesday, 5 May 2026, 11:38 PM |
Description
"last update: 27 March 2025" تحميل الدليل
- Prepared by
Emergency guide
Under supervision
- Prof. Dr. Mohamed Latif, CEO of the Egyptian Health Council
Dr. Kawthar Mahmoud, Head of the Egyptian Nursing Syndicate - Member of the Senate
Supervised by
Dr. sherif wadie, advisor to the minster of health for emergency and urgent care
Prepared by
|
Title |
Name |
NO. |
|
Dean Of Faculty Nursing, Professor of Medical and Surgical Nursing, Tanta University |
Dr Afaf Abdel Aziz Abdel Aziz Basal |
1 |
|
Professor Of Critical Care Nursing |
Prof.Dr/Zeinab Hussain Ali |
2 |
|
Professor And Head of the Department of Medical Surgical Nursing. Faculty-. Benha University |
Prof.Dr Amal Said Taha Refaie |
3 |
|
Supervisor Of the Education Sector at Port Said University |
Prof.Dr Amal Ahmed Khalil Morsy |
4 |
|
Professor Of Medical Surgical Nursing- Faculty of Nursing- Cairo University |
Dr. Hanan Ahmed Al Sebaee |
5 |
|
Head of central administration on secondment at MOHP |
Dr Neveen ab drab al0nabi Mohamed |
6 |
|
Director Of Primary Health Care Nursing Department at MOHP. |
Maysa Hosny Ahmed Tammam |
7 |
|
Supervisor Of Technical Education- EHA |
Nancy Alaa Eldeen Abd-Elbaset Ali |
8 |
|
Supervisor Of Nursing Services Development- EHA |
Sherien Mohamed Saad |
9 |
|
Assistant Professor of Maternity and Neonatal Health Nursing - Faculty of Nursing- Ain Shams University |
Assist.Perof. Dr./Heba Mahmoud Mohammed |
10 |
|
General manager of general administration of health institutes affairs |
Dr Mai Galal Ibrahim Al-Assal |
11 |
|
Participants |
||
|
Director Of Curative Nursing Department MOHP |
Dr. Azza Galal Ahmed Khalil |
12 |
|
Member of the Nursing administration, EHA, Luxor Branch |
Mr. Ahmed Mohamed Ahmed Al Noubi
|
13 |
|
Nursing Specialist at the General Administration of Nursing - Ministry of Health |
MS. Angham Hamdy Abdel Khaleq
|
14 |
|
Nursing Specialist at the General Administration of Nursing - Ministry of Health |
Mr. Ahmed Muhammad Hussein Mubariz |
15 |
|
Nursing Specialist at the General Administration of Nursing - Ministry of Health |
Mr. Abdel-Azim Al-Saeed Abdel-Azim Al-Hanafi |
16 |
|
Nursing Specialist at the General Administration of Nursing - Ministry of Health |
Mr. Shawkat Yusre Hussein
|
17 |
|
nursing specialist at the General Administration of Nursing |
Mr. Karim Ahmed Sadik |
18 |
- Treatment Administration Policy
| Policy no. | Managing Patients with Angina | Policy name | ||
| No. of pages |
| Review Date: |
| Issue Date and Number: |
| section | ||||
- Give the treatment orally.
Definition:
These are medications that are given orally (such as tablets and syrup).
Reasons:
Treating the patient's signs and symptoms.
Acting team:
Nursing team.
Tools:
Medications dispensed to the patient.
It is important to follow the ten correct steps before giving the medicine.
1. The right patient
2. The right medication
3. The right dose
4. The right route
5. The right time
6. The right frequency
7. The right documentation
8. The required efficacy
9. The right to refuse
10. The right to learn
Steps:
1. Wash hands.
2. Review the doctor's order for the medication and prepare the treatment, taking into account the timing unless a specific time for administration is provided.
3. Confirm the correct patient by checking the patient's file and identification bracelet (full name and medical number).
4. Explain the procedure to the patient.
5. Maintain patient confidentiality.
6. Ask the patient to sit, if possible, to ensure they can take the medication.
7. In the case of oral medication, give the patient the tablets with a glass of water, ensuring not to touch the tablets with hands.
8. Ensure the patient takes the medication dose at the specified time in the presence of a nursing team member.
9. Inform the doctor if the patient refuses the prescribed medication and document it in the designated form.
10. Secure the patient after administering medications that may alter their consciousness (such as sedatives or antihypertensive drugs, etc.) by raising the sides of the bed or advising the patient not to walk without assistance.
11. Notify the treating doctor if there is any medication error and record it in the medication error reporting form or if any side effects appear, documenting them in the nursing record form.
12. Document the administration of the treatment in the treatment execution form.
- Administering medication via intramuscular, subcutaneous, and intravenous injections
Definition:
These are medications that are given by intramuscular, intravenous and subcutaneous injection (such as vials , ampoules and diabetes treatment "insulin”).
Reasons:
Treating the patient's signs and symptoms
Acting team:
Nursing team
Tools:
Medicines - syringes - cotton - alcohol - solutions - intravenous devices - cannulas of different sizes - medical adhesive - tourniquet .
It is important to follow the ten correct steps before giving the medicine
1. The right patient
2. The right medication
3. The right dose
4. The right route
5. The right time
6. The right frequency
7. The right documentation
8. The required efficacy
9. The right to refuse
10. The right to learn
Steps:
1. Washing hands
2. Verify the patient (full name and medical number)
3. Explain the procedure that will be performed on the patient
4. Maintain patient privacy
Preparing the medication for intramuscular injection:
1. If there is one ampoule, draw the medication using a sterile syringe and expel the air from the syringe.
2. If the medication needs to be diluted, draw the ampoule of water using a sterile syringe, then inject it into the ampoule containing the powder. Shake the vial, then draw the prescribed dose using the syringe and expel the air.
3. Determine the site for the intramuscular injection.
4. Clean the designated injection site with a piece of cotton soaked in 70% alcohol in a circular motion, from the inside to the outside, without going back.
5. Insert the needle of the syringe vertically at the injection site, then pull back the syringe plunger to confirm the correct placement (if blood is drawn, the site is incorrect and should be changed; if nothing is drawn, the site is correct, and the medication can be injected).
Preparing treatment for a patient by intravenous injection:
1. Determine the site for the intravenous injection.
2. Apply a tourniquet to the designated injection site.
3. Palpate the vein with the tip of the index finger.
4. Clean the designated injection site with a piece of cotton soaked in 70% alcohol in a circular motion, from the inside to the outside, without going back.
5. Insert the needle at a slight angle, parallel to the skin surface, at the site where the vein was palpated.
6. Pull back the syringe plunger to confirm the correct placement (blood should flow into the syringe).
7. Release the tourniquet and slowly inject the medication.
8. Apply pressure to the injection site with a piece of cotton soaked in alcohol until the bleeding stops.
9. Place a small piece of gauze at the injection site and secure it with adhesive tape.
10. Dispose of the injection materials in the waste disposal bag.
11. Document the procedure in the treatment description and execution form.
Preparing treatment for a patient by subcutaneous injection:
1. Secure the skin at the injection site, and with a quick piercing motion, insert the needle at a 90-degree angle if the skin is thick, or at a 45-degree angle if the skin is thin.
2. Administer the prescribed medication.
3. Remove the needle and apply pressure to the injection site with a piece of cotton soaked in alcohol.
4. Dispose of all waste materials according to the infection control policy.
5. Document the administration of the medication in the treatment description and execution form.
- Topical Administration
Description: The medication is applied directly to the
skin or mucous membranes, where it is absorbed locally by the body.
Examples:
- Creams and ointments: such as hydrocortisone cream for treating skin inflammations.
- Medical patches: such as nicotine patches to help
smokers quit.
Advantages: Direct local effect, reduced systemic side effects.
Disadvantages: Limited absorption, may cause skin irritation.
- Nasal Administration
Description: The medication is delivered to the body
through the nose, where it can be absorbed through the mucous membranes.
Examples:
- Nasal sprays: such as steroid sprays like Flixonase for treating allergies.
- Ocular Administration
Description: The medication is directly delivered to
the eye using special drops or ointments.
Examples:
- Eye drops: such as timolol drops for treating glaucoma.
- Ointments: such as acyclovir ointment for treating viral eye infections.
- Rectal Administration
Description: The medication is inserted through the
anus, where it is absorbed through the rectal wall.
Examples:
- Suppositories: such as glycerin suppositories for relieving constipation.
- Paracetamol suppositories to relieve fever and pain, especially for children.
- Inhalation
Description: The medication is inhaled directly into
the lungs, where it works locally or enters the bloodstream.
Examples:
- Inhalers: such as salbutamol inhalers for treating asthma.
- Nebulized medications: such as steroid-containing
medications for treating bronchitis.
Advantages: Direct delivery to the target site, rapid effect.
Disadvantages: Requires specific techniques, may not be suitable for some patients.
- Each method of medication administration has its own benefits and specific uses depending on the health condition and type of medication, and it helps improve the effectiveness and safety of the treatment.
- Note: When following these procedures, consider the infection control policies related to medication administration.