Treatment Administration

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.