Parenteral Medication Script
Parenteral Medication Script
Parenteral Medication Script
First is to check the doctor’s order on the patient's chart, compare the medicine
ticket against it and arrange the ticket on a hypodermic tray. Since the chart of
the patient is more reliable than the medication ticket.
Next is to perform hand hygiene and assemble all equipment. This is to deter the
spread of microorganisms and organize work.
Next is to read the label of the vial and compare it with the medicine ticket
before opening. To ensure correctness of the medicine.
Next, remove the metal cap and clean the rubber cap with a cotton ball with
alcohol. Exposes the rubber part to gain entrance into the vial and antiseptic cleans
the cap to reduce the number of bacteria.
Now, insert the needle into the rubber cap and inject the air keeping the bevel
of needle above the surface of the medication. The air will allow the medication to
be drawn out easily. Bevel is kept up with medication to avoid creating bubbles.
Then, invert the vial & hold it @ eye level, and then withdraw the needed
amount into the syringe.
Next, Withdraw the syringe & needle and place down the vial. Tap the syringe
barrel to dislodge any air bubbles present.
Next, Change the aspirating needle with the correct needle for injection
according to route. To prevent entrance of needles to the inappropriate tissue or
site.
Then lastly, cover the needle with its cap and Place the syringe over the
medicine ticket on a tray & have it checked by your C.I to ensure the correctness
of the prepared medications.
PARENTERAL MEDICATION
Step 1. The first thing to do is to check the doctor’s order on the patient’s
chart. The chart of the patient is more reliable than the medication ticket.
Step 2. Next, prior to performing the procedure, introduce self and verify the client's
identity. Explains the procedure to the client. Encourages client’s cooperation and reduces
apprehension.
Good morning, Sir I’m ___ your student nurse for today. May I see your wrist bond, Sir and
please state your complete name and when is your birthday. So for today Sir, I’ll be performing
a tuberculin injection to check if you’re allergic or not. Will that be okay, Sir?
Step 4. Now, Arrange the medication card on a hypodermic tray with the
corresponding drug. Organization and planning results in an economy of time and effort
and minimize confusion.
Step 5. Now, Choose an injection site free of lesions and discoloration. Select the site
three to four finger-widths below the antecubital space and one hand above the wrist.
The forearm is a convenient & easy location for introducing an agent intradermally.
Step 6. Next, position the patient’s arm so that his elbow and forearm are supported
in a flat surface. This is to ensure that our client is comfortable and we will be able to
administer the medication properly.
Use an antiseptic swab to clean the site beginning at the center in circular motion
outward about 2 inches or 5 centimeters. Pathogens on the skin can be forced into the
tissues by the needle.
Step 8. Now, remove the cap and hold the syringe between the thumb and forefinger
of your dominant hand with the bevel of the needle pointing up.
Step 9. Then, stretch the skin taunt at the injection site by pulling gently with the
thumb and forefinger at your non-dominant hand. Taunt skin provides an easy entrance
into intradermal tissue.
Step 10. Then, Pull the needle very close to the patient’s skin . Insert it slowly at 5 to 15
degree angle until you feel the resistance , advance the needle up to the epidermis
about 3mm. Pulling it straight off, prevents needle prick injury.
Step 11. And,Slowly inject the medication and feel the resistance, until you see a bleb
that resembles a mosquito bite will appear on the patient's skin. If a small wheal
appears, all solutions are intradermal.
Step 12. Then withdraw the needle at same angle that it was inserted and pat dry
cotton ball. Do not massage the area. Minimizes tissue damage & discomfort for the
patient.
Step 13. Encircle the wheal with a blue or black pen and instruct the client not to rub
the wheel or erase the mark. Red pen may influence the reading. Massaging the area may
interfere with test results by spreading meds to subcutaneous tissue.
Step 14. Now we will assist patent to a comfortable position. Indicate the site of the
medicine and due time for reading which will serve as a reminder to the nurse on the
procedure done. Nurse consider the well being of the patient. Writing those data at the
back of the ticket will serve a reminder for the nurse on the procedure done.
Step 15. Don’t recap the used needle. Discard needle and syringe to appropriate
receptacle. To prevent needle prick-injury.
Wash hands and document the procedure. Interpret the result after 30 minutes.
Documentation prevents medication error.
Step 2. Discuss with the patient the purpose of each medication, its action and
possible adverse effect. Explaining the procedure to the client can reduce client’s
anxiety and enhance cooperation.
Okay, so the purpose of insulin is to control the blood sugar of the client since she
has type 1 diabetes. The main actions that insulin has are to allow glucose to enter
cells to be used as energy and to maintain the amount of glucose found in the
bloodstream within normal levels. Hypoglycemia may occur and is the most common
side effect of insulin treatment.
Step 3. Then, determine which site you’ll use and Inspect the area for bruising,
inflammation and edema. The site where a skin appears to be healthy and free from irritation
and inflammation reduces the discomfort of injection.
So, I’ll be injecting in your abdomen, Ma’am since this area are free of bruising, infkannation
and edema.
Step 4, Now, palpate the site and avoid any area that is tender. To make sure you have
the right size needle, use your thumb and forefinger to grasp the skin fold of tissue at
the injection site. Measure the fold from top to bottom and check to ensure that the
needle is about half as long.
Step 5. Then, Place the patient in a comfortable position.This is to ensure that our
client is comfortable and we will be able to administer the medication properly.
Now, Clean the site with an antiseptic swab in a circular motion starting from the
center to outward. Friction aides in cleaning the skin. A clean area is contaminated when
a soiled object is rubbed over its surface.
Step 7. Remove the needle cap by pulling it straight off. Hold the syringe between the
thumb and forefinger of your dominant hand as you're holding a dart.
Step 8. Insert the needle quickly and firmly at 45 to 90 degree angle. Release the pinch
skin, rest your non dominant hand on the patient. Pain is minimized by inserting the
needle without hesitation. Subcutaneous Tissue is abundant in a well-nourished, hydrated
person and scarce emaciated dehydrated one.
Step 9. Move your dominant hand at the end of the plunger and slowly inject
the medication over several seconds. Retain your grasp of the syringe to
keep it still. Rapid injection may cause discomfort.
Step 10. Quickly withdraw the needle, place a swab or gauze pad on the site and
apply gentle pressure but don’t massage. Depressing skin places countertraction &
minimizes pt.’s discomfort when the needle is withdrawn.
Step 11. Place patient in a comfortable position and document the procedure.
Record the time and amount of the drugs on medication sheet.
To protect the nurse & others from injury & contamination.
So, I’ll be injecting the Vastus lateralis deltoid muscle of the client.
Step 3. Examine the integrity and amount of the patient's muscle mass, palpate the
muscle area of tenderness are not suitable for injection sites. The site where a skin
appears to be healthy and free from irritation and inflammation reduces the discomfort of
injection.
Step 4. Inspect the area for bruising, inflammation and edema, if the skin
shows bruises or inflammation use another site.
Areas with bruises should not be a site for injecting the medication.
Step 5. Help the patient find the comfortable position that will accommodate the
injection site you’ve chosen. Expose only the portion of the body.
This is to ensure that our client is comfortable and we will be able to administer the
medication properly.
Step 6. Apply clean gloves and use anatomical landmarks to find the site again.
Step 7. Disinfect the injection site in a circular pattern from inner to outer for about 2
inches. To prevent entry of microorganisms into the tissue.
Step 8. Hold the gauze pad between the third and fourth fingers of your non-dominant
hand..
Step 9. Remove the needle cap by pulling it straight off. Hold the syringe with the
thumb and forefinger of your dominant hand as you are holding a dart.
To obtain all the medication while keeping the needle sterile.
Step 10. Place your ulnar side of your non-dominant hand just below the injection site
and pull the patient’s skin laterally about 1 to1½inches . Hold the position until you
insert the needle.
Taunt skin provides an easy entrance into intramuscular tissue.
Step 11. Aspirate the syringe by pulling back the plunger with your dominant hand. If
blood appears you’re not in the muscle. Remove And Discard the needle and syringe
and start over. If no blood appears, proceed. To determine if you have hit a blood vessel. If
blood is present, withdraw the needle and restart with a new needle.
Step 12. Inject the medication slowly at the rate of 1 ml at 10 seconds, wait 10
seconds and smoothly withdraw the needle. Rapid injection may cause discomfort.
Step 13. Release the skin and place a gauze pad on the site. Apply Gentle pressure
but don’t massage the area. Depressing skin places countertraction & minimizes pt.’s
discomfort when the needle is withdrawn.
Step 14. Place the patient in a comfortable position and document the procedure.
To protect the nurse & others from injury & contamination.