Table of Contents
REQUIREMENTS #
- A tray containing the following:
- Medication
- Prefilled medication syringe (if available)
- Two or three syringes (1ml)
- Needles (26-28 gauge)
- Cotton wool swabs in gallipot
- Antimicrobial solution
- Treatment chat
- Sharps container
STEPS #
- Check for the right patient, right medication, right time, right dose against doctor’s order and treatment chart (manual or electronic) as well as the expiry date
- Establish rapport (Refer to steps)
- Explain procedure and reassure patient
- Ensure patient’s right to know/consent and to refuse medication
- Perform hand hygiene
- Choose the correct needle size
- Prepare and sent tray to the bed side
- Check patient details and medication dosage against the treatment chart (manual or electronic)
- Assemble syringe and needle using sterile technique
- Draw medication with a syringe and avoid creating air bubbles
- If it is a prefilled syringe with medication remove the cover of the syringe
- Expose the chosen site
- Clean the chosen site with a swab dipped in antimicrobial solution
- Pull the skin towards your hand
- Insert the needle just below the skin at an angle of 10-15°
- Inject medication slowly and steadily while observing for bleb formation
- Remove the needle and discard into a sharps container
- If blood is present dab the area with a dry swab (avoid rubbing the area)
- Draw a circle with marker around the bleb
- Observe the area for localize inflammations
- Reposition patient
- Instruct patient not to rub or apply any pressure to the area
- Document procedure on nurses’ notes and chart on the treatment chart (manual or electronic)
- Dispose off used items and decontaminate tray
- Perform hand hygiene
- Check on patient after five (5) and fifteen (15) minutes for reactions
- Report to appropriate officer