Monday, May 27, 2024

ADMINISTRATION OF INTRAVENOUS MEDICATION (AMPOULE/VIAL RECONSTITUTION)

Table of Contents

REQUIREMENTS #

A trolley containing the following:

  1. Top Shelf
    • A sterile field with two sterile gallipot with a lid
  2. Bottom Shelf
    • Cannula (Different sizes)
    • Tourniquet
    • Medication (Infusion bag/bottle, ampoule or vial)
    • Syringe and needle
    • Sterile glove
    • Sterile cotton in a pack
    • Antimicrobial solution (Methylated spirit)
    • Sterile water
    • Receiver for used items
    • Sharps container
    • Adhesive strips/tape
    • Mackintosh and dressing towel
    • Timer

STEPS #

  1. 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
  2. Check medication label and method of reconstitution as per manufacturer’s instructions
  3. Establish rapport (Refer to steps)
  4. Explain procedure to patient and ensure patient’s right to know/consent and to refuse
  5. Perform hand hygiene
  6. Prepare and sent trolley to the bed side
  7. Ensure a cannula is in situ
  8. Read the label on the ampoule/vial and compare with patient’s treatment chart (manual or electronic) for the dosage
  9. Reconstitute as per manufacturers instruction where necessary/prescribers order
  10. Examine reconstituted medication for cloudiness and sediments
  11. Draw medication with syringe, expel air from the barrel and place the syringe into a receiver
  12. Protect bed linen with a mackintosh and dressing towel
  13. Put patient in a desirable position
  14. Perform hand hygiene
  15. Wear sterile glove
  16. Clean entry port of cannula with antimicrobial solution and cotton wool swab
  17. Fix syringe with the medication into the entry port of cannula
  18. Pull gently on the plunger to check for blood return
  19. Push medication slowly using the push-stop-push-stop technique till administration is completed
  20. Observe patient throughout the administration for any reaction and swelling
  21. Continue observing patient five (5) to ten (10) minutes later after injecting medication
  22. Reposition patient appropriately in bed
  23. Encourage patient to report any adverse reaction
  24. Remove mackintosh and dressing towel
  25. Document procedure on nurses’ notes and chart on the treatment chart (manual or electronic)
  26. Dispose off used items and decontaminate trolley
  27. Perform hand hygiene
  28. Check on patient after thirty (30) minutes for therapeutic effect