Page 169 - Demonstrating skill coppysaved colored-converted

Procedure
1. Gather Equipment.
2. Perform hand hygiene
3. Tap the stem of the ampoule or twist your wrist quickly while holding the ampoule
vertically.
4. Wipe the neck around of the ampoule by spirit swab
5. After drying spirit, put and round an ampoule cutter to the neck of the ampoule
roundly.
6. Put spirit swab to the neck of the ampoule. Use a snapping motion to break off the top
of the ampoule along the pre-scored line at its neck.
7. Always break away from your body.
 Remove the cap from the needle by pulling it straight off.
 Hold the ampoule by your non-dominant hand (usually left hand) and insert the needle
into the ampoule, being careful not to touch the rim.
8. Withdraw medication in the amount ordered plus a small amount more (- 30 %).
 Do not inject air into solutions.
 Insert the tip of the needle into the ampoule.
 Withdraw fluid into the syringe
9. Touch the plunger at the knob only.
 Do not expel any air bubbles that may form in the solution.
 Wait until the needle has been withdrawn to tap the syringe and expel the air carefully.
 Check the amount of medication in the syringe and discard any surplus.
10. Discard the ampoule in a kidney tray or a suitable container after comparing it with
the medication chart.
 If not all of the medication has been removed from the ampoule; it must be discarded
11. Recap to the syringe by the sterilized method and keep the syringe in a safe and clean
tray
 The used needle might be touched with the inside of the ampoule so the lumen might
become dull. If you give IM, the needle should be changed to a new one to insert
smoothly into the muscle.
12. Perform hand hygiene.

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