Page 170 - Demonstrating skill coppysaved colored-converted
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Inserting the tip of needle                                               Withdrawing medication from an
                       ampoule
                       Figure 16.1: Removing medications from a vial
                       Removing medications from a vial
                            Equipment
                       1. Medication chart
                       2. Sterile syringe (1)
                       3. Sterile needle (1)
                       4. Vial of medication prescribed
                       5. Spirit swabs
                       6. Second needle (optional)
                       7. Kidney Tray (1)
                       8. Steel Tray (1)
                       Procedure
                       1. Gather Equipment
                       2. Perform hand hygiene
                       3. Remove the metal or plastic cap on the vial that protects the rubber stopper.
                       4. Swab the rubber top with the spirit swab.
                       This should be done the first the rubber stopper is entered, and with any subsequent re-
                       entries into the vial.
                       5. Remove the cap from the needle by pulling it straight off.. Drawback an amount of air
                       into the syringe that is equal to the specific dose of medication to be withdrawn.
                       6. Pierce the rubber stopper in the center with the needle tip and inject the measured air
                       into space above the solution. The vial may be positioned upright on a flat surface or
                       inverted.
                       7. Invert the vial and withdraw the needle tip slightly so that it is below the fluid level.
                       8. Draw up the prescribed amount of medication while holding the syringe at eye level
                       and vertically.
                       9. Removal of air:
                       1) If any bubbles accumulate in the syringe, tap the barrel of the syringe sharply and
                       move the needle past the fluid into the air space to re-inject the air bubble into the vial.
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