Med Check Off Flashcards
1.
2 patient identifiers and check for allergy
2.
Check the order and gather materials needed
3.
Select appropriate site
Note skin integrity (intact?), muscle size
Avoid bruised, inflamed, and edematous areas
Palpate
Avoid tenderness/mass
4.
Help patient to comfortable position.
Drape if needed when exposing injection site
5.
Appropriate physical assessment
Labs
Contraindications
Turgor for Furosemide
6.
Inform the patient of the action of each med receiving (keep short and sweet), and side effects (2-3)
7.
Explain the procedure to PT/family. Assess prior knowledge
Any questions? Ok let’s get started.
8.
Hand hygiene
9.
Compare MAR to order (1st check)
10.
Pull meds and compare them to the MAR.
Scan PT bracelet and then scan meds (2nd check)
11.
Draw up meds and compare syringe dose to MAR at bedside (3rd check)
Review all 5 safety rights
12.
Perform hand hygiene
13.
Clean the site with an antiseptic swab (center and circle ~2” outward)
14.
Choose needle. Remove cap
15.
Administer med!
SQ-5/8”needle; pinch an inch; stomach, inner thigh, and back of arm
IM-1-1.5”needle; z-track; deltoid, ventrogluteal muscle of the hip, or vastus lateralis muscle of the thigh
ID- 5/8”needle; pull skin aside; inner forearm at 5-15 degree angle
IV push- flush, push, flush
16.
Discard needle & syringe into sharps container
17.
Remove gloves
Hand hygiene
18.
Reassessment
Did the med work? How are you feeling (look for allergic reaction)?
19.
DOCUMENT IN EHR!!
Med, route, site, dose, time, patient education, patient response, side effects, & observed assessment
Furosemide incompatibilities:
Administer through different site or clarify with clinical pharmacist
Amiodarone Azithromycin Dopamine Fluconazole Metoclopramide Midazolam Morphine Ondansetron Vasopressin Vecuronium
