Med Check Off

Question 1

1.

Answer 1

2 patient identifiers and check for allergy

Question 2

2.

Answer 2

Check the order and gather materials needed

Question 3

3.

Answer 3

Select appropriate site
Note skin integrity (intact?), muscle size
Avoid bruised, inflamed, and edematous areas
Palpate
Avoid tenderness/mass

Question 4

4.

Answer 4

Help patient to comfortable position.

Drape if needed when exposing injection site

Question 5

5.

Answer 5

Appropriate physical assessment

Labs
Contraindications
Turgor for Furosemide

Question 6

6.

Answer 6

Inform the patient of the action of each med receiving (keep short and sweet), and side effects (2-3)

Question 7

7.

Answer 7

Explain the procedure to PT/family. Assess prior knowledge

Any questions? Ok let’s get started.

Question 8

8.

Answer 8

Hand hygiene

Question 9

9.

Answer 9

Compare MAR to order (1st check)

Question 10

10.

Answer 10

Pull meds and compare them to the MAR.

Scan PT bracelet and then scan meds (2nd check)

Question 11

11.

Answer 11

Draw up meds and compare syringe dose to MAR at bedside (3rd check)

Review all 5 safety rights

Question 12

12.

Answer 12

Perform hand hygiene

Question 13

13.

Answer 13

Clean the site with an antiseptic swab (center and circle ~2” outward)

Question 14

14.

Answer 14

Choose needle. Remove cap

Question 15

15.

Answer 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

Question 16

16.

Answer 16

Discard needle & syringe into sharps container

Question 17

17.

Answer 17

Remove gloves

Hand hygiene

Question 18

18.

Answer 18

Reassessment

Did the med work? How are you feeling (look for allergic reaction)?

Question 19

19.

Answer 19

DOCUMENT IN EHR!!

Med, route, site, dose, time, patient education, patient response, side effects, & observed assessment

Question 20

Furosemide incompatibilities:

Administer through different site or clarify with clinical pharmacist

Answer 20

Amiodarone
Azithromycin
Dopamine 
Fluconazole
Metoclopramide 
Midazolam
Morphine 
Ondansetron 
Vasopressin 
Vecuronium