Researching and preparing the medication and equipment (1st check)

Question 1

Research the medication on AUSDI

Answer 1

Before we start, I’ll just research the medication on AUSDI, checking the following:
- Drug name
- Indication
- Dose (must match the dose prescribed by the doctor)
- Method
- Contraindications
- Precautions
- Adverse effects

Question 2

Research the medication on the Injectable Handbook

Answer 2

I’ll also refer to the Injectable Handbook, verifying:
- Drug name
- Dose
- Preparation (pre-prepared or not)
- Administration method
- Special notes

Question 3

After researching the medication..

Answer 3

• Let the patient know about potential adverse effects, such as nausea and drowsiness.
• “I’ll inform the patient about the adverse effects in a moment.”
• Ask the patient: “Are you still okay with us administering this medication?”

Question 4

Gathering the equipment

Answer 4

• Perform hand hygiene
• State that you have clean the kidney dish and the trolley prior to starting.
• Gather all the equipment (it should already be provided to you during the cse)

Question 5

1st check of the medication

Answer 5

Check the expiry date on:
- 3ml syringe
- Alcohol swab
- Drawing-up needles
- 25mm blue needle
- Label and wipes
- Ampoule
This is where I will conduct the first medication check:
- Drug name
- Dose
- Expiry date

Question 6

Drug Calculation on Syringe Label

Answer 6

• Hand hygiene
• Include the following:
• Route
• Patient ID and date of birth
• Medication
• Amount (units) / Volume (mL) = Concentration (units/mL)
• Don’t sign the label as this will be done after the 2nd medication check

Question 7

Right calculation for the label

Answer 7

Front - Ondansetron 4mg/2ml (2mg/ml)
Back - 4mg/4mg X 2ml = 2ml