UNIT 2 - Injection site sign off

Question 1

6 Medication Rights

Answer 1

1. drug
2. dose
3. time
4. route
5. patient
6. documentation

Question 2

3 places to check meds

Answer 2

1. MAR while removed from drawer
2. MAR while removing from package
3. MAR in front of pt

Question 3

IM Ventrogluteal

SYRINGE TYPE:
NEEDLE LENGTH:
NEEDLE GAUGE:
ANGLE:
ML:

Answer 3

SYRINGE TYPE: 3mL
NEEDLE LENGTH: 1-3inch
NEEDLE GAUGE: 20-25
ANGLE: 90 deg
ML: up to 3mL

Question 4

Ventrogluteal Muscle Landmark

Answer 4

Heel of hand is placed over greater trochanter, thumb pointing torwards pelvic area. index and middle fingers spread to form a V shape as far apart on illiac crest as possible. inject between V

Question 5

IM Deltoid muscle

SYRINGE TYPE:
NEEDLE LENGTH:
NEEDLE GAUGE:
ANGLE:
ML:

Answer 5

SYRINGE TYPE: 3mL
NEEDLE LENGTH: 1-3inch
NEEDLE GAUGE: 20-25
ANGLE: 90 deg
ML: MAX 2mL!

Question 6

IM Deltoid landmark

Answer 6

2 fingers below acromial process (top of shoulder). Inject between acromial process and axilla

Question 7

IM Vastus Lateralis

SYRINGE TYPE:
NEEDLE LENGTH:
NEEDLE GAUGE:
ANGLE:
ML:

Answer 7

SYRINGE TYPE: 3mL
NEEDLE LENGTH: 1-3inch
NEEDLE GAUGE: 20-25
ANGLE: 90 deg
ML: Max 3mL

Question 8

IM Vastus Lateralis landmark

Answer 8

Place one hand below greater trochanter of femur. Point of injection is the center third of lateral thigh at center side of leg.

Question 9

Z-Track Method

Answer 9

Inject med slowly delivering 1mL over 10 sec. Hold needle in place or 10 sec after med is administered

Question 10

Sub-Q injections

SYRINGE TYPE:
NEEDLE LENGTH:
NEEDLE GAUGE:
ANGLE:

Answer 10

SYRINGE TYPE: 1-3mL
NEEDLE LENGTH: 3/8-5/8
NEEDLE GAUGE: 25-31
ANGLE: 90 deg
ML: 1mL MAX

Question 11

Sub-Q injection sites

Answer 11

1. abdomen
2. upper arm/thigh
3. scapular areas
4. upper ventrodorsal gluteal area

Question 12

Intradermal injections (ID)

SYRINGE TYPE:
NEEDLE LENGTH:
NEEDLE GAUGE:
ANGLE:
ML:

Answer 12

SYRINGE TYPE: 1mL tuberculin
NEEDLE LENGTH: 1/4-5/8
NEEDLE GAUGE: 25-27
ANGLE: 15 deg
ML: 0.01-0.1mL

Question 13

Intradermal injection sites

Answer 13

1. inner forearm
2. upper arm
3. across the scapula