Week 11- Sharp Safety & Med draws Flashcards
5 rights of safe drug adminstraion
THE RIGHT DRUG
THE RIGHT PATIENT
THE RIGHT DOSE
THE RIGHT ROUTE
THE RIGHT TIME
Every ambulance will have 3 TYPES of syringes….
1ml / cc (cubic cm)
3ml
10ml
Additional syringes ARE how many ml….
60ml
- used for spraglottic air
Parts of the syringe:
Tip
Barrel
Scale of measurement
Ring of Piston
Plunger Piston
Collar
How to correctly document?
0.3ml of epinephrine
0._____ !!!!
always put ZERO before decimal
Always measure from the….
TOP of the ring of the plunger! (black part)
What is a sharp?
A needle
Glass from an ampoule
Razors
Scissors
Anything that can pierce your skin
EMS needle stick injuries
paramedic accidentally sticks needle in themselves
Dirty needle is ________
after it’s gone into a pt
Non conventional sharps are:
Bone fragements, teeth, IV tubing (perices the bag), IV cannula
When do these needle stick injuries occur?
- during injection
- after disposal
How to protect yourself: (5)
PPE- wear gloves, eye googles
Attend training and know safety policies around sharps
Use equipment properly
Ensure personal health, such as immunization
Post exposure management knowledge- know how to report injury and seek out treatment!
Report injuries or exposure……
IMMEDIATELY!
Do we recap our needles??
NO!! Increased injury risk 100%
If needed, SCOOP.
Bigger the number….
Smaller the needle!
Treatment plan:
BLEED IT
WASH IT
COVER IT
REPORT IT
MOH standards (4 diff types of needles)
Needle sizes:
22 gauge / 1.5”
25 gauge - 1”
25 gauge - 5/8th”
Blunt tip:
18 gauge
What size needle do we pick?
Route being selected:
IM- 90 degree angle
LONGER NEEDLE
SC- subcutaneous level of the skin
Needle safety features:
Bevel up
safety cover upon withdrawing from skin
How to discard
Throw in sharps container after engaging the safety cover
How to attach a needle to a syringe:
Luer lok tip- secure screw type connection
Slip tip- slide or push on connection
Routes of administration (3)
parental route
enteral route:
buccal route, oral route, sublingual route, rectal route, inhalation
other routes:
topical route, intranasal route, inhalation, transdermal
Parenteral route:
Injectable meds
avoids GI tract and gut
Problem- you cannot take it back!
IV
IM
SC or SQ
Enteral route:
Oral meds adminstered via GI tract
Via the mouth, easy
Obsorbed by GI tract
- oral/buccal/sublingual /rectal/inhalation
