Week 11- Sharp Safety & Med draws

Question 1

5 rights of safe drug adminstraion

Answer 1

THE RIGHT DRUG
THE RIGHT PATIENT
THE RIGHT DOSE
THE RIGHT ROUTE
THE RIGHT TIME

Question 2

Every ambulance will have 3 TYPES of syringes….

Answer 2

1ml / cc (cubic cm)
3ml
10ml

Question 3

Additional syringes ARE how many ml….

Answer 3

60ml
- used for spraglottic air

Question 4

Parts of the syringe:

Answer 4

Tip
Barrel
Scale of measurement
Ring of Piston
Plunger Piston
Collar

Question 5

How to correctly document?

Answer 5

0.3ml of epinephrine

0._____ !!!!
always put ZERO before decimal

Question 6

Always measure from the….

Answer 6

TOP of the ring of the plunger! (black part)

Question 7

What is a sharp?

Answer 7

A needle
Glass from an ampoule
Razors
Scissors
Anything that can pierce your skin

Question 8

EMS needle stick injuries

Answer 8

paramedic accidentally sticks needle in themselves

Question 9

Dirty needle is ________

Answer 9

after it’s gone into a pt

Question 10

Non conventional sharps are:

Answer 10

Bone fragements, teeth, IV tubing (perices the bag), IV cannula

Question 11

When do these needle stick injuries occur?

Answer 11

• during injection
• after disposal

Question 12

How to protect yourself: (5)

Answer 12

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!

Question 13

Report injuries or exposure……

Answer 13

IMMEDIATELY!

Question 14

Do we recap our needles??

Answer 14

NO!! Increased injury risk 100%

If needed, SCOOP.

Question 15

Bigger the number….

Answer 15

Smaller the needle!

Question 16

Treatment plan:

Answer 16

BLEED IT
WASH IT
COVER IT
REPORT IT

Question 17

MOH standards (4 diff types of needles)

Answer 17

Needle sizes:
22 gauge / 1.5”
25 gauge - 1”
25 gauge - 5/8th”
Blunt tip:
18 gauge

Question 18

What size needle do we pick?

Answer 18

Route being selected:

IM- 90 degree angle
LONGER NEEDLE

SC- subcutaneous level of the skin

Question 19

Needle safety features:

Answer 19

Bevel up
safety cover upon withdrawing from skin

Question 20

How to discard

Answer 20

Throw in sharps container after engaging the safety cover

Question 21

How to attach a needle to a syringe:

Answer 21

Luer lok tip- secure screw type connection
Slip tip- slide or push on connection

Question 22

Routes of administration (3)

Answer 22

parental route

enteral route:
buccal route, oral route, sublingual route, rectal route, inhalation

other routes:
topical route, intranasal route, inhalation, transdermal

Question 23

Parenteral route:

Answer 23

Injectable meds
avoids GI tract and gut
Problem- you cannot take it back!
IV
IM
SC or SQ

Question 24

Enteral route:

Answer 24

Oral meds adminstered via GI tract
Via the mouth, easy
Obsorbed by GI tract
- oral/buccal/sublingual /rectal/inhalation

Question 25

Other routes:

Answer 25

Topical
Intranasal
Inhalation
Transdermal

Question 26

Meds are carried in: (2)

Answer 26

Ampoules or vials

Question 27

Vials:

Answer 27

Can be Multi- use
flat top
various sizes
sealed not re opening

Question 28

Ampoules:

Answer 28

cannot be reused

Question 29

Preloaded syringes for IV are used by:

Answer 29

ACP’s with exact dosage

Question 30

The RIGHT drug….

Answer 30

Ask yourself:
- what is your working diagnosis?
- which medical directive will you initiate?
- does the pt meet directive?

Question 31

The RIGHT patient…

Answer 31

Ask yourself:
- is this pt meet indications for the drug?
- is the drug contraindicated for this pt? (allergies, vital signs)

Question 32

The RIGHT dose…

Answer 32

• medical directive states?
• proper working dx?
• how to give it?

Question 33

The RIGHT route…

Answer 33

• SUBQ
• IM

Question 34

The RIGHT time…

Answer 34

Usually “right now!!”

Dosing intervals (nitro, Ventolin, narcan)

Question 35

Confirm 5 rights with _______

Answer 35

YOUR PARTNER!!!