Studydroid is shutting down on January 1st, 2019



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What is the first step in administration of SQ injections?
Checking the physicians order for accuracy.
  • Date
  • Pt name
  • Drug name/dosage
  • time for administration
  • route of administration
What is the second step in administration of SQ injections?
Check if the pt has allergies
What is the third step in administration of SQ injections?
  • ID pt outcomes
  • know actions
  • special nursing considerations
  • safe dose ranges
  • purpose of administration
  • adverse effects of meds
  • ID what teaching you might need to provide to the pt
What is the fourth step in administration of SQ injections?
Assemble equipment
  • MAR
  • Proper sized syringe and needle (25ga-30ga, 3/8" to 1" needle)
  • Medication cart/meds
  • alcohol swabs
  • 2x2s
  • gloves
What is the fifth step in administration of SQ injections?
  • prepare meds for one pt at a time
  • State 6 rights (pt, dose/preperation, med, route,  reason, time, documentation)
  • check MAR and select correct meds (first check)
  • check expiration date
  • repeat check for additional meds
What is the sixth step in administration of SQ injections?
  • compare MAR to label on vial, ampule, or prefilled syringe verifying correct med (second check)
  • check expiration date
  • verbalize that you will calculate the correct amount of the drug to be given
What is the seventh step in administration of SQ injections?
Prepare meds in syringe using proper technique
  • alcohol swab rubber stopper of vial
  • inject air into vial in quantity of desired volume to be drawn into syringe
  • withdraw correct dose
  • recap syringe using swoop method for t/p into pt's room
What is the eighth step in administration of SQ injections?
Check the label of the vial, ampule, or prefilled syringe, comparing to MAR before disposing or returning to shelf
What is the ninth step in administration of SQ injections?
Enter the pt's room
  • perform hand hygeine
  • ID self
  • IF pt using two forms of ID (name, birth date, medical record number) while comparing MAR to pt wrist band
  • check allergies
  • assure privacy
  • explain what is about to occur and what meds are being administered
  • allow for pt questions
  • raise bed to comfortable working height
  • perform any necessary assessments
  • don gloves
What is the tenth step in administration of SQ injections?
Prepare site for injection
  • choose SQ injection site (verbalize sites: outer aspect of upper arm, the abd, anterior thigh, upper back, upper ventral or dorsalgluteal area)
  • clease site with alcohol swap in circular motion from center of site outward
  • pinch cleansed skin with non-dominant hand
What is the eleventh step in administration of SQ injections?
Administer injection
  • inject needle quickly and firmly at 45-90 degree angle
  • release skin
  • do not aspirate
  • with dominant hand inject med slowly but smoothly
  • withdraw needle quickly while placing 2x2 gauze gently over site
  • engage safety device if available
  • never recap a used needle
  • place needle in properly labeled container
what is the twelfth step in administration of SQ injections?
Prior to leaving toom
  • dispose of gloves and used alcohol swab
  • position pt comfortably
  • lower bed
  • raise appropriate rails
  • leave call light and belongings in reach
  • perform hand hygeine
What is the last step in administration of SQ injections?
correctly record med on MAR
  • any pertinent data collected
  • med given and dose
  • time and route
  • injection site
  • signature and initials
verbalize need to follow up on therapeutic effects of medication (pain, bp, heart reat, fluid status, blood sugar, etc,) in a timely manner
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