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Removing Medication From An Ampule

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91 views

Removing Medication From An Ampule

this is a pdf

Uploaded by

Michael Bon Margaja
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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1

Skill Checklists for Taylor's Clinical Nursing Skills.


A Nursing Process Approach, 5th edition
Name Date

Unit Position

Instructor/Evaluator: Position

SKILL 5-3
Removing Medication From an Ampule
Needs Practice
Satisfactory
Excellent

Goal: The medication is removed in a sterile manner; the


medication is free from glass shards and contamination; and the
proper dose is prepared. Comments

1. Gather equipment. Check the medication order against the


original order in the medical record, according to facility
policy. Clarify any inconsistencies. Check the patient’s
health record for allergies.
2. Know the actions, special nursing considerations, safe dose
ranges, purpose of administration, and adverse effects of
the medications to be administered. Consider the
appropriateness of the medication for this patient.
3. Perform hand hygiene.
4. Move the medication supply system to the outside of the
patient’s room or prepare for administration at the
medication supply system in the medication area.
Alternatively, access the medication administration supply
system at or inside the patient’s room.
5. Unlock the medication supply system or drawer. Enter pass
code and scan employee identifcation, if required.
6. Prepare medications for one patient at a time.
7. Read the eMAR/MAR and select the proper medication from
the medication supply system or the patient’s medication
drawer.
8. Compare the label with the eMAR/MAR. Check
expiration dates and perform calculations, if necessary.
Scan the bar code on the package, if required.
9. Tap the stem of the ampule or twist your wrist quickly
while holding the ampule vertically.
10. Using the antimicrobial swab, scrub the neck of the
ampule (Dolan et al, 2016). Wrap a small sterile gauze pad
around the neck of the ampule.
11. Breaking away from your body, use a snapping motion to
break off the top of the ampule along the scored line at its
neck. Always break away from your body.
12. Attach flter needle to syringe. Remove the cap from the
flter needle by pulling it straight off.

Copyright © 2019 Wolters Kluwer.


2

SKILL 5-3
Removing Medication From an Ampule (Continued)
Needs Practice
Satisfactory
Excellent

Comments

13. Withdraw medication in the amount ordered plus a small


amount more (approximately 30% more). Do not inject
air into the solution. While inserting the flter needle into
the ampule, be careful not to touch the rim. Use either of
the following methods to withdraw the medication:
a. Insert the tip of the needle into the ampule, which is
upright on a fat surface, and withdraw fuid into the
syringe. Touch the plunger only at the knob.
b. Insert the tip of the needle into the ampule and invert
the ampule. Keep the needle centered and not touching
the sides of the ampule. Withdraw fuid into syringe.
Touch the plunger only at the knob.
14. Wait until the needle has been withdrawn to tap the syringe
and expel the air carefully by pushing on the plunger. Check
the amount of medication in the syringe with the
medication dose and discard any surplus, according to
facility policy.
15. Depending on facility policy, the third check of the label
may occur at this point. If so, when all medications for
one patient have been prepared, recheck the labels with
the eMAR/MAR before taking the medications to the
patient. However, many facilities require the third check
to occur at the bedside, after identifying the patient.
16. Engage safety guard on flter needle and remove the
needle. Discard the flter needle in a suitable container.
Attach appropriate administration device to syringe.
17. Discard the ampule in a suitable container.
18. Lock the medication supply system before leaving it.
19. Perform hand hygiene.
20. Proceed with administration, based on prescribed route.

Copyright © 2019 Wolters Kluwer.

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