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Vial Checklist

The document provides a performance checklist for preparing parenteral medication from a vial containing solution or powder. It lists the proper steps to safely prepare the medication including wiping the vial, drawing up air, injecting the air into the vial, withdrawing the correct dose, and ensuring there are no air bubbles before administering the medication.

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22 views

Vial Checklist

The document provides a performance checklist for preparing parenteral medication from a vial containing solution or powder. It lists the proper steps to safely prepare the medication including wiping the vial, drawing up air, injecting the air into the vial, withdrawing the correct dose, and ensuring there are no air bubbles before administering the medication.

Uploaded by

4rrzbdpg8b
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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MISAMIS UNIVERSITY

Ozamiz City 7200, Philippines


Tel No. +63 88 521-0367 / Telefax No. +63 88
521-2917
CERTIFIED: ISO 9001:2015 Risk Management – Det Norske Veritas, The
Netherlands ACCREDITED:
E-mail Philippine
Address:Association of Colleges and Universities
[email protected]
Commission On Accreditation (PACUCOA)

PERFORMANCE CHECKLIST ON PARENTERAL MEDICATION PREPARATION


(VIAL WITH SOLUTION AND POWDER)

Name: Date: Course &Yea

Purpose:
1. To safely prepare and withdraw the prescribed drug dose from a vial in a sterilemanner.

Materials:
• Medication Tray
• Chart/MedicationRecord
• MedicationTicket
• Small gauze pad or unopened alcoholswab
• Dry CottonBalls
• Syringe with needle
• Filter needle
• Medication inAmpule/Vial
• Clean Gloves

SCORE
Performance Able to Perform Able to Unable to
completely Perform with Perform
Supervision
(2) (1) (0)
Vial Containing Solution
1. Remove the cap covering of the unused vial to
expose the sterile rubber seal.
2. Firmly and briskly wipe the surface of the rubber
seal with an alcohol swab and allow it to dry.
3. Pick up syringe and remove needle cap or cap
covering. Pull back on the plunger to draw the
amount of air into the syringe equal to the volume
of medication to be aspirated from the vial.
MISAMIS UNIVERSITY
Ozamiz City 7200, Philippines
Tel No. +63 88 521-0367 / Telefax No. +63 88
521-2917
CERTIFIED: ISO 9001:2015 Risk Management – Det Norske Veritas, The
Netherlands ACCREDITED:
E-mail Philippine
Address:Association of Colleges and Universities
[email protected]
Commission On Accreditation (PACUCOA)
4. With vial on a flat surface, insert the tip of the
needle with beveled tip entering first or needleless
access device through the center of the rubber seal.
Apply pressure to the tip of the needle during
insertion.
5. Inject air into the airspace of the vial, holding on to
the plunger. Hold plunger with firm pressure; air
pressure within the vial sometimes forces the
plunger backward.
6. Invert vial while keeping a firm hold on syringe
and plunger. Hold vial between thumb and middle
fingers of the non-dominant hand. Grasp end of
syringe barrel and plunger with thumb and
forefinger of the dominant hand to
counteractpressure in the vial.
7. Keep the tip of the needle below the fluid level.
8. Allow air pressure from vial to fill syringe
gradually with medication. If necessary, pull back
slightly on the plunger to obtain the correct
amount of solution.
9. When the desired volume is obtained, position the
needle into the airspace of the vial; tap the side of
the syringe barrel carefully to dislodge any air
bubbles. Eject any air remaining at top of the
syringe into the vial.
10. Remove the needle from the vial by pulling it back
on the barrel of the syringe.
11. Hold the syringe at eye level at a 90-degree angle to
ensure correct volume and the absence of air
bubbles. Remove any remaining air by tapping the
barrel to dislodge air bubbles. Drawback slightly on
plunger push plunger upward to eject air. Do not
eject fluid. Recheck volume medication.
12. If medication will be injected into the patient’s
tissue, change the needle to the appropriate gauge
and length according to the route of medication
Vial ContainingPowder

1. Remove the cap covering of the vial of powdered


medication and cap covering the vial of proper
diluent. Firmly swab both rubber seals with an
alcohol swab and allow alcohol to dry.
MISAMIS UNIVERSITY
Ozamiz City 7200, Philippines
Tel No. +63 88 521-0367 / Telefax No. +63 88
521-2917
CERTIFIED: ISO 9001:2015 Risk Management – Det Norske Veritas, The
Netherlands ACCREDITED:
E-mail Philippine
Address:Association of Colleges and Universities
[email protected]
Commission On Accreditation (PACUCOA)
2. Draw up manufacturer suggestions for volume and
type of diluent into the syringe.
3. Insert the tip of the needle or needleless device
through the center of the rubber seal of vial
powdered medication. Inject diluent into the vial.
Remove needle
4. Mix medication thoroughly. Roll in palms. Do not
shake
5. Reconstituted medication in the vial is ready to be
drawn into the new syringe. Read the label
carefully to determine the dose after reconstitution
6. Draw up reconstituted medication into the syringe.
Insert a needleless device/needle into the vial. Do
not add air.

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