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Preparing Medications From Vials

The document outlines a procedure checklist for nursing students at St. Paul University Surigao for preparing medications from vials. It includes a grading system based on performance, detailing the necessary equipment, steps for medication preparation, and criteria for evaluation. The student is assessed on their competency in executing the procedure, with specific performance levels defined for grading.

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27 views3 pages

Preparing Medications From Vials

The document outlines a procedure checklist for nursing students at St. Paul University Surigao for preparing medications from vials. It includes a grading system based on performance, detailing the necessary equipment, steps for medication preparation, and criteria for evaluation. The student is assessed on their competency in executing the procedure, with specific performance levels defined for grading.

Uploaded by

cyrusbonillarm2021
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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St.

Paul University Surigao


St. Paul University System
8400 Surigao City, Philippines

Name of Student: Date:


Year Level:

PROCEDURE CHECKLIST
Preparing Medications from Vials
ILO: The student will practice beginning nursing skills in promoting healthy physiologic responses to health /
illness.

Key:
3 : Correctly and confidently performed the skill
2 : Able to perform skill; requires moderate reinforcement
1 : Skill not preformed correctly; needs re-demonstration

PROCEDURE 3 2 1
Preparation
1. Assemble the equipment
 Medication Ticket
 Vial of sterile medication
 Antiseptic swab
 Needle and syringe
 Aspirating needle/filter needle (check agency policy)
 Sterile water or normal saline, if drug is in powdered form
 Medication Tray
 Kidney Basin
2. Check Medication Ticket
 Check the label on the vial carefully against the
medication ticket to make sure that the correct medication
is being prepared
 Follow the three checks for administering medications.
Read the label on the medication:
a. When it is taken from the medication cart
b. Before withdrawing the medication
c. After withdrawing the medication
3. Organize the equipment
Procedure
4. Wash hands and observe other appropriate infection control
procedures.
5. Prepare the medication vial for drug\ withdrawal.
 (If premixed medication) Mix the solution, if necessary, by
rotating the vial between the palms of the hands, not by
shaking.
 Remove the protective cap, or clean the rubber cap of a
previously opened vial with an antiseptic swipe by rubbing
in a circular motion.
 (If powdered vial) Remove the protective cap, or clean
the rubber cap of a previously opened vial of sterile water
for injection with an antiseptic swipe by rubbing in a
circular motion.
 Withdraw sterile water for injection according to the
prescribed amount.
 Remove the protective cap of the vial with medication, or
clean the rubber cap of a previously opened vial with an
antiseptic swipe by rubbing in a circular motion.
St. Paul University Surigao
St. Paul University System
8400 Surigao City, Philippines

 Inject prescribed amount of sterile water to the vial with


medication.
 Mix the solution, if necessary, by rotating the vial between
the palms of the hands, not by shaking.
6. Withdraw the medication
 Attach an aspirating needle or filter needle, as agency
practice dictates, to draw up premixed liquid medications
from multi-dose vials.
 Ensure that the needle is firmly attach to the syringe
 Remove the cap from the needle, then draw up into the
syringe the amount of air to the volume of the medication
to be withdrawn.
 Carefully insert the needle into the upright vial through the
center of the rubber cap, maintaining sterility of the
needle.
 Inject the air into the vial, keeping the bevel of the needle
above the surface of the medication
 Withdraw the prescribe amount of the medication using
either of the following methods:
a. Hold the vial down, move the needle tip so that it
is below the fluid level, and withdraw the
medication. Avoid withdrawing up the last drops
of the vial
OR
b. Invert the vial, ensure the needle tip is below the
fluid level, and gradually withdraw the medication
 Hold the syringe and vial at eye level to determine that
the correct dosage of the drug is being drawn into the
syringe. Eject air remaining at the top of the syringe into
the vial
 When correct volume of medication is obtained, withdraw
the needle from the vial, and replace the cap over the
needle using the scoop method, thus maintaining its
sterility.
 If necessary, tap the syringe barrel to dislodge any air
bubbles present in the syringe.
 Replace the filter needle, if used, with a regular needle
and cover of the correct gauge and length before injecting
the client
( ____ x 3) + ( ____ x 2) + ( ____ x 1)
X 100 =
(Total # of items ____ x 3)

Adopted from: Fundamentals of Nursing, 9e by Patricia A. Potter, Anne Griffin Perry, Patricia A. Stockert and Amy
M. Hall. Copyright 2018 by Elsevier Inc (Singapore) Pte. Ltd
BIBLIOGRAPHY Berman, A., Snyder, S., Kozier, B., & Erb, G. (2008). Kozier & Erb's
Fundamentals of Nursing Checklist (8th ed.). Singapore: Pearson Education South Asia Pte Ltd.

Student shall be graded based on the following observations.

Qualitative description of student’s performance Grade/ Fullname ad


Remarks signature of
St. Paul University Surigao
St. Paul University System
8400 Surigao City, Philippines

clinical
instructor/Date
Very satisfactory performance. Student showed
basic competency in performing the procedure,
Competen showed mastery in understanding the rationale
90-99
t behind all the actions, and was able to execute all
the steps on his/her first attempt of return
demonstration.
Satisfactory performance. Student showed basic
competency in performing the procedure, showed
Partially
mastery in understanding the rationale behind all
Competen 80-89
the actions, and was able to execute 80% of all the
t
steps on his/her first attempt of return
demonstration.

Performance that needs improvement. Student No grade.


failed to show basic competency in performing the Student shall be
procedure, showed less mastery in understanding given another
Not yet
the rationale behind all the actions and was only chance until
Competen
able to execute less than 80% of all the steps on he/she shows
t
his/her first attempt of return demonstration. competency and
mastery in skills
and knowledge.
2nd attempt 90
3rd attempt 85
4th attempt 80
5th attempt 75

Remarks:

STRENGTHS AREAS FOR IMPROVEMENT

Rated by: _________________

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