I. PREPARATION OF MEDICINES 5.

With a slanted angle (sterile water), insert the

A. Preliminaries syringe into center of rubber with sharpest
1. Check doctor’s order point entering first (bevel up)
2. Get medication ticket and verify to chart or 6. Once inserted, inject the 0.9 cc of air to
doctor’s order bottle, and turn bottle upside down.
3. Compare medication ticket to medicines at 7. Withdraw sterile water without touching the
hand. plunger (NOTE: If there is a lot of air, inject
4. Wash hands and don gloves water and retract/ withdraw again)
B. Oral Medication Preparation 8. Hold barrel and pull the syringe out from
1. Check drug name, brand name, generic bottle. To expel air bubbles, retract plunger
name, time, and expiration date slightly and flick syringe until no or very little
2. Put tablet (unopened) in medicine cup and air bubbles are left.
put medication ticket under the cup 9. Disinfect medicine vial. Still with the
3. Put syrup na medicine above the withdrawing needle, follow the same
medication ticket allocated for that principles when withdrawing medications or
medicine. water. Pull end of plunger for 0.1 cc of
NOTE: POUR SYRUP IN FRONT OF PX OR DEPENDE medication.
SA C.I. 10. Mix sterile water and medication by tilting
C. Medicine Vial (3 cc syringe) the syringe. Change the needle with the
1. Loosen the powder first, and proceed to syringe needle, bevel must be within the
open the vial by loosening the seal cap of calibration.
vial (NOT THE RUBBER BUT KATO MURA CAN), E. Intramuscular (3 cc syringe)
then pull away from you 1. Open syringe pack (3 cc), change syringe
2. Disinfect the rubber cover of vial with needle with withdrawing needle (disposable
alcohol swab needle), and twist to lock
3. Open the sterile water and disinfect the 2. Pull the end of plunger to instill air to syringe
rubber cover/stopper. (2 cc)
4. Open syringe pack (3 cc), change syringe 3. Uncap the syringe at eye level.
needle with withdrawing needle (disposable 4. With a slanted angle (sterile water), insert the
needle), and twist to lock syringe into center of rubber with sharpest
5. Pull the end of plunger to instill air to syringe point entering first (bevel up)
(2 cc) 5. Once inserted, inject the 2 cc of air to bottle,
6. Uncap the syringe at eye level. and turn bottle upside down.
7. With a slanted angle (sterile water), insert the 6. Withdraw sterile water without touching the
syringe into center of rubber with sharpest plunger
point entering first (bevel up) 7. Hold barrel and pull the syringe out from
8. Once inserted, inject the 2 cc of air to bottle, bottle and flick for air bubbles
and turn bottle upside down. 8. Still with the withdrawing needle, follow the
9. Withdraw sterile water without touching the same principles when withdrawing
plunger (NOTE: If there is a lot of air, inject medications or water. Pull end of plunger for
water and retract/ withdraw again) 1 cc of medication.
10. Hold barrel and pull the syringe out from 9. Mix sterile water and medication by tilting
bottle the syringe. Change the needle with the
11. To expel air bubbles, retract plunger slightly syringe needle, bevel must be within the
and flick syringe until no or very little air calibration.
bubbles are left. Note: prepare as well water for injection for
12. Still with the withdrawing needle (depende intradermal and intramuscular and keep under
sa C.I. basin magpachange), instill water to tray lining (but depende sa c.i. basin ipalahi ug
medicine vial still with the same principles prepapare) and throw every syringe from
(slant bottle, bevel up, and insert syringe) preparation to sharp’s container
13. Once water is instilled, roll vial to mix (DO
NOT SHAKE) II. Administering Intradermal Medication
D. Intradermal (1 cc syringe) A. Preliminaries
1. Open syringe pack (1 cc), change syringe 1. Check doctor’s order
needle with withdrawing needle (disposable 2. Check identity of px and explain procedure
needle), and twist to lock 3. Wash hands and don gloves
2. Pull the end of plunger to instill air to syringe B. Procedure proper
(0.9 cc) 1. With the prepared water for injection,
3. Disinfect the sterile water (rubber) disinfect site with alcohol swab in a circular
4. Uncap the syringe at eye level while holding motion.
the colored part. 2. Uncap syringe at eye level.
3. Stretch the skin surrounding the site, start to
position needle (15 degrees or mas better if
parallel to skin)
4. Slowly insert needle (BEVEL UP), and instill the
sterile water until there is a wheal or bleb (if
no wheal or bleb, subq ang naigo)
5. Encircle the bleb with just enough size and
write when the bleb will be due – 30 mins
after instillation.

III. Administering Intramuscular Medication

A. Preliminaries
1. Check doctor’s order
2. Check identity of px and explain procedure
3. Wash hands and don gloves
B. Procedure proper
1. With the prepared water for injection,
disinfect site (three fingerbreadths below the
acromion process) with alcohol swab in a
circular motion.
2. Prepare a dry cotton ball and place on
pinky finger
3. Uncap syringe at eye level.
4. Stretch then pull to feel the muscles, start to
position needle (90 degrees/ horizontally
straight)
5. Slowly insert needle (BEVEL UP), aspirate for
blood, if no blood is aspirated then proceed
to instilling of the sterile water
6. With the dry cotton ball, place on injection
site, put pressure and apply plaster.

IV. Administering Oral Medication

A. Preliminaries
1. Check doctor’s order
2. Check px’s identity and explain procedure
3. Wash hands and don gloves
B. Procedure proper
1. With the prepared oral medication which is
the tablet and syrup, go to patient.
2. Let patient take the tablet, open medicine
and place on patient’s hands, offer water to
drink.
3. Proceed to syrup, pour syrup medication to
medicine cup (5 ml) at eye level. Let patient
drink and offer water.

ENDING:
1. Documentation and After care