Intravenous Injection. Judith A. Perrigin, MT(ASCP),OD, 2016
|
|
- Collin Thompson
- 6 years ago
- Views:
Transcription
1 Intravenous Injection Judith A. Perrigin, MT(ASCP),OD, 2016
2 Why study IV injection? To pass NBEO & Med Lab practical To perform fluorescein angiography (FA) To view choroidal & retinal blood flow, RPE, blood- retinal barrier, etc. Possibly other uses as scope of practice expands
3 Med Lab practical exam You will be required to perform IV injection on the training arms. Know the NBEO guidelines. You will perform IV injection exactly as required by NBEO Even though there are some errors in the way it presently reads (In my opinion)
4 Follow CLIA,CDC, & OSHA Standards Establish, post SOP & infection control stds Maintain log of tests performed & blood work drawn Tests, date/time of draw, initials of collector and when results received, action taken, outcome. document any problems during injection or phlebotomy Require hepatitis injections for those handling contaminated waste Dispose of waste properly
5 Employ universal precautions Handwashing, gloves, protective eyewear, Use aseptic technique Disinfecting work area & instruments Non-aseptic technique can be cause for failure on NBEO
6 Accidents happen Follow up and evaluation required Develop and post written protocol: Document route of exposure and circumstances Provide tx and testing if needed Test source of blood for HBV & HIV infectivity If consent obtained
7 Gloves Required for finger puncture, most injections & NBEO Should fit snugly Latex no longer standard of care Highly recommended but not absolutely required for venipuncture Sometimes difficult to feel deep veins
8 The patient
9 Mandatory to have Signed informed consent Thorough hx regarding allergies, health conditions Emergency supplies and treatment ready UHCO never performs unless MD in clinic during the procedure
10 Who orders FA? Laws vary by province and state Texas: May use any pharmaceutical for ocular diagnostic purposes Some ODs stretch /interpret this to mean FA Ophthalmologist typically Who injects the dye? UHCO: technician injects, OD taking the photos & an MD present in clinic area
11 FA/IVF overview
12 Needle types Butterfly winged NBEO requires butterfly Non-butterfly
13 SESIP (Safety Engineered Sharps Injury Protection): required by OSHA Built in safety shield NBEO may use non-sesip Not SESIP SESIP
14 Needle sizes Length: generally ½ inch to 1 ½ Gauge: bore size, the smaller the gauge the larger the bore (lumen) 25 is tiny while 18 is large Typically use for routine veni-puncture 23 gauge commonly used for injection
15 Smaller number = bigger needle 18G 1.5 standard needle versus 23G.75 butterfly with safety shield
16 For fragile veins or difficult draws Use syringe &/or butterfly (winged) collection sets Use smaller gauge needle Do not use large vacutainer tubes
17 IV procedure These are things you must do on a real patient but are to assume have already been done on NBEO IC has been discussed and signed Patient s identity has been verified using 2 methods such as name, date of birth, last 4 digits of SS, address Nature of procedure & injection site verified by asking patient to verbalize his understanding of these issues
18 Also for NBEO assume Knowing exactly what is going to happen decreases anxiety, reassures patient Patient is male (Mr. Lee) and BP was found to be normal during pre-test work up Patient s eyes are fully dilated From this point on, you must actually perform everything else
19 Unsafe practices If you do anything which could pose a risk to yourself or the patient, the proctor can stop you & not allow you to go on with that procedure. If so, you will not receive any credit for that procedure. Cannot redo anything without repeating the entire procedure.
20 IV Procedure to be performed Show self confidence, professionalism Greet patient Wash & dry your hands thoroughly (15 sec) Properly prepare aseptic field with paper drape Shiny side down Once supplies assembled on drape, cannot place anything from table onto drape (Not aseptic)
21 Seat patient comfortably with arm supported on camera table Observe for signs of queasiness, fainting Do not inject until feeling better Use alcohol prep or smelling salts if needed Prepare dye in syringe
22 NA fluorescein Initially made from plant extract now a hydrocarbon salt of sodium powder highly soluble in water MW is large enough to prevent its escape from capillaries unless disruption is present Sensitivity/allergy rare but possible
23 Dye used 10% or 25% sterile liquid injectable ophthalmic sodium fluorescein Inject 5ml of 10% or 3ml of 25% UHCO uses 10% Angiofluor Lite (5ml) NBEO exam uses 3ml of 25% in 5 ml syringe
24 Preparing the medication / dye NBEO: Verbally confirm med name, conc, expir Open sterile dye vial aseptically Wipe with alcohol prep, allow to air dry Place vial on counter
25 Attach needle to 5 ml syringe Aspirate air bubble of slightly greater than 3 ml volume into syringe Place vial on counter Insert needle into vial without holding vial
26 Invert vial, expel air, and draw up slightly > than 3ml med Expel any air or excess med from the syringe: need exactly 3ml med
27 One hand scoop Recap using 1 hand scoop DO NOT hold cap with fingers Hold syringe vertically (cap up) to show examiner amount drawn
28 NBEO order At this point NBEO says explain purpose of procedure to patient Obtain hx including allergies to medications, latex, injectable dyes, tape Provide proper instructions to patient i.e. relax, review adverse reactions etc Palpate vein????? Tourniquet isn t on yet In real life palpate after tourniquet applied
29 Remove capped needle from syringe & drop needle directly into sharps box Apply butterfly needle to syringe & place syringe on drape
30 Apply tourniquet Clean tourniquet with alcohol & dry Roll up patient s sleeve Apply tightly 2-3 inches above elbow Will use the kind you have to tie Put on gloves Instruct patient (even Mr Lee) to open & close & then clinch fist
31 Puncture site Typically median anticubital, cephalic or median basilic vein near bend of elbow Palpate & trace veins with index finger Could use dorsal hand but may collapse, bruise, & more painful
32 Vein versus artery Venous collection preferred for most routine testing & dye injection Artery pulsates. Do not palpate with thumb Arteries deeper Arterial blood is bright red & foamy Arterial requires firm pressure to collection site for at least 5 minutes post-collection
33 Veins safer than arteries Injections into vein : travels to lungs first so small air bubbles can leave the blood via the lungs Not true for arteries
34 If vein not apparent Try the other arm Loosen or tighten tourniquet Flex arm Smack lightly (arm), rub with alcohol Warm arm If still no luck may need to drink 3-4 glasses of water
35 After vein selected, clean site in circular motion from inside to outer area Tourniquet should not be left on for more than 2 minutes at a time
36 Patient should have fist clenched
37 Hold skin & vein taut with non-needle hand Enter vein bevel up at degree angle. Must verbalize. Move in direction parallel to skin Blood will appear in tube when in vein May not appear automatically on training arm
38 Slowly pull back on plunger until blood completely fills tube & a little enters the syringe. You are replacing the air in the tube with blood.
39 If no blood or flow stops Maybe you missed Start over with new stick & new needle Alter angle bevel as may be pressed against the vein wall Move the needle slightly forward or back Re-anchor the vein
40 Can lightly tape needle in place but NBEO does not Remove tourniquet Keep syringe plunger angled upward/vertical to prevent injecting large air bubble (air that was in the tube) Maintain good control of infusion set. Do not release needle.
41 Photographer should be in position to begin & have already done test shots Inject small amount dye to check for extravasation (leakage into surrounding tissue) Verbalize If no extravasation, inject remainder of blood and dye at smooth steady rate
42 Remove needle while applying pressure with cotton ball. Apply pressure with sterile cotton ball Apply paper tape over cotton ball
43 Activate safety shield & place entire device in sharps box Put needle end in first If no safety shield (NBEO) VERY CAREFULLY place entire device into sharps box without recapping
44 NEVER Recap, bend, or break used needles Try to remove / retrieve anything from the sharps container! Place soft items (tissues, gauze, gloves, etc) in sharps box
45 Post-procedure State to NBEO examiner what to record in patient s record Drug, dose, delivery method, location of injection Begin IM procedure Observe patient closely Educate patient on possible side affects, tx Keep patient in-office until confident they are feeling well. Watch for signs of queasiness, fainting, anaphylaxis
46 To be expected side effects Mild skin, sclera discoloration for several hours Yellow urine for up to 36 hours
47 Possible mild side effects Nausea: most common Have a basin handy Hives, itching, sneezing Slight pain, bruising, or swelling at injection site Can occur even with a perfect stick
48 Fainting Vasovagal response Syncope Sniff smelling salts, alcohol pad, etc, lower head and/or elevate feet Hope it occurs before or after not during the photography Not an emergency Unless they fall and injure themselves
49 Signs preceding fainting Paleness Clammy skin (cold but sweating) Speaking incoherently Trembling Going down
50 Why might a patient faint? Anxiety, fear of needles or the test Low blood sugar (fasting or a diabetic) After revives offer juice, glucose tablet, etc Monitor closely until awake and coherent
51 IV Injection Most dangerous of all ways to ingest a drug as is rapid and impossible to reverse Bypasses body s natural filtering systems so all of it is absorbed So be prepared in case of emergency That s why you prepare IM epinephrine for NBEO
52 Serious risks & complications Less than 5% complication rate Need to be prepared for that 5% Anaphylactic shock Call on-site physician Administer emergency care Call for emergency personnel
53 NBEO order Follow grading sheets exactly!!! Not everything you have to say or do is on the evaluation sheet. Could change at any time so reread site often 5 minutes prep time to arrange arm, etc. 15 minutes testing including IM injection First fill both Fluor & epinephrine syringes NBEO Fake Fluor will be clear Perform FA then epinephrine IM You can place the arm as you wish Have all supplies on correct side Arm malfunctions can occur It s the examiners job to fix
54 How is phlebotomy different from IV injection? Tourniquet remains on until blood is drawn Blood is drawn into vacutainer tubes Safer because taking out not injecting
55 Collection tubes Generally plastic Vacutainer system Varying sizes & anticoagulants Expiration dated: do not use if expired Lose vacuum & may clot Type tube used varies by test
56 Color coded caps Red/ camouflage: serum, clot tubes. Some with serum separators (SST) & clot activators Invert several times after drawing Allow to clot for 30 minutes before centrifuging Used for many chemistries, lipids, serology, etc
57 Blood bank & drug screens redtop-without sst
58 Anticoagulated tubes Gently invert 8-10 X immediately after drawn Purple cap: EDTA Used for most hematology tests and Hgb A1C Blue cap: Na citrate. Coagulation tests such as prothombin time Grey: No fluoride & potassium oxalate for glucose preserves glucose for 5-7 days Black cap; sed rate
59 Palpate, clean same as for IV
60 Prior to removing needle, remove tourniquet and final blood tube: otherwise blood will spray everywhere Activate safety shield immediately after withdrawing from vein Gently invert tubes SST tubes 2 X, purple tops 5-6 times
61 Have patient apply pressure while you label tubes
62 For all serum tubes including SST: allow to clot for 30 minutes, then centrifuge for 15 minutes Anticoagulated tubes: do not centrifuge
63 Labeling & handling Requisitions also must show age, sex, hrs pp STAT if emergency Tubes & request forms must have: Full name, date, time of draw, id number, UPC stickers.
64 Ck Bill account Ck tests ordering (Health panel 7) etc Have patient sign at bottom left on form DO NOT fill your address Fill in patient name, my name as ordering physician, Patient SS #, date/time of draw & phlebotomist initials, under Client info put # hrs fasting\apply upcs to blood tubes
65 Place all tubes & requistiions in sealable BH bag but do not seal bag-our tech will seal it after inserting necessary paperwork Call lab for pickup Lab will send results next day
VENIPUNCTURE PROCEDURE
1 of 6 Policy #: 406 (PLH-406-09) Effective Date: 9/30/2004 Reviewed Date: 8/1/2016 Subject: VENIPUNCTURE PROCEDURE Approved by: Laboratory Director, Jerry Barker (electronic signature) Approved by: Laboratory
More informationEffective Date: Approved by: Laboratory Executive Director, Ed Hughes (electronic signature)
1 Policy #: 406 (PLH-406-02) Effective Date: NA Reviewed Date: 2/1/2008 Subject: VENIPUNCTURE PROCEDURE Approved by: Laboratory Executive Director, Ed Hughes (electronic signature) Approved by: Laboratory
More informationBLOOD COLLECTION GUIDELINES
I. Patient Identification Lee Memorial Health System Lee County, FL CLINICAL LABORATORY BLOOD COLLECTION GUIDELINES A. Inpatient / Outpatient with armband 1. When possible, ask patient to state their name
More informationSALEM HOSPITAL SALEM, OREGON 97309
SALEM HOSPITAL SALEM, OREGON 97309 Department: Phlebotomy TITLE: BLOOD COLLECTIONS, VENIPUNCTURE Area: Phlebotomy Effective Date: 04/01/96 Authored By: Cindy Humphrey, Diane Duncan Revised: 09/26/2000,
More informationPhlebotomy Blood Sampling From the Arm by Venipuncture
REB SOP 03 Page 1 of 9 Short Title Arm Venipuncture Effective Date May 4, 2017 Approved by REB May 4, 2017 Version Number 1 A. PURPOSE AND BACKGROUND 1. Venipuncture is the transcutaneous puncture of a
More informationPatient Preparation Unique patient preparation requirements are listed under each test in the Test Directory.
Specimen Collection Lab results are only as good as the specimen provided. Patient preparation, venipuncture technique, specimen handling, and transportation can all affect the quantity of results. Health
More informationKINGSTON GENERAL HOSPITAL NURSING POLICY AND PROCEDURE
KINGSTON GENERAL HOSPITAL NURSING POLICY AND PROCEDURE SUBJECT Sample (Adult): Advanced Competency (AC) for Nurses (Registered Nurses and Registered Practical Nurses) PAGE 1 of 5 ORIGINAL ISSUE 1985 January
More informationSpecimen Collection Policies
Specimen Collection Policies Purpose Great River Medical Center Laboratory is a hospital-based and outreach laboratory with specific standards of excellence. To best serve our patients, all specimens will
More informationInstructions for Use HEMLIBRA (hem-lee-bruh) (emicizumab-kxwh) injection, for subcutaneous use
Instructions for Use HEMLIBRA (hem-lee-bruh) (emicizumab-kxwh) injection, for subcutaneous use Be sure that you read, understand, and follow the Instructions for Use before injecting HEMLIBRA. Your healthcare
More informationInstructions for Use Enbrel (en-brel) (etanercept) for injection, for subcutaneous use Multiple-dose Vial
Instructions for Use Enbrel (en-brel) (etanercept) for injection, for subcutaneous use Multiple-dose Vial How do I prepare and give an injection with Enbrel multiple-dose vial? A multiple-dose vial contains
More informationSpecimens Southwestern Vermont Medical Center
Specimens Southwestern Vermont Medical Center COLLECTION PROTOCOLS FOR BLOOD BANK SPECIMEN COLLECTION PROTOCOLS Please see the Blood Bank Section FOR CYTOLOGY SPECIMEN SUBMISSION PROTOCOLS Please see the
More informationSupplies: supplies are used within their expiration date and stored per the manufacturer s instructions.
Page 1 of 7 Purpose: To ensure the correct procedure for the collection of blood specimens by venipuncture, thereby reducing preanalytical errors and providing accurate test results. Supplies: supplies
More informationPhlebotomy Safety for All Ages
Phlebotomy Safety for All Ages Safety Measures for Phlebotomy Patient Identification Preparing Equipment and Supplies Preparing Patient Post Phlebotomy Care Safety tips for specific age groups Safety for
More informationHow to Use ENBREL : Vial Adapter Method
How to Use ENBREL : Vial Adapter Method SETTING UP FOR AN INJECTION Select a clean, well-lit, flat working surface, such as a table. Take the ENBREL dose tray out of the refrigerator and place it on your
More informationTips for Successful Venipuncture
Page 1 of 5 Patient Positioning Have patient lie or sit down. Never draw blood on a patient who is standing. Make the patient as comfortable as you possibly can. Always watch and ask patient if he/she
More informationI. Subject: Ionized Calcium (Ca++) Analysis Whole Blood
I. Subject: Ionized Calcium (Ca++) Analysis Whole Blood II. Method: i-stat III. Principle: A. Ca++: is measured by ion-selective electrode potentiometry. Concentrations are calculated from the measured
More informationSuccessful IV Starts Revised February 2014
Successful IV Starts Revised February 2014 Why Intravenous Therapy? Used for access to the body s circulation Indications: Administer fluids, blood, medications, and nutrition Obtain laboratory specimens
More informationSARASOTA MEMORIAL HOSPITAL NURSING PROCEDURE
SARASOTA MEMORIAL HOSPITAL NURSING PROCEDURE TITLE: ISSUED FOR: Nursing DATE: REVIEWED: PAGES: RESPONSIBILITY: RN, LPN 07/81 9/10 1 of 5 PURPOSE: 1. To maintain aseptic technique in preparing and administering
More informationBeing a phlebotomist is a rewarding career. The correct term for the procedure that the phlebotomist performs is known as
PHLEBOTOMY WINTER, TEST 1 NAME: 1. Being a phlebotomist is a rewarding career. The correct term for the procedure that the phlebotomist performs is known as a. Removing blood b. Venipuncture c. Intrapuncture
More informationIMPORTANT: PLEASE READ. Don t
PATIENT/CAREGIVER INSTRUCTIONS FOR USE - ORENCIA (ABATACEPT) PREFILLED SYRINGE WITH BD ULTRASAFE PASSIVE TM NEEDLE GUARD WITH FLANGE EXTENDERS Getting started with ORENCIA therapy Did you receive self-injection
More informationPatient Information Publications Warren Grant Magnuson Clinical Center National Institutes of Health
Warren Grant Magnuson Clinical Center National Institutes of Health What is a subcutaneous injection? A subcutaneous injection is given in the fatty layer of tissue just under the skin. A subcutaneous
More informationInstructions For Use PRALUENT (PRAHL-u-ent) (alirocumab) Injection, for Subcutaneous Injection Single-Dose Pre-Filled Syringe (75 mg/ml)
Instructions For Use PRALUENT (PRAHL-u-ent) (alirocumab) Injection, for Subcutaneous Injection Single-Dose Pre-Filled Syringe (75 mg/ml) Important Information The device is a single-dose pre-filled syringe.
More informationVenepuncture and Cannulation. Louise Smith Clinical Nurse Specialist
Venepuncture and Cannulation Louise Smith Clinical Nurse Specialist Outcomes By the end of this session you will be aware of: Basic anatomy Preparation procedures including patient identification Equipment
More informationThe Enbrel SureClick autoinjector is a single-dose prefilled autoinjector. It contains one 50 mg dose of Enbrel.
Instructions for Use Welcome! The Enbrel SureClick autoinjector is a single-dose prefilled autoinjector. It contains one 50 mg dose of Enbrel. Your healthcare provider has prescribed Enbrel SureClick autoinjector
More informationInstructions for Use Enbrel (en-brel) (etanercept) injection, for subcutaneous use Single-dose Prefilled Syringe
Instructions for Use Enbrel (en-brel) (etanercept) injection, for subcutaneous use Single-dose Prefilled Syringe How do I prepare and give an injection with Enbrel Single-dose Prefilled Syringe? There
More informationStandard Operating Procedure for cannulation
Standard Operating Procedure for cannulation Effective date: 26.07.2017 Review due date: 31.03.2019 Original Author Name: Richard Metcalfe Position: PhD Student Date: 05.12.2012 Reviewer Name: Pippa Heath
More informationInstructions for Use Enbrel (en-brel) (etanercept) Single-use Prefilled SureClick Autoinjector
Instructions for Use Enbrel (en-brel) (etanercept) Single-use Prefilled SureClick Autoinjector How do I prepare and give an injection with Enbrel Single-use Prefilled SureClick Autoinjector? This section
More informationINSTRUCTIONS FOR USE HUMIRA 40 MG/0.8 ML, 20 MG/0.4 ML AND 10 MG/0.2 ML SINGLE-USE PREFILLED SYRINGE
INSTRUCTIONS FOR USE HUMIRA (Hu-MARE-ah) (adalimumab) 40 MG/0.8 ML, 20 MG/0.4 ML AND 10 MG/0.2 ML SINGLE-USE PREFILLED SYRINGE Do not try to inject HUMIRA yourself until you have been shown the right way
More informationBlood collection: peripheral venipuncture v1.0
Resistance Network (WWARN). The original template and several other procedures are available on our website www.wwarn.org. If you download and adjust this document to suit your study design, please retain
More informationBayCuff : Self-infusion training made simple
BayCuff : Self-infusion training made simple Contents Introduction to the program Introduction to the program 3 Features of BayCuff 4 Self-infusion training with BayCuff 5 Welcome to the BayCuff self-infusion
More informationInstructions for Use. Welcome!
Instructions for Use Welcome! The AMJEVITA SureClick autoinjector is a single-use prefilled autoinjector. Consult your doctor if you have any questions about your dose. Your doctor has prescribed AMJEVITA
More informationTo provide you with necessary knowledge and skills to accurately perform 3 HIV rapid tests and to determine HIV status.
Module 9 Performing HIV Rapid Tests Purpose To provide you with necessary knowledge and skills to accurately perform 3 HIV rapid tests and to determine HIV status. Pre-requisite Modules Module 3: Overview
More informationInstructions for Use Neulasta (nu-las-tah) (pegfilgrastim) Injection, for subcutaneous use Single-Dose Prefilled Syringe. Plunger rod Used plunger rod
Instructions for Use Neulasta (nu-las-tah) (pegfilgrastim) Injection, for subcutaneous use Single-Dose Prefilled Syringe Guide to parts Before use After use Plunger rod Used plunger rod Finger grip Label
More informationCollection of Blood Specimens. To provide instructions on correctly collecting blood specimens via vacutainer.
Page 1 of 9 Purpose: To provide instructions on correctly collecting blood specimens via vacutainer. Equipment: Tourniquet-one time use only Vacutainer holder Sterile multi-specimen needle Gauze swab Appropriate
More informationFundamentals of Phlebotomy
Fundamentals of Phlebotomy May 2012 Historical Origins: Superstition Phlebotomy Today: Diagnostic tool CP1154634-9 Potential Exposure from Needle Stick Injuries 1 in 6 - Hepatitis B 1 in 20 - Hepatitis
More informationFundamentals of Phlebotomy
Fundamentals of Phlebotomy May 2012 1 Historical Origins: Superstition Phlebotomy Today: Diagnostic tool CP1154634-9 2 Potential Exposure from Needle Stick Injuries 1 in 6 - Hepatitis B 1 in 20 - Hepatitis
More informationCoaguChek S System. Quick Reference Guide. This is a CLIA-waived System. Coagulation Testing with Fresh Whole Blood
CoaguChek S System This is a CLIA-waived System Quick Reference Guide Coagulation Testing with Fresh Whole Blood May not print or view at 100% All unmarked prints black. Coag Swoosh prints gradients of
More informationSharps Container (not included) 1 Gather and check supplies. Gather supplies
Instructions for Use BENLYSTA (ben-list-ah) (belimumab) injection, for subcutaneous use Prefilled Syringe Read this Instructions for Use before you start to use BENLYSTA and each time you refill your prescription.
More informationINSTRUCTIONS FOR PREPARING AND GIVING AN INJECTION OF ENBREL POWDER
INSTRUCTIONS FOR PREPARING AND GIVING AN INJECTION OF ENBREL POWDER Introduction The following instructions explain how to prepare and inject Enbrel powder for injection. Please read the instructions carefully
More informationBLOOD CULTURE SPECIMEN COLLECTION. Skills: 40 points. Objectives:
EXERCISE 7: BLOOD CULTURE SPECIMEN COLLECTION Skills: 40 points Objectives: 1. Differentiate between sterile and antiseptic techniques. 2. Define the following terms: FUO, septicemia, bacteremia, aerobic
More informationSTEP-BY-STEP GUIDE TO SELF-INFUSION. Subcutaneous Administration of GAMMAGARD LIQUID
STEP-BY-STEP GUIDE TO SELF-INFUSION Subcutaneous Administration of GAMMAGARD LIQUID This handy guide will help you manage your subcutaneous administration of GAMMAGARD LIQUID. If you have questions on
More informationInspection Window. Syringe Body
Guide to Parts Before use Instructions for Use UDENYCA (yoo-den-i-kah) (pegfilgrastim-cbqv) Injection Single-Dose Prefilled Syringe Inspection Window Needle Cap Needle Label Plunger Plunger Head Needle
More informationPfizer, BeneFIX R2 Recombinant Factor IX
Pfizer, BeneFIX R2 Recombinant Factor IX BeneFIX, Recombinant Factor IX, is indicated for the prevention and control of bleeding episodes in people with hemophilia B (Christmas Disease). BeneFIX is also
More informationChapter 14: Arterial Puncture Procedures
Objectives Chapter 14: Arterial Puncture Procedures 1. Define the key terms and abbreviations listed at the beginning of this chapter. 2. State the primary reason for performing arterial punctures and
More informationTable of Contents. Dialysis Port Care Chemotherapy Port Care G-Tube Care Colostomy Bags Wound Dressings
Table of Contents Dialysis Port Care Chemotherapy Port Care G-Tube Care Colostomy Bags Wound Dressings Dialysis Port Care Know What Type of Vascular Access You Have. Fistula: An artery in your forearm
More informationA child in the emergency room has an order for a blood draw. You would approach the child in which of the following scenarios?
Phlebotomy Career Training Test Name: Being a phlebotomist requires a great amount of concentration. Given the following situations select the best response. 1. A child in the emergency room has an order
More informationWhat Biostate is used for
Biostate Human coagulation factor VIII (FVIII) and human von Willebrand factor (VWF) complex, powder for injection. Consumer Medicine Information Biostate 250 IU FVIII/500 IU VWF: AUST R 73032 Biostate
More informationDivision 1 Introduction to Advanced Prehospital Care
Division 1 Introduction to Advanced Prehospital Care Chapter 7 Intravenous Access and Medication Administration Part 1 Principles and Routes of Medication Administration Topics Aseptic Technique Medication
More informationPhlebotomy Procedure. SCOPE: This procedure is distributed to Central DuPage Hospital (CDH) and all off-site laboratories.
Phlebotomy Procedure SCOPE: This procedure is distributed to Central DuPage Hospital (CDH) and all off-site laboratories. PRINCIPLE: Laboratory test results are only as good as the specimen, and the specimen
More informationProthrombinex -HT Human prothrombin complex, freeze-dried.
Consumer Medicine Information Prothrombinex -HT Human prothrombin complex, freeze-dried. AUST R 64012 What is in this leaflet This leaflet answers some common questions about Prothrombinex -HT. It does
More informationCandidates sitting for the examination for licensure purposes in California should study and be familiar with the following test plan:
Candidates sitting for the examination for licensure purposes in California should study and be familiar with the following test plan: NHA Certified Phlebotomy Technician (CPT) CA-Specific Detailed Test
More informationH1N1 Vaccine Administration Manual for Paramedics
H1N1 Vaccine Administration Manual for Paramedics TABLE OF CONTENTS I. Introduction II. Policy and Procedure for Administering Medications A. Intradermal B. Intramuscular C. Subcutaneous III. Pictorial
More informationPhlebotomy and Basic Blood Analysis
Topic 2: Phlebotomy and Basic Blood Analysis Laboratory Manual Section 09 HPHE 6720 Dr. Cheatham Outline What is phlebotomy Review of Universal Precautions Phlebotomy Techniques Fingerprick Venipuncture
More informationEducation for Self Administration of Intravenous Therapy HOME IV THERAPY PICC. Portacath
HOME IV THERAPY PICC Portacath Who To contact Cardio-Respiratory Integrated Specialist Services (CRISS) Office hours 0800 1630 hours Ph: 364 0167 Weekends and after hours, phone Christchurch Hospital operator
More informationPATIENT INSTRUCTIONS FOR USE SINGLE- DOSE PREFILLED SYRINGE
PATIENT INSTRUCTIONS FOR USE EXEMPTIA TM (ADALIMUMAB) SINGLE- DOSE PREFILLED SYRINGE Do not try to inject EXEMPTIA TM yourself until you have been shown the right way to give the injections and have read
More informationThe Enbrel SureClick autoinjector is a single-dose prefilled autoinjector. It contains one 50 mg dose of Enbrel.
Instructions for Use Welcome! The Enbrel SureClick autoinjector is a single-dose prefilled autoinjector. It contains one 50 mg dose of Enbrel. Your healthcare provider has prescribed Enbrel SureClick autoinjector
More informationSARASOTA MEMORIAL HOSPITAL
SARASOTA MEMORIAL HOSPITAL TITLE: NURSING PROCEDURE BLOOD CULTURE COLLECTION PROCEDURE (spe20) DATE: REVIEWED: PAGES: 6/10 2/19 1 of 6 PS1094 ISSUED FOR: Nursing/Lab RESPONSIBILITY: RN, LPN II, select
More informationIf viewing a printed copy of this policy, please note it could be expired. Got to to view current policies.
If viewing a printed copy of this policy, please note it could be expired. Got to www.fairview.org/fhipolicies to view current policies. Department Policy Code: D: PC-5575 Entity: Fairview Pharmacy Services
More informationInjection Techniques Principles and Practice. Introduction. Learning Objectives 5/18/2015. Richard E. Castillo, OD, DO
Injection Techniques Principles and Practice Richard E. Castillo, OD, DO Administering injections is considered a routine clinic activity Safety demands knowledge of: Anatomy & Physiology Pharmacology
More informationPIEDMONT ACCESS TO HEALTH SERVICES, INC.
PIEDMONT ACCESS TO HEALTH SERVICES, INC. Policy Number: 01-10-039 SUBJECT: I. M. Injections EFFECTIVE DATE: 3/2010 REVIEWED/REVISED: 7/21/2011, 07/27/2012, 10/7/2013, 10/27/2014, 05/16/2016 POLICY: I.
More informationSPECIMEN COLLECTION-WAIVED TESTING
SPECIMEN COLLECTION-WAIVED TESTING POLICY 1. Application for waived testing will be submitted to CLIA (Clinical Laboratory Improvement Amendments) on a yearly basis. 2. All laboratory specimens: PURPOSE
More informationCollection of Specimen
Collection of Specimen Purpose This procedure helps the student nurse to identify different types of specimen and their purposes. Objectives At the end of this procedure, the student nurse should be able
More informationIMPORTANT: PLEASE READ
PART III: CONSUMER INFORMATION ALPROLIX [pronounced all prō liks] Coagulation Factor IX (Recombinant), Fc Fusion Protein This leaflet is part III of a three-part "Product Monograph" published when ALPROLIX
More informationOperational Guideline
1 of 6 PURPOSE Prevention of the spread of sexually transmitted and blood-borne infections (STBBI) through distribution of harm reduction supplies SCOPE & GOAL Harm reduction supplies and condoms will
More informationDo you inject hormones? Yes, let s talk!
Do you inject hormones? Yes, let s talk! Safer Hormone Injection Guide What Are the Risks? If you are injecting your own hormones, it is important to know what s safe and what s not. Here s what you need
More informationEducation for self administration of intravenous therapy HOME IV THERAPY. 30 minute - Baxter Pump Tobramycin
HOME IV THERAPY Tobramycin Tobramycin Check the order on the drug chart This can change when the results from your blood test come through. Your doctor will change the order, if required. A copy of the
More informationALPROLIX Coagulation Factor IX (Recombinant), Fc Fusion Protein INSTRUCTIONS FOR USE Do not Do not YOUR KIT CONTAINS:
ALPROLIX Coagulation Factor IX (Recombinant), Fc Fusion Protein INSTRUCTIONS FOR USE Read the Instructions for Use before you start using ALPROLIX and each time you get a refill. There may be new information.
More informationSELF-INJECTION GUIDE
SELF-INJECTION GUIDE (asfotase alfa) 40 mg/ml solution for injection 18 mg/0.45 ml 28 mg/0.7 ml 40 mg/1 ml 100 mg/ml solution for injection 80 mg/0.8 ml asfotase alfa Introduction Contents This Self-Injection
More informationAcknowledgement goes to WHO for use of their hand washing technique
How to administer third party insulin injections safely with a pen device, safety pen needle and syringe 1 Hand washing It takes at least 15 seconds to wash your hands. This is about how long it takes
More informationINSULIN INJECTION KNOW-HOW
0-1- INSULIN INJECTION KNOW-HOW Learning how to Congratulations for making the move to insulin therapy. It won t be long before you start enjoying better blood sugar control, more energy, and a host of
More informationATI Skills Modules Checklist for Central Venous Access Devices
For faculty use only Educator s name Score Date ATI Skills Modules Checklist for Central Venous Access Devices Student s name Date Verify order Patient record Assess for procedure need Identify, gather,
More informationCIMZIA (certolizumab pegol)
CIMZIA (certolizumab pegol) solution for subcutaneous use Prefilled syringe step-by-step instructions for use INSTRUCTIONS FOR USE Indications: CIMZIA is approved for the treatment of adults with moderate
More informationHuman coagulation factor VIII (FVIII) and human von Willebrand factor (VWF) complex, powder for injection. are essential for normal blood clotting.
Biostate Human coagulation factor VIII (FVIII) and human von Willebrand factor (VWF) complex, powder for injection. Consumer Medicine Information What is in this leaflet This leaflet answers some common
More informationNormal Immunoglobulin (Human) 16%, solution for subcutaneous administration.
Normal Immunoglobulin (Human) 16%, solution for subcutaneous administration. Consumer Medicine Information What is in this leaflet This leaflet answers some common questions about. It does not contain
More informationINSTRUCTIONS FOR USE TYMLOS (tim lows ) (abaloparatide) injection, for subcutaneous use
INSTRUCTIONS FOR USE TYMLOS (tim lows ) (abaloparatide) injection, for subcutaneous use Instructions for Use Read and follow this Instructions for Use so that you inject TYMLOS pen the right way. Call
More informationIMPORTANT: PLEASE READ
PART III: CONSUMER INFORMATION ALPROLIX [pronounced all prō liks] Coagulation Factor IX (Recombinant), Fc Fusion Protein This leaflet is part III of a three-part "Product Monograph" published when ALPROLIX
More informationIntroduction to The Fluorescein Angiography Procedure James B Soque CRA COA. Island Retina Shirley, New York
Introduction to The Fluorescein Angiography Procedure James B Soque CRA COA Island Retina Shirley, New York 2 Purpose: Fluorescein Sodium Dye Blood Flow to The Eye Preparation of the FA Materials Sequence
More informationTo provide nursing staff with guidelines for the safe and appropriate administration of insulin.
SUBJECT: ADMINISTRATION OF INSULIN This cancels NP 513 dated 3/1/07 1. PURPOSE: COALINGA STATE HOSPITAL NURSING POLICY AND PROCEDURE MANUAL SECTION - Medications POLICY NUMBER: 513 Effective Date: June
More informationEXERCISE 2: VENIPUNCTURE USING VACUUM COLLECTION SYSTEM
EXERCISE 2: VENIPUNCTURE USING VACUUM COLLECTION SYSTEM Skills 30 points Objectives 1. Identify 4 potential sites for venipuncture. 2. List the veins of the forearm used for venipuncture, describe where
More informationEXERCISE 2: VENIPUNCTURE USING VACUUM COLLECTION SYSTEM
EXERCISE 2: VENIPUNCTURE USING VACUUM COLLECTION SYSTEM Skills 30 points Objectives 1. Identify the routine site and three alternate sites for venipuncture. 2. List the three veins of the forearm used
More informationINFORMATION FOR THE CONSUMER
INFORMATION FOR THE CONSUMER This insert provides a summary of the information about CETROTIDE (cetrorelix for injection). If you have any questions or concerns, or want more information about CETROTIDE,
More informationPATIENT INFORMATION LEAFLET MEDICINE TO TREAT: DIABETES. Insulin
PATIENT INFORMATION LEAFLET MEDICINE TO TREAT: DIABETES Insulin This medicine has been proven to be safe and effective, but it can cause serious injury if a mistake happens while taking it. This means
More informationStandard operating procedures for preparation and administration of intramuscular injections. No Action Rationale
Standard operating procedures for preparation and administration of intramuscular injections Preparation Overview No Action Rationale 1 Collect and check all equipment 2 Check that the packaging of all
More informationParkland Health & Hospital System Women & Infant Specialty Health
Parkland Health & Hospital System Women & Infant Specialty Health NS 1700.04 Nursery Services Procedure Manual Arterial Puncture Practice Statement Upon the written order of the provider, the credentialled
More informationMorris Hospital EMS System. Medication Administration
Morris Hospital EMS System Medication Administration Drug Dosage Calculations (Cont d) Working with formulas See Med Math Formulas Taught in Class Handout to review formulas used. Drug Dosage Calculations
More informationBefore you use the TALTZ autoinjector, read and carefully follow all the step-by-step instructions.
1 INSTRUCTIONS FOR USE TALTZ (tȯl(t)s) (ixekizumab) injection, for subcutaneous use Autoinjector Before you use the TALTZ autoinjector, read and carefully follow all the step-by-step instructions. Important
More informationPart 1 Principles and Routes of Medication Administration
1 Chapter 7, Medication Administration Part 1 Principles and Routes of Medication Administration 2 Caution: Administering medications is business Always take appropriate Standard measures to reduce your
More informationBlood Sampling: Venipuncture
Approved by: Blood Sampling: Venipuncture Gail Cameron Senor Director, Operations, Maternal, Neonatal & Child Health Programs Dr. Paul Byrne Medical Director, Neonatology Neonatal Nursery Policy & Procedures
More informationGlatopa is prescription medicine used for the treatment of people with relapsing forms of multiple sclerosis (MS).
PATIENT INFORMATION Glatopa (gluh-toh-puh) (Glatiramer Acetate Injection) for Subcutaneous Use Read this Patient Information before you start using Glatopa and each time you get a refill. There may be
More informationBlood is to be collected only by trained personnel working under the direction of a qualified licensed physician.
Collection of Blood Blood is to be collected only by trained personnel working under the direction of a qualified licensed physician. Blood collection must be by aseptic methods, using a sterile closed
More informationSCIG INFUSIONS A PRACTICAL GUIDE FOR PATIENTS
PRIMARY IMMUNODEFICIENCIES SCIG INFUSIONS: A PRACTICAL GUIDE FOR PATIENTS SCIG INFUSIONS A PRACTICAL GUIDE FOR PATIENTS 1 PRIMARY IMMUNODEFICIENCIES ABBREVIATIONS IG IVIG PID SCIG Immunoglobulin Intravenous
More informationChapter 7, Medication Administration Part 1 Principles and Routes of Medication Administration Caution: Administering medications is business Always
1 3 4 5 6 7 8 9 10 Chapter 7, Medication Administration Part 1 Principles and Routes of Medication Administration Caution: Administering medications is business Always take appropriate Standard measures
More informationA STEP-BY-STEP GUIDE FOR HEALTHCARE PROFESSIONALS TO USING THE ENBREL 50MG PRE-FILLED PEN MYCLIC
1. ENBREL (etanercept) SmPC and Patient Information Leaflet. Available at: www.ema.europa.eu. A STEP-BY-STEP GUIDE FOR HEALTHCARE PROFESSIONALS TO USING THE ENBREL 50MG PRE-FILLED PEN MYCLIC Step 1: Preparing
More informationIf viewing a printed copy of this policy, please note it could be expired. Got to to view current policies.
If viewing a printed copy of this policy, please note it could be expired. Got to www.fairview.org/fhipolicies to view current policies. Department Policy Code: D: PC-5555 Entity: Fairview Pharmacy Services
More informationCore procedures assessment form
1. Venepuncture guidance choose appropriate needle or cannula have appropriate vials to hand choose a suitable, palpable vein after applying tourniquet insert needle with bevel upwards and advance 2-3mm
More informationLOURDES HOSPITAL 169 Riverside Drive Binghamton, New York LAB MANUAL
LOURDES HOSPITAL 169 Riverside Drive Binghamton, New York LAB MANUAL SUBJECT: Performance of a Venipuncture ORIGIN DATE: 1994 REVIEWED: 06/02/2016 REVISED: 3/99,6/02,3/03, 6/22/10, 2/14/2013 REGULATORY
More informationINSTRUCTIONS FOR USE
Comfort Injects 50 Comfort-in INSTRUCTIONS FOR USE English user manual 1 Introduction Thank you for choosing the Comfort in Needle free Injection system, developed with your comfort and convenience in
More informationActing in an Emergency (Video- Acting in an emergency and preventing disease transmission)
CHAPTER 2 Acting in an Emergency (Video- Acting in an emergency and preventing disease transmission) Lesson Objectives 1. Explain how bloodborne pathogens may be transmitted from an infected person to
More informationInfection Control. Chapter 11 Intro to HST
Infection Control Chapter 11 Intro to HST All health care workers must understand basic infection control Key terms Pathogen: germ Microorganism: small, living organism that is not visible to the naked
More informationLABORATORY SERVICES TECHNICAL PROCEDURE
LABORATORY SERVICES TECHNICAL PROCEDURE TITLE: BLOOD CULTURE COLLECTION PROCEDURE NUMBER: SC050.4 PERFORMING SITE(s): University Hospital, Drake Center SITE EFFECTIVE DATE 8/8/13 SUPERSEDES: 1/5/2012 RETIRED
More information