Assessment:
Compare medications listed against physician’s orders. Check if drug requires skin testing of if ST has been done, checks for result. Assess psychological and physical status including size and general build, and assess need for assistance. Check for age, weight and height. Check medication available and reference for safe child’s dosage. Determine appropriate needle and syringe to be used. Determine other equipment needed.
Planning:
Plan a method of approaching and restraining a child appropriately. Wash hands observing proper technique. Gather needed equipment.
Implementation:
Rea form charts/kardex the name of drug ordered. Take from shelf/drawer and check label and expiry date of medication. Draw up correct dosage of medication from vial. Clean top of vial and allow to dry. Discard alcohol swab appropriately. Prepare syringe and needle. Draw appropriate volume of air into syringe. Insert needle into vial through rubber stopper. Inject air into vial. Pick up vial nondominant hand, and withdraw required volume of drug. Examine for air bubbles and expel them. Recheck volume of medication for accuracy. Remove needle from vial. Replace needle guard. Change needle appropriate for injection. Observe sterile technique throughout the procedure. From vials, wash hands and observe other appropriate infection control procedures. Prepare the medication vial for drug withdrawal. 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 wipe by rubbing in a circular motion. Withdraw the medication. Attach a filter needle, as agency practice dictates, to draw up premised liquid medications from multi-dose vials. Ensure that the needle is firmly attached to the syringe. Remove the cap from the needle, then draw up into the syringe the amount of air equal to the volume of the medication to be withdrawn. Carefully insert the needle into the upright vial through the center of rubber cap, maintaining the sterility of the needle. Inject the air into the vial, keeping the bevel of the needle above the surface of the medication. Withdraw the prescribed amount of medication using either one of the following methods: Hold the vial down, move the needle tip so that it is below the fluid level, and withdraw the medication. Avoid drawing up the last drops of the vial. 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 drug is drawn into the syringe. Eject air remaining at the top of the syringe into the vial. When the 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 presenting the syringe. Replace the filter needle, if used, with a regular needle and cover of the correct gauge and length before injecting the client.
Evaluation:
The right patient received the right medication in the right dosage by the right route at the right time. The criteria, specified in the plan of care(NCP) established for ascertaining the effectiveness of a specific drug were used. Side effects, if present, were promptly identified and recorded. Necessary referrals were made.
Documentation:
Record appropriately according to the policy of the facility.
