opd procedures charts and logbooks..doc

8/10/2019 OPD procedures charts and logbooks..doc

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Date and Time:

Name: Gender: Age:

Address:Date of Birth: Status: Physician:

Intradermal injections

o Check the physicians order

o Explain the procedure to the patient. Have the patient sign a consent form.

o Select a site for injection that is not heavily pigmented or covered with hair.

o Clean the site with an alcohol swab.

o Spread the skin taut over the injection site.

o nsert the needle! bevel up with the needle visible within the skin.

o Slowly inject the medication while watching for a wheal or blister to appear.o Encircle the wheal or blister with ink.

o "dvise the patient# family not to massage the site.

o $onitor for signs of allergy% &edness# swelling outside the ink circle! itchiness!

di'culty of breathing ()*+,- mins

/urses /otes%

Nurse In-Charge


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Date and Time:

Name: Gender: Age:

Address:Date of Birth: Status: Physician:

Sucutaneous injections


o Explain the procedure to the patient. 0rovide privacy. Have a consent form

signed.o Have the patient assume the position appropriate for the site chosen.

o Ensure that the site is not tender! is free of lumps or nodules! has enough fat

layer and is not the most recently used site.o Clean the site with an alcohol swab.o Spread the skin taut over the injection site if fat layer is ade1uate. 2rasp and

bunch the skin around the site if the fat layer is thin.o nsert the needle at an angle of 3*+4- degrees! depending on the amount and

turgor of the tissue and the length of the needle.o "dvise the patient# family not to massage the site.

o $onitor for signs of allergy% &edness! itchiness! di'culty of breathing ()*+,-

mins

/urses /otes%


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Nurse In-Charge

Date and Time:

Name: Gender: Age:

Address:

Date of Birth: Status: Physician:

Intramuscular injections


o Explain the procedure to the patient. 0rovide privacy. Have a consent form

signed.o Have the patient assume the position appropriate for the site chosen.o Clean the site with an alcohol swab.

o 5se the 6+tract method to avoid medication seepage.

o nsert the needle at an angle of 78+4- degrees! depending on the amount and

turgor of the tissue and the length of the needle.o "spirate for at least * seconds. f blood is aspirated! discard the needle!

syringe and medication and inject at another site.o f no blood was aspirated! inject the solution slowly ()- seconds per ml.

o "pply gentle pressure at the site with a cotton ball.

o Encourage the patient to exercise the extremity used for injection to promote

absorption.

o $onitor for signs of allergy% &edness! itchiness! di'culty of breathing (8+3hours

/urses /otes%


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Nurse In-Charge

Reducing discomfort in IM and SQ injections:

Select a needle of the smallest recommended gauge appropriate to site

and medication to be given. t is recommended to use two needles! one for removing medications from

the vial#ampule and the second one to inject the medication. n pre9lled

syringes with non+detachable needles! remove the excess solution from

the needle. 6+tract techni1ue prevents leakage and reduces discomfort.

nject the medication into relaxed muscles.

:o not inject areas that feel hard on palpation or tender to the patient.

nsert the needle with a dartlike motion without hesitation and remove it

1uickly at the same angle at which it was inserted. "llow a patient who is fearful of injections to talk about his#her fears.

"nswer the 1uestions truthfully and explain the procedure. &otate sites.


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Date and Time:

Name: Gender: Age:

Address:

Date of Birth: Status: Physician:

Introducing medications through a Saline !oc" #Bolus doses$I% infusions&


o Explain the procedure to the patient#family. Have a consent form signed.

o Have the patient assume a comfortable position.

o Check the site for signs of phlebitis (redness! too warm temperature in the

skin surrounding the site! pain and in9ltration (swelling! cold clammy skinsurrounding the site! pain.o 0repare the medications and clean the port with an alcohol swab.

o Check the catheter for patency 9rst by aspirating gently and checking for

blood return! then by ;ushing with )ml plain /SS. Ensure that the solution

enters the site with a smooth! minimal pressure ;ow without pain or

resistance.o f pain or resistance is detected this may indicate that the line is not patent.

:o not use force if resistance is felt! a clot may break away and cause a

blockage somewhere else in the body.


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Nurse In-Charge

opd procedures charts and logbooks..doc

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