PARENTERAL ADMINISTRATION | ID, SQ, IM (RETURN DEMONSTRATION)

Summary

This video script outlines a comprehensive demonstration of parenteral drug administration, focusing on intradermal, subcutaneous, and intramuscular injections. The narrator, a student nurse, meticulously follows the rights of medication administration, emphasizing patient safety and infection control. Key steps include verifying doctor's orders, preparing medications and equipment, and performing injections with proper technique. The script also highlights the importance of patient communication, site selection, and post-injection care, ensuring a safe and effective nursing intervention.

Takeaways

• 💉 The video demonstrates three types of injections: intradermal, subcutaneous, and intramuscular.
• 🏥 Prior to administering medication, it's crucial to verify the doctor's order, patient identity, and explain the procedure to the patient.
• 🧼 Hand hygiene is emphasized before and after each procedure to prevent infection and cross-contamination.
• 💧 Sterile water is used as a demonstration medication, and real medications would require careful handling and preparation.
• 🔪 A variety of syringes are used for different injections, including tuberculin, insulin, and 23-gauge syringes.
• 🩸 Alcohol swabs are used to disinfect the injection site and the rubber seal of medication vials.
• 💊 Medications are drawn into syringes using aspirating needles and then transferred to the appropriate injection needles.
• 📝 Medication tickets are filled out to record the drug name, dosage, and other details for accuracy and safety.
• 🚮 Sharps containers are used for the safe disposal of used needles and syringes to prevent needlestick injuries.
• ⏱ Timing is important for some procedures, such as waiting for a skin test result or administering medication at a controlled pace.

Q & A

What is the purpose of an intradermal injection?

An intradermal injection is the introduction of a solution into the superficial layer of the skin using a syringe and needle. It is typically used for skin tests or to administer small amounts of medication.

How does one ensure the safety of drug administration in the demonstration?

Safety is ensured by observing the rights of drug medication administration, checking the doctor's order, performing hand hygiene, and using proper infection prevention procedures.

What is the significance of the tuberculin syringe in the demonstration?

The tuberculin syringe is ideal for skin tests or intradermal injections due to its small size and precision, which allows for the administration of small volumes of medication.

Why is it important to clean the rubber seal of the medication vial with a 70% alcohol swab?

Cleaning the rubber seal with a 70% alcohol swab for at least 30 seconds is crucial to disinfect the surface and prevent contamination of the medication being drawn into the syringe.

What is the correct angle for inserting the needle during an intradermal injection?

The needle should be inserted at a 5 to 15-degree angle for an intradermal injection to ensure the medication is administered into the correct layer of skin.

How do you confirm the correct administration of an intradermal injection?

The correct administration is confirmed when a bleb resembling a mosquito bite appears on the patient's skin, indicating that the solution is in the intradermal tissue.

What is the procedure for disposing of used needles to prevent needlestick injuries?

Used needles should be disposed of in a sharps container or waste receptacle without recapping to avoid needlestick injuries.

Why is it necessary to document the procedure and the site of injection after administering a medication?

Documenting the procedure and site of injection is necessary to provide a record of the administration, which can be referenced for future care and to avoid confusion or errors.

What is the difference between subcutaneous and intramuscular injections as demonstrated?

Subcutaneous injections are administered into the adipose tissue beneath the skin, while intramuscular injections are given deep into muscle tissue where there is a rich blood supply for rapid absorption.

How does one determine the appropriate site for a subcutaneous injection?

The appropriate site for a subcutaneous injection is determined by inspecting for bruising, inflammation, or edema, and choosing an area such as the outer aspect of the upper arm, abdomen, or anterior aspect of the upper thigh.

What precautions are taken during an intramuscular injection to avoid hitting a blood vessel?

During an intramuscular injection, the syringe is aspirated by pulling back the plunger to check for blood in the needle. If blood appears, it indicates a blood vessel has been hit, and the procedure is stopped to prevent complications.