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C. "#UG INCO#&O#ATION INTO $OLUMET#IC HAMBE# STE&S ). $e*if! +e ,*i en M.". /*e(c*i/ ion an. follo, +o(/i al /olic! on .*1g a.-ini( *a ion. 2. Ob(e*ve )3 #( ,+en /*e/a*ing an. a.-ini( e*ing -e.ica ion(. 4. E5/lain /*oce.1*e o /a ien 6-e.icine an. ac ion7 an. c+ec9 I$ (i e. $e*if! fo* (9in e( of +e .*1g befo*e I$ inco*/o*a ion. :. "o +an. +!giene befo*e an. af e* /*oce.1*e. ;. &*e/a*e +e nece((a*! -a e*ial( fo* +e /*oce.1*e (1c+ a( *ig+ .*1g an. clo(e, *ig+ .il1en ( nee.e., I$ in>ec ion *a!, (!*inge( an. nee.le(. <. C+ec9 /*e(en I$ fl1i. label, level an. +e inco*/o*a e. -e.icine in +e $ol1-e *ic C+a-be* o* I$ bo le if ,i + inco*/o*a e. -e.icine, c+ec9 fo* .*1g-.*1g inco-/a ibili ! an. if +e on-going I$ fl1i. in +e $ol1-e *ic C+a-be* i( o be con(1-e. in <-@ +o1*(, *eE1e( a /*e(c*i/ ion fo* I$F o be 1(e. (olel! fo* .*1g a.-ini( *a ion an. 9ee/ +e ,+ole (e ( e*ile fo* (1ccee.ing .o(e(. ?. A(/i*a e /*e/a*e. *ig+ .*1g ,i + co**ec .o(e. @. A.. .e(i*e. I$F .il1en ( in o vol1-e *ic c+a-be* b! o/ening +e (li.ing cla-/ f*o- +e bo le +en clo(e +e cla-/. A. "i(infec *1bbe* in>ec ion /o* of +e vol1-e *ic c+a-be* an. inco*/o*a e +e .*1g. Mi5 gen l!. )3. O/en +e cla-/ of +e ai*,a! a +e vol1-e *ic c+a-be*. )). #eg1la e flo, *a e of I$F inf1(ion acco*.ingl!. )2. &lace I$ label on vol1-e *ic c+a-be* in.ica ing .*1g inco*/o*a e. an. flo, *a e. )4. #ea((1*e'-oni o* /a ien ,+en inco*/o*a e. -e.icine i( con(1-e., cla-/ ai*,a! of $.C a.. I$F 8 *eg1la e flo, *a e of -ain I$F a( /*e(c*ibe.. ):. "i(ca*. ,a( e* acco*.ing o Heal + Ca*e Ca( e Manage-en 6"OH'"EN#7 );. "oc1-en in /a ien B( c+a* of +e .*1g a.-ini( e*e. 8 /a ien con.i ion. )<. "oc1-en in /a ien B( c+a I$F S+ee an. %a*.e5 6of c+ange( in I$ *a e' i-e .1e7 I$ &USH TH#OUGH THE HE&A#IN-LOC% "E$ICE. ). C+ec9 -e.ica ion ca*. again( +e ,*i en .oc o*B( /*e(c*i/ ion. 2. Ob(e*ve )3 #( ,+en /*e/a*ing an. a.-ini( e*ing -e.ica ion. 4. E5/lain /*oce.1*e o +e /a ien 6na-e of +e -e.icine an. ac ion7 befo*e a.-ini( *a ion. :. .o +an. +!giene befo*e an. af e* +e /*oce.1*e 61(e glove( e(/eciall! fo* +e c+e-o .*1g(7. ;. Ga +e* eE1i/-en o incl1.e'b1 no li-i e. o I$ *a!, He/a*in (ol1 ion, No*-al Saline .il1en ( o* I(o onic (ol1 ion, 2.; cc (!*inge( 4 /iece(, T1be*c1lin'TB (!*inge ) /c. <. &*e/a*e -e.ica ion o be a.-ini( e*e. e.g., an ibio ic, an. .*a, i 1/ in o a (!*inge. ?. Fill a 1be*c1lin (!*inge ,i + He/a*in (ol1 ion. N.B He/a*in (ol1 ion i( 1(1all! /*e/a*e. ,i + 3.) cc He/a*in /l1( 3.A cc No*-al (aline o* I(o onic (ol1 ion. @. Fill +e 2.; cc (!*inge ,i + I(o onic (ol1 ion o* No*-al Saline ) cc eac+ A. If 1(ing He/. Loc .evice ,i + 4 ,a! ( o/ coc9 ,i + l1e*-loc9, *o a e +e ( o/ coc9 (o +a +e line going o +e /a ien i( clo(e. 6 +i( ,ill /*even bac9flo, of bloo..7 )3. #e-ove +e cove* of +e in>ec ion /o* a(e/ icall! an. 9ee/ +e ( e*ili ! of +e cove*. )).O/en +e I$ line, in>ec -e.ica ion in o +e vein, i-ing +e flo, *a e acco*.ing o .oc o*B( /*e(c*i/ ion o* .*1g -an1fac 1*eB( in( *1c ion(. )2. Clo(e +e I$ line 8 *e-ove (aline (!*inge an. In(e* -e.ica ion (!*inge in o /o* . )4. O/en +e I$ line, 8 in>ec -e.ica ion in o +e vein, i-ing +e flo, *a e acco*.ing o .oc o*B( /*e(c*i/ ion o* .*1g -an1fac 1*eB( in( *1c ion(. ):. Ob(e*ve /a ien fo* an! a.ve*(e *eac ion( 8 .o n1*(ing in e*ven ion acco*.ingl!.
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);. Clo(e +e I$ line8 *e-ove -e.ica ion (!*inge. )<. In(e* +e (aline (!*inge, o/en +e line 8 fl1(+ Ca +e e* 1bing'I$ cann1la o fl1(+ +e line. )?. Clo(e 8 *e-ove (aline (!*inge. )@. Clo(e +e I$ line, *e-ove (!*inge an. *e 1*n +e cove* of +e in>ec ion /o* a(e/ icall!. )A. "oc1-en in +e /a ien ( c+a* an. 9a*.e5. 23. "i(ca*. ,a( e acco*.ing o Heal + Ca*e Ca( e Manage-en . 6"OH' "EN#.7 NOTE: No*-al (aline can a9e +e /lace of He/a*in. S 1.ie( +ave (+o,n +e efficac! of NSS. He/a*in (ol1 ion can be 1(e. if no*-al (aline o* I(o onic (ol1 ion i( no available.