BEST PRACTICE OF MEDICATION DELIVERY THRU INJECTION

Contents Topic Duration

Module 1 Needle Stick Injury (NSI) Prevention 1 hour
a. Introduction to Medication Delivery Process
b. Risk Analysis NSI on Injection
c. Steps in reducing risk of NSI
d. Introduction to Safety Medical Devices
Module 2 Anatomy and Physiology Applied to Injection 30 min.
1. Anatomy and Physiology
2. The Vascular Systems
3. The Skin & Muscle
4. Site of Injections
Module 3 Strategy for Waste Management of Immunization 1 hour

Module 4 Negative Outcomes of Medication Delivery Process 1.5 hours

1. Definition & Concept

2. Related Accreditation Bodies
3. Negative Outcome on Injection & Prevention
Module 5 Drug Administration 1.5 hours
1. Advantages
2. Hazards
3. Clinical Pharmacokinetics
4. Therapeutic Drug Monitoring Incompatibilities
5. Incompatibilities
6. Chemical Interactions
7. pH and Its Role in Drug Stability
8. Vascular Irritation
9. Approved Drug Lists
10.The Physician's Responsibility
11.The Intravenous Nurse's Responsibility.
12.The staff Nurse's Responsibility.
13.Preparation of Intravenous Solutions
and Additives.
14.Drug Delivery Systems
15.Important Checkpoints in Intravenous.
16.Drug Administration
17.Drug Calculations
18.Expiration Dates
19.Administration of Investigational Drugs.
Module 6 Injection Technique 1,5 hours
1. Patient Assessment
Module 6 1,5 hours

2. Type of Injection
3. Site Selection
4. Device Selection & Assembly
5. Injection Administration
6. Safe Disposal & Waste Management
Module 7 Understanding & Choosing Sharps Containers 1,5 hours
1. Overview
2. Type of Sharps Disposal & Clinical Application
3. Performance Criteria
4. Existing Standards
5. Recommended Strategy

Module 8 Giving Safe Immunization Part 1 1 hour

1. The Health Impact of Unsafe Injections
2. Causes of Unsafe Injection
3. Rules of Safety Injection
4. Unsafe Injection Can Cause Infections
5. Prevent Needlesticks
6. Practice That Can Harm Recipients
7. Practice That Can Harm Health Care Workers
8. Quiz
Module 9 Giving Safe Immunization Part 2 1 hour

1. Selecting Safe & Effective Vaccines

2. Checking Vial & Ampules
3. Assessing Contamination
4. Assessing Exposure to Freezing & Heat
5. Storage
6. Checking the Vaccines & Diluent Vials
7. Key Points
8. Quiz
Module 10 Giving Safe Immunization Part 3 1 hour

1. Reconstituting Vaccines Safely

2. Vaccines Which Require Specific Diluent
3. Key Points
4. Practical Exercise
5. Quiz
Module 11 Giving Safe Immunization Part 4 1 hour

1. Preventing Needlestick Injuries

2. Physical Layout of Vaccination Area
3. Safe Disposal
4. Cleaning the Outreach Site
Module 12 Giving Safe Immunization Part 5 1 hour
Module 12 Giving Safe Immunization Part 5 1 hour

1. Preventing Re-Used of Auto-Disable Syringes

2. Unsafe Injection Practices
3. Contaminated Injections
4. Cost Benefits of Safe Practices
5. Injection Site Practices
6. Touching Sterile Equipment
7. Is Aspiration Necessary ?
8. Reducing the Risk of Transmitting Disease
Module 13 Strategy for HIV Prevention thru Devices 1 hour

Module 14 The Seven Steps of a Safe Injection 1,5 hours

1. Clean Work Space

2. Hand Washing
3. Sterile Syringe & Needle
4. Sterile Vial of Medication
5. Skin Cleaning
6. Approriate Collection of Sharps
7. Approriate Sharps Management

Module 15 Medical Waste in Indonesia (SourceDirjen PPM & PL 1 hour

Depkes RI & PATH)
1. Overview
2. Type of Waste
3. Risk Assessment of Used Sharps Waste
4. Cost of Device vs Associated Risk
5. D.O.H. Strategy in Waste Management
Module 16 Cost of Small Scale Waste Management (source : Ulla 1 hours
Griffths - WHO Geneva)
1. Results from Two Studies
2. Proposed Methodology
3. Objectives of Cost Analysis of Waste Mgmnt
Module 17 Medication Delivery Process 1 hours

1. Overview
2. Selection
3. Preparation
4. Administration
 5. Disposal
Module 18 A "Never" Event: Unsafe Injection Practices 1 hours

Source: CDC
Module 19 What is Health Care Worker Safety ? 1 hours

1. What is SafeHandS ?
2. What is Health Care Workes Safety ?
3. Why is it Important ?
4. How Can it be Improved ?
5. How Can it be Measured ?
6. What Will it Cost ?
VERY THRU INJECTION

Method
Lecture, role play discussion, quiz,

Lecture, discussion, video, quiz

Lecture, discussion

Lecture, practice, discussion, quiz

Lecture, practice, discussion, quiz

Lecture, workshop, discussion,

video, quiz
Lecture, workshop, discussion,
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Lecture, workshop, discussion,

video, quiz

Lecture, workshop, discussion,

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video, quiz

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video, quiz

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video, quiz

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video, quiz
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Lecture, workshop, discussion,

video, quiz
 BEST PRACTICE OF INTRAVENOUS THERAPY

Contents Topic Duration

Module 1 Needle Stick Injury (NSI) Prevention 1 hour
a. Introduction to Medication Delivery Process
b. Risk Analysis NSI on Injection & Infusion
c. Steps in reducing risk of NSI
d. Introduction to Safety Medical Devices
Module 2 The Staff Nurse's Responsibility in Infusion 1 hour
Therapy
1. Standards of Practice
2. Nursing Care Plan
3. Monitoring & liquid Balance
4. Intravenous Administration Set Change
5. Intravenous Containers
6. Dressing Changes
7. Ambulating the Patient
8. Frequent Observation
9. Discontinuation of Therapy
Module 3 Infusion Therapy Protocol 1.5 hours
1. Assessment
2. Initiation
3. Site Selection
4. Cannula Selection
5. Hair Removal
6. Site Preparation
7. Cannula Placement
8. Cannula Stabilization
9. Junction Securement
10.Dressings
11.Needle/Stylet Disposal
12.Monitoring
13.Site Care
14.Documentation
15.Cannula Removal
Module 4 Anatomy and Physiology Applied to Intravascular 30 min.
Therapy & Injection
1. Anatomy and Physiology
2. The Vascular Systems
3. The Skin & Muscle
4. Site of Insertion
Module 5 Techniques of Intravenous Therapy 1.5 hours

1. Approach to the patient

Module 5 1.5 hours

2. Selecting the Vein

3. Selecting the Cannula
4. Securing Appropriate Environment.
5. Venous Distention
6. Preparation for Venipuncture
7. Techniques in Venipuncture
8. Basic Venipuncture
9. Anchoring the Vascular Access Device.
10.Application of an Occlusive Dressing.
Module 6 Potential Complications: Local and Systemic 1 hour

1. Local Complications
2. Systemic Complications
3. Prevention
4. Nursing Management

Module 7 Sources of Contamination and Principles of 1.5 hours

Prevention
1. Complications of Intravenous Therapy.
2. Sources of Bacteria
3. Factors Influencing the Survival of Bacteria.
4. Factors Contributing to Contamination and
Infection.
5. Care of the Venous Access Device.
6. Intravenous Associated Infections.
7. Particulate Matter
8. Culturing
9. Practice Setting
Module 8 Isolation Precaution 1 hour
1. Standard Precaution
2. Precaution based on Transmission
Module 9 Rate of Administration 30 min.
1. Determining Factors
2. Computation of Flow Rate
3. Factors Affecting Flow Rate
Module 10 Negative Outcomes of Medication Delivery Process 1.5 hours

1. Definition & Concept

2. Related Accreditation Bodies
3. Negative Outcome on Injection & Prevention
4. Negative Outcome on Infusion & Prevention
Module 11 Intermittent Infusion Therapy 1.5 hours
1. Indications & Contraindication
Module 11 1.5 hours

2. Advantages & Disadvantages

3. Intermittent Delivery Options & Methods
Module 12 Drug Administration 1.5 hours
1. Advantages
2. Hazards
3. Clinical Pharmacokinetics
4. Therapeutic Drug Monitoring
5. Incompatibilities
6. Chemical Interactions
7. pH and Its Role in Drug Stability.
8. Vascular Irritation
9. Approved Drug Lists
10.The Physician's Responsibility
11.The Intravenous Nurse's Responsibility.
12.The staff Nurse's Responsibility.
13.Preparation of Intravenous Solutions and
Additives.
14.Drug Delivery Systems
15.Important Checkpoints in Intravenous.
16.Drug Administration
17.Drug Calculations
18.Expiration Dates
19.Administration of Investigational Drugs.
Module 13 Infection Control in Infusion Therapy 1.5 hours
1. Steps in Implementing-
Hospital Infection Control Program.
2. Curriculum for Infection Control Course.
3. Sources of Microorganisms
4. Infusion Therapy Related Infections.
5. Control Measures
6. Sharps Disposal
7. Ventilation Systems
8. Sterilization and Disinfection Procedures.
9. Organization Structure of Infection Control
Committee.
Module 14 Nursing Care in Enteral Nutrition Therapy 1.5 hours

1. Definition
2. Indication
3. Considerations & Assessment
4. Complication
5. Method
6. Nursing Care
Module 15 Basic of Epidemiology 1 hour
Module 15 1 hour

1. Definition & Concept

2. Strategy
3. Surveillance
4. Formulating Data
5. Case Study of Hospital Surveillance
Module 16 Hand Hygiene Protocol 1 hour

1. Basic Concept
2. Strategy
3. Handwashing Study
4. Hospital Program
5. Practice of Hand Washing
6. Choosing antimicrobial & Hand Washing
Module 17 Blood Expossure & NSI Prevention 1,5 hours

1. Overview
2. Challenges on Current Practice
3. Indentification of NSI
4. Incidence Rate of NSI & Financial Impact
5. Risk Factors in NSI
6. Mitigate Risk in Medication Delivery Process
Module 18 Prevention of Catheter Related Infection 1,5 hours

1. Overview
2. Standard Precaution
3. Site Selection
4. Add on Devices
5. Hand Hygiene
6. Site Preparation
7. Device Selection
8. Flushing Protocol
9. Skill Session - Practice
Module 19 Infection Control in ICU 1 hour

1. Introduction.
2. Impact of Infection
3. Strategy in Infection Prevention
4. Isolation Precaution
Module 20 Nurse Responsibility in Infection Control 1,5 hours

1. Introduction to Infection Control

2. Role and Function of IPCN
3. Competence
4. Responsibility
AVENOUS THERAPY

Method
Lecture, role play discussion, quiz,

Lecture, workshop, discussion, video, quiz

Lecture, workshop, discussion, video, quiz

Lecture, discussion, video, quiz

Lecture, workshop, discussion, video, quiz

Lecture, workshop, discussion, video, quiz

Lecture, workshop, discussion, video, quiz

Lecture, workshop, discussion, video, quiz

Lecture, discussion, quiz

Lecture, practice, discussion, quiz

Lecture, practice, discussion, quiz

Lecture, practice, discussion, quiz, video show

Lecture, practice, discussion, quiz, video show

Lecture, practice, discussion, quiz

Lecture, practice, discussion, quiz

Lecture, workshop, discussion, video, quiz

Lecture, workshop, discussion, video, quiz

Lecture, workshop, discussion, video, quiz

Lecture, workshop, discussion, video, quiz

Lecture, workshop, discussion, video, quiz

Lecture, workshop, discussion, video, quiz

Lecture, workshop, discussion, video, quiz

Lecture, workshop, discussion, video, quiz