***When you are finished, take a photo of this sheet with the syringes and needles and upload to the assignment. 1. Place the Tuberculin (TB) syringe here: a. Give an example of when you would use a TB syringe.
2. Place the insulin syringe here:
a. Give an example of when you would use an insulin syringe.
3. Place the 3mL syringe here:
a. Why would you use a 3 mL syringe?
4. Place the 5mL syringe here:
a. Why would you use a 5 mL syringe?
5. Place the 10mL syringe here:
a. Why would you use a 10 mL syringe?
6. Place the 18 gauge needle here:
7. Place the 22g needle here:
8. Place the 23g needle here:
9. What size needle (from those listed above) would you use to draw blood for lab work on an average sized adult patient? a. _______ b. Why? ____________ 10. You withdraw 1.8mL of Epinephrine to be administered subcutaneously. Which syringe size (from those listed above) will you use? ________________________________________ STATION 2 Administering Parenteral Medications
Intradermal Injection - Your patient needs a TB skin test before she
begins work as a phlebotomist in a local hospital. Using the checklist as a guide, demonstrate the proper technique for withdrawing and administering a TB skin test. Use the injection pad provided. Then answer the questions that follow.
The order reads: Administer 0.1mL of TB PPD intradermally.
Answer the following questions:
1. Explain why a newly hired hospital employee would need a PPD skin test before starting his/her job. 2. Should the skin test be checked (or “read”) right after injection? Why or why not? 3. What does it mean if the skin test comes back positive? Explain your answer. 4. What would the doctor order next, if the skin test comes back positive? 5. How is TB treated? Be specific and thorough with your answer. STATION 3 Administering Parenteral Medications
Subcutaneous Injection - Your patient is learning how to
administer insulin injections. Using the checklist as a guide, demonstrate the proper technique for administering a subcutaneous injection on the manikin’s abdomen (using an injection pad.)
The order reads: Administer 10 units of Regular Insulin subQ
1. What medical diagnosis requires the regular administration of
subQ insulin?
2. In the hospital, RNs administer insulin injections. The nurse
reads the doctor’s order for insulin administration and checks the MAR. Then, the nurse withdraws the insulin using proper technique. Before greeting the patient and checking for patient identification and administering the insulin to the patient, the nurse must do one more thing to ensure he or she is administering the CORRECT amount of insulin? Explain WHY this is important.
3. Why is it important for patients to learn how to administer
insulin injections to themselves? STATION 4 Administering Parenteral Medications
Intramuscular Injection - You are a medical assistant in a doctor’s
office and are getting ready to administer a flu vaccine to your patient. Using the checklist as a guide, demonstrate the proper technique for administering an intramuscular (IM) injection on the manikin. Practice using the Z-track method.
The order reads: Administer 0.5mL of influenza vaccine IM.
1. Why is the flu vaccine given by the IM route?
2. Why would you use the Z-track method?
STATION 5 Administering Oral Medications
Oral Medications - You are teaching the parents of a 3-year-old
how to administer amoxicillin p.o. Using the checklist as a guide, demonstrate the proper technique for administering this medication AND teaching the technique to the parent. The order reads: Administer 250mg Amoxicillin p.o. Q 6hrs. The medication comes 500mg/5mL.
a. How many mL will you administer? ___________ (you
need to determine how many mL you need to get 250 mg of medication) b. Your pediatric patient is 6 months old. What is the best way to administer the liquid oral medication to this age group? _____________________________________ c. Translate the medical abbreviations in the above order. List the abbreviations and the terms here. STATION 6 The 24-hour Clock Answer the following questions:
1. Many medical facilities use the 24-hour clock to provide timed
care (e.g. administering medications.) Why is using the 24-hour clock often the preferred method? Explain. 2. Your patient is to receive medications at 6:00pm. What time is that on the 24 hour clock? 3. Write your own patient care scenario and incorporate the need for the 24 hour clock. Use #2 above as an example as you develop your own scenario. Be creative! 4. Draw a 24-hour clock below. HOW TO SET UP THE MEDICATION ADMINISTRATION LAB
1. At EACH station, place Assignment (in sheet protector), Skills
Checklists (in sheet protector), and supplies. a. Station #1- i. Syringes: TB syringe, 3mL, 5 mL, 10mL, ii. Needles: 18 gauge, 22 gauge, 23 gauge b. Station #2 - Intradermal Injection- using an injection pad at a lab table. i. On a piece of paper towel, place the supplies needed for this skill. These include: Skill Procedure Checklist, injection pad, alcohol pads, TB syringes with needles, cotton gauze pads, medication vial. c. Station #3 - Subcutaneous Injection. i. At the manikin in a hospital bed, place the supplies needed on the Mayo stand: Skill Procedure Checklist, alcohol pads, Insulin syringes, cotton gauze pads, medication vials-Regular and NPH insulins. d. Station #4 - Intramuscular Injection. i. At the manikin in a hospital bed, place the supplies needed on the Mayo stand: Skill Procedure Checklist, alcohol pads, 3mL syringes and needles, cotton gauze pads, medication vial-Flu vaccine e. Station #5 - Oral Medication. On the mayo stand at the designated patient bed in the lab you will place the following items: i. Skill Procedure Checklist, Medication, medication cup, syringe, medication tray. f. Station #6 - The 24-Hour Clock i. No supplies needed. Students will answer the questions on the sheet. 2. When taking down the lab: be sure to keep each station separate; refill the bottles of medication with distilled water using a 22 or 23 gauge needle so as not to create a large hole in the rubber stopper of each vial. Replenish the alcohol pads, 2x2 gauze, etc.