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Parenteral Medication Administration

Tonni Fritz H. Cutamora, a student nurse, will be performing a parenteral medication administration return demonstration. They will check the doctor's orders, medication administration records, and medication labels. They will organize equipment and prepare both vial and ampule medications while following infection prevention procedures. Tonni will introduce themselves to the patient, explain the intradermal injection procedure, position the patient comfortably, cleanse the injection site, inject the medication, apply a bandage if needed, and monitor the injection site.

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282 views2 pages

Parenteral Medication Administration

Tonni Fritz H. Cutamora, a student nurse, will be performing a parenteral medication administration return demonstration. They will check the doctor's orders, medication administration records, and medication labels. They will organize equipment and prepare both vial and ampule medications while following infection prevention procedures. Tonni will introduce themselves to the patient, explain the intradermal injection procedure, position the patient comfortably, cleanse the injection site, inject the medication, apply a bandage if needed, and monitor the injection site.

Uploaded by

tonnifritzcutamora
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Good day! I am Tonni Fritz H. Cutamora, a student nurse at Davao Doctors College.

Today I will be performing


a Parenteral Medication Administration return demonstration.

1. First for the preparation of parenteral medication, I will check the Doctor's order. Checking the MAR to make
sure that the correct medication is being prepared.
2. Check the label on the medication carefully against the eMAR to make sure that the correct medication is
being prepared.
3. Follow the three checks for administering medications. Read the label on the medication when it is taken
from the medication cart, before withdrawing the medication, and after withdrawing the medication.
4. Organize the equipment. This is to conserve time and energy.
5. Now I am going to prepare medication from the vial for intradermal and subcutaneous. Performs hand
hygiene and this is to prevent the spread of microorganisms.
6. Prepare the medication vial for drug withdrawal and mix the solution, if necessary, by rotating the vial
between the palms of the hands, not by shaking. After that remove the protective cap, or clean the rubber cap of
a previously opened vial with an antiseptic wipe by rubbing in a circular motion.
7. Now, withdraw the medication by attaching an aspirating needle. Ensures that the needle is firmly attached to
the syringe. Remove the cap from the needle, then draw up the amount of air equal to the volume of the
medication to be withdrawn into the syringe. Carefully insert the needle into the upright vial through the center
of the rubber cap, maintaining the sterility of the needle. Inject the air into the vial, keeping the bevel of the
needle above the surface of the medication.
8. Withdraws the prescribed amount of medication.
9. Next, I am going to prepare medication from the ampule for intramuscular. Performs hand hygiene and
observes other appropriate infection prevention procedures. This is to deter the spread of microorganisms and to
protect our client from any source of bacterial infection.
10. Prepare the medication ampule for drug withdrawal. Flick the upper stem of the ampule several times with a
fingernail. Use an ampule opener or place a piece of sterile gauze or alcohol wipe between your thumb and the
ampule neck or around the ampule neck, and break off the top by bending it toward you to ensure the ampule is
broken away from yourself and away from others. Place the antiseptic wipe packet over the top of the ampule
before breaking off the top. Dispose of the top of the ampule in the sharp container.
11. Withdraw the medication. With a single-dose ampule, hold the ampule slightly on its side, and aspirate the
medication. If giving an injection replace the aspirating needle with a regular needle. Tighten the cap at the hub
of the needle and place it over the medication tray.
12. Performs hand hygiene and wear gloves.
13 - 14. Good morning ma’am, I am Tonni Fritz H. Cutamora, your student nurse for today from Davao Doctors
College. But first, may I see your wristband? Kindly state your name. Your birth date. Thank you. So, ma’am, I
am here to perform an intradermal injection as your physician ordered. This procedure is conducted ma’am to
test if you’re allergic to the medication we will administer, perhaps, I will be doing a skin test. And once, I have
inserted the medication it will produce a small wheal, sometimes called a bleb. A wheal is a small raised area,
like a blister. And you will feel a slight prick as the needle enters the skin ma’am.
15. Ma’am, I’ll position you comfortably before we start.
16. So ma’am, I am going to assist your forearm because this will be the site for injection.
Avoids using sites that are tender, inflamed, or swollen and those that have lesions. Cleanse the skin at the site
using a firm circular motion starting at the center and widening the circle outward. Allow the area to dry
thoroughly.
17. Prepare the syringe for the injection: Remove the needle cap while waiting for the antiseptic to dry. Expels
any air bubbles from the syringe. Small bubbles that adhere to the plunger are of no consequence. Grasp the
syringe in your dominant hand, close to the hub, holding it between thumb and forefinger. Hold the needle
almost parallel to the skin surface, with the bevel of the needle up.
18. Inject the fluid: With the non-dominant hand, pull the skin at the site until it is taut. For example, if using
the ventral forearm, grasp the client’s dorsal forearm and gently pull it to tighten the ventral skin. Insert the tip
of the needle far enough to place the bevel through the epidermis into the dermis. Stabilizes the syringe and
needle. Inject the medication carefully and slowly so that it produces a small wheel on the skin. Withdraw the
needle quickly at the same angle at which it was inserted. Activate the needle safety device. Applies a bandage
if indicated.
19. Do not massage the area.
20. Now, I am going to do aftercare by removing and discarding gloves.
21. Performs hand hygiene to avoid cross-contamination of microorganisms.
22. Ma’am, I am going to encircle the injection site with a black ballpen to observe for redness or induration
hardening.
23. Documents all relevant information. Records the testing material given, the time, dosage, route, site, and
nursing assessments.
24. So ma’am, I will go back after 30 minutes to evaluate the condition of the injection site.
Also, measure the area of redness and induration in millimeters at the largest diameter and document findings.
25. Documents if the client had a positive or negative skin test result. Follow agency protocol on labeling of
allergies.

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