The document is a competency performance checklist for preparing medications from vials, detailing essential steps and elements required for proper medication withdrawal. It includes specific tasks such as hand hygiene, preparing the vial, withdrawing medication, and handling multidose vials. The checklist is designed for evaluation of a student's performance in this skill.
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Berman 10e Skill 35-03 Vials
The document is a competency performance checklist for preparing medications from vials, detailing essential steps and elements required for proper medication withdrawal. It includes specific tasks such as hand hygiene, preparing the vial, withdrawing medication, and handling multidose vials. The checklist is designed for evaluation of a student's performance in this skill.
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Competency Performance Checklist
Skill 35-3: Preparing Medications from Vials
Student: Date:
Essential/ Element Competency
critical Demonstrated? element? Yes No 1. Performed hand hygiene and observed other appropriate infection prevention procedures. 2. Prepared medication vial for drug withdrawal: a. Mixed solution, if necessary, by rotating vial between palms of hands, not by shaking. b. Removed protective cap, or cleaned rubber cap of previously opened vial with an antiseptic wipe by rubbing in circular motion. 3. Withdrew the medication: a. Attached a filter needle, if appropriate. b. Ensured that needle is firmly attached to syringe. c. Removed the cap from the needle. Drew up into the syringe the amount of air equal to the volume of the medication to be withdrawn. d. Carefully inserted the needle into the upright vial through the center of the rubber cap. e. Injected air into the vial and kept the bevel of the needle above the surface of the medication. f. Held syringe and vial at eye level to determine that correct dosage of drug was being drawn into syringe. Ejected air remaining at top of syringe into vial. g. Withdrew the prescribed amount of medication. h. Withdrew the needle from the vial and replaced the cap over the need using the scoop method. i. When correct volume of medication plus a little more was obtained, withdrew needle from vial, and replaced cap over needle using scoop method. j. Gently tapped the syringe barrel with a finger or pen while holding the syringe with the needle end pointing up to dislodge air bubbles present in the syringe. Expelled air and any ecess medication from the syringe, maintaining the “needle up” position. k. Replaced filter needle with a regular or safety needle if giving an injection. Variation: Preparing and Using Multidose Vials a. Read manufacturer’s directions. Copyright 2016 by Pearson Education, Inc. b. Withdrew an equivalent amount of air from vial before adding
Copyright 2016 by Pearson Education, Inc.
diluent, unless otherwise indicated by directions. c. Added amount of sterile water or saline indicated in directions. d. If multidose vial was reconstituted, labeled vial with the date and time it was prepared. e. Once medication was reconstituted, stored it in refrigerator or as recommended by manufacturer.
Used effective body mechanics throughout procedure.