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Medication Administration - Injection (IM and SQ)

<= span style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'>Clin= ical Indications:

______ 1. When medication administration is necessary and t= he medication must be given

&= nbsp; via the SQ or IM route or as an alternative route in selected medications.

<= span style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'>Proc= edure:

______ 1. Receive and confirm medication order or perform a= ccording to standing orders.

______ 2. Prepare equipment and medication by expelling air from the syringe.

______ 3. Explain the procedure to the patient and reconfirm patient allergies.

______ 4. The most common site for subcutaneous injection is the arm. Injection volume sho= uld not exceed 1 cc.

______ 5. The possible injection sites for intramuscular injection include the arm, buttocks, and thigh. Injection volume should not exceed 1 cc for the arm and not more than 2 cc in the thigh or buttocks.

______ 6. The thigh should not be used for injection in ped= iatric patients and injection volume should not exceed 1 cc.

______ 7. Expose the selected area and cleanse the injection site with alcohol.

______ 8. Insert the needle into the skin with a smooth, st= eady motion as follows:

SQ: = 45 degree angle = Skin pinched up &n= bsp; =

IM: 90-degree angle = Skin flattened

______ 9. Aspirate for blood.

______ 10. Inject the medication.

______ 11. Withdraw the needle quickly and dispose of proper= ly without recapping.

______ 12. Apply pressure to the site.

______ 13. Monitor the patient for the desired therapeutic effects as well as any possible side effects.

______ 14. Document the medication, dose, route, time, and patient response in the electronic PCR.

<= span style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'>

Certification Requirements:

Succ= essfully complete a biannual evaluation including the indications, contraindications, technique, and possible complications of the procedure.

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