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Wash hands using 7 stage approach


Explain and discuss the procedure with the patient
Check the identity of the patient using the nameband, prescription chart and the
infusion container. Check for any drug allergies.
Inspect the infusion site
Clean tray
Assemble all necessary equipment for procedure
Check the name, dose, administration route and expiry date of drug to be
administered against the prescription chart in accordance with Trust Drug
Administration Policy
Check name, strength, volume and expiry date of any required diluent
Don gloves
Reconstitute the drug according to prescription and manufacturers guidelines
Re- check the identity of the patient using the nameband, prescription chart
and the infusion container. Check for any drug allergies.
Avoid contamination of connection and additive ports at all times
Wash hands using 7 stage approach and change gloves. CLEAN BUNG with
alcohol swab and allow to dry
Flush injection site with at least 5ml saline
Check that no resistance is met, no pain is felt by the patient, no swelling is
evident and no leakage occurs around the cannula.
Inject the drug as perscribed in drug leaflet using a non-touch technique
Ask the patient if any abnormal sensations or reactions are experienced.
Observe and monitor the patient for adverse reactions throughout the infusion
Flush the cannula AGAIN with sodium chloride. Thank the patient
Wash hands using 7 stage approach
Complete the patients prescription chart, fluid balance chart
MOCK OSCE mark sheet for reconstitution and administration of
an i.v. drug
Clinical Skills 2012

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