Goal: The medication is administered successfully into the vagina.
1. Gather equipment. Check medication order against the original order in the medical record, according to facility policy. Clarify any inconsistencies. Check the patient’s chart for allergies.
2. Know the actions, special nursing considerations, safe dose ranges, purpose of administration, and adverse effects of the medication to be administered. Consider the appropriateness of the medication for this patient.
3. Perform hand hygiene.
4. Move the medication cart to the outside of the patient’s room or prepare for administration in the medication area.
5. Unlock the medication cart or drawer. Enter pass code and scan employee identification, if required.
6. Prepare medications for one patient at a time.
7. Read the CMAR/MAR and select the proper medication from the patient’s medication drawer or unit stock.
8. Compare the label with the CMAR/MAR. Check expiration dates and perform calculations, if necessary. Scan the bar code on the package, if required.
9. When all medications for one patient have been prepared, recheck the label with the MAR before taking them to the patient.
10. Lock the medication cart before leaving it.
11. Transport medications to the patient’s bedside carefully, and keep the medications in sight at all times.
12. Ensure that the patient receives the medications at the correct time.
13. Perform hand hygiene and put on PPE, if indicated.
14. Identify the patient. Usually, the patient should be identified using two methods. Compare information with the CMAR/MAR.
a. Check the name and identification number on the patient’s identification band.
b. Ask the patient to state his or her name and birth date, based on facility policy.
c. If the patient cannot identify herself, verify the patient’s identification with a staff member who knows the patient for the second source.
15. Complete necessary assessments before administering medications. Check the patient’s allergy bracelet or ask the patient about allergies. Explain the purpose and action of each medication to the patient.
16. Scan the patient’s bar code on the identification band, if required.
17. Put on gloves.
18. Ask the patient to void before inserting the medication.
19. Position the patient so that she is lying on her back with the knees flexed. Maintain privacy with draping. Provide adequate light to visualize the vaginal opening.
20. Spread labia with fingers, and cleanse area at vaginal orifice with washcloth and warm water, using a different corner of the washcloth with each stroke. Wipe from
above the vaginal orifice downward toward the sacrum (front to back).
21. Remove gloves and put on new gloves.
22. Fill vaginal applicator with prescribed amount of cream. (See the Skill Variation in your skills book for administering a vaginal suppository.)
23. Lubricate applicator with the lubricant, as necessary.
24. Spread the labia with your nondominant hand and introduce applicator with your dominant hand gently, in a rolling manner, while directing it downward and backward.
25. After applicator is properly positioned, labia may be allowed to fall in place if necessary to free the hand for manipulating the plunger. Push the plunger to its full length and then gently remove applicator with plunger depressed.
26. Ask the patient to remain in the supine position for 5 to 10 minutes after insertion. Offer the patient a perineal pad to collect drainage.
27. Dispose of applicator in appropriate receptacle or clean, nondisposable applicator according to manufacturer’s directions.
28. Remove gloves and additional PPE, if used. Perform hand hygiene.
29. Document the administration of the medication immediately after administration.
30. Evaluate the patient’s response to medication within appropriate time frame.
0 comments:
Post a Comment