My boyfriend is so selfish
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2.5. Drug storage techniques
The activity of some types of drugs will be lost due to light; examples of such drugs are ephedrine, adrenaline, amphotericin, and sodium nitroprusside. Because these drugs are stored for emergency purposes, their condition during storage must be checked regularly.There are also several types of drugs that must be stored in a certain temperature (cooling cabinets) to maintain their effectiveness, for example: sintocinon, and sintometrine.
2.6. Principles of Standard Vigilance and Prevention of Infections associated with intravenous medication prasate :
- Everyone (patient or health care worker) is very potential to transmit the infection.
hand washing: the most important measure in the prevention of cross contamination (person to person or object contaminated to person).
- Wear gloves (both hands) before touching the injured skin, mucous membranes (mucosa), blood or other body parts or instruments that are dirty and contaminated waste, or before an invasion. The use of gloves on IV inkers is considered necessary with the recommended type of examination gloves and the type received is surgical DTT gloves (Tietjen, Cronin and McIntosh 1992).
- Maintain asepsis when action is performed.
- Hold the syringe and syringe safely by using the technique of one hand (one hand) when it will close the syringe again.
safety instructions for using spuit and needle :
1) Use each needle and spuit only disposable.
2) Do not remove the needle from the spuit after use.
3) Do not clog, bend, or break needles before disposing of.
4) Decontaminate the needles and syringes before disposal.
5) Dispose of needles and syringes in special leak-proof containers.
- Waste disposal. Single-use sharp objects including syringes require special handling because these objects can injure health workers and also the surrounding community if waste is thrown away in landfills.
2.7. Type – types of intravenous medication
Directly
Is the administration of drugs through the veins directly, including through the media cubitus/chepalica (arm area), saphenous vein (limb), jugular vein (neck). The goal is that the reaction takes place quickly and directly into the blood vessels.
A. Procedure for Procedure for Drug Administration through Intravenous Direct
1) Phase Orientation
a) Tereupetic greetings
b) Evaluation or validation of client conditions
c) Contract: Topic /time /place
2) Working Phase
Preparation of tools :
a) Treatment card
b) Sterile spuit containing drug solution
c) Instrument
d) Alcohol cotton
e) Torniquette
f) Sterile handschoond
Working Way
a) inform and explain to the client about the actions to be performed.
b) Preparing equipment.
c) Carry equipment to the patient's premises.
d) Washing hands.
e) Installing Sterile gloves.
f) Specify the vein to be used to insert the drug, install the horniquet.
g) Clean the area to be pierced with with alcohol cotton.
h) Prepare a spuit containing the medicine and remove the air from inside the spuit tube.
i) Stretch the patient's skin with a non-dominant hand, then insert the needle into the vein with the pinhole pointing upward parallel to the vein.
j) Do aspiration, when sucked blood, remove the hornikuet and push the drug slowly until it runs out.
k) Putting alcohol cotton over the needle, pulling the needle and spuit while holding the base of the needle.
l) Puncture scars pressed with alcohol cotton.
m) Tidying up the patient.
n) Clean up tools.
o) Washing hands.
p) Document the results of the action.
3) Termination Phase
a) Evaluation of client response :
subjective evaluation
an objective evaluation
b) Client follow-up
· attitude Addiction
- Carefully
be patient and do not rush
- Be polite and friendly
- Thorough and careful in maintaining sterility
Through an intravenous container (indirectly)
This is a procedure to give drugs by adding drugs into a container of intravenous fluid (intravenously). The goal is to minimize side effects and maintain therapeutic levels of the drug in the blood.
A. Procedure for administering the drug through an intravenous container
1) Phase Orientation
a) Terepeutic greetings
b) Evaluation or validation of client conditions
c) Contract: Topic /time /place
2) Preparation of tools
a) Spuit and needle according to the size
b) The drug and its place
c) Liquid container (pouch/bottle)
d) Alcohol cotton
3) Working procedure
a) Wash your hands.
b) Explain to the patient about the procedure to be done.
c) Check the patient's identity, then take the medicine and put it in the syringe.
d) Find the place of injection of the drug in the pouch/bottle area.
e) Perform disinfection with alcohol cotton and stop flow.
f) Inject by inserting a sputi needle through the middle and insert the drug slowly into the liquid bag/container.
g) When finished, pull the spuit and mix the solution by reversing the fluid barrel slowly from one end to the other.
h) Check the infusion speed.
i) Wash hands.
j) Record the administration reaction, date, time, and dosage of the drug.
4) Termination Phase
a) Evaluation of client response :
subjective evaluation
an objective evaluation
b) Client follow-up
· attitude Addiction
- Carefully
be patient and do not rush
- Be polite and friendly
- Thorough and careful in maintaining sterility
Through an intravenous hose
This action is a procedure of giving drugs through an infusion/intravenous tube.
A. Procedure for administering drugs through an intravenous tube
1) Phase Orientation
a) Tereupetic greetings
b) Evaluation or validation of client conditions
c) Contract: Topic /time /place
2) Preparation of tools
a) Spuit and needle according to the size
b) The drug and its place
c) Liquid container (pouch/bottle)
d) Alcohol cotton
3) Working procedure
b) Explain to the patient about the procedure to be done.
c) Check the patient's identity, then take the medicine and put it in the syringe.
d) Find the place of injection of the drug in the infusion hose area (on the rubberized hose).
e) Perform disinfection with alcohol cotton and stop flow.
f) Perform injections by inserting a syringe needle through the middle and insert the drug slowly into the intravenous tube.
g) When finished, pull the spuit.
h) Check the infusion speed.
i) Observe drug reactions.
a) Wash hands after the procedure is completed.
k) Record the administration reaction, date, time, and dose of the drug.
4) Termination Phase
a) Evaluation of client response :
subjective evaluation
an objective evaluation
b) Client follow-up
· attitude Addiction
- Carefully
be patient and do not rush
- Be polite and friendly
- Thorough and careful in maintaining sterility
2.8 Location or Place of how to Give drugs through Intra Vein
· On the arm (basalic vein and cephalic vein)
· On the limbs (saphenous vein)
· On the neck (vena jugular)
· On the head (frontal vein or temporal vein)
2.9 Intra-Vene Drug Administration Techniques
A. Tool Preparation
Sterile spuit and needle
Necessary medication (vial or ampoule )
Sterile spuit tub
Alcohol cotton
Sterile cassae to open the ampoule (if necessary)
Rubber damper or tourniquet
Ampoule saw (if necessary)
2 crooked (one contains disinfectant liquid )
Quote (if necessary )
Sterile gloves
List /treatment form
B. Working Way
Check instructions/treatment order
Nurses wash their hands
Prepare the medicine, insert the medicine from the vial or ampoule in the correct way
Client identification (check name)
Notify the client/family about the actions to be performed as well as its objectives
Assist the client to a comfortable and relaxed position / lie down with hands in a straight state
Free the area to be injected from clothing
Choose the right area of injection (free from edema, mass, tenderness, scarring, redness/inflammation, itching)
Determine and find the vein to be punched (basilica vein and cephalic)
Wearing gloves
Clean the injection site by rubbing alcohol cotton from top to bottom using a hand that is not to inject
Perform damming at the top of the injection area and encourage clients to clench their hands
Prepare the spuit, remove the cover hood perpendicular while waiting for the antiseptic to dry and remove air from the spuit
Hold the spuit with one of the dominant hands between the thumb and index finger with the palm facing down
Stretch the skin with your non-dominant hand to hold the vein, then slowly stick the needle with the hole facing up into the vein with the needle position parallel to the vein
Hold the base of the needle with a non-dominant hand as fixation
Do the aspiration by pulling the plunger, when sucked blood release the client's fist tourniquet then push the drug slowly into the vein
After the drug enters all, immediately remove the spuit, the puncture mark is pressed with an alcohol cotton swab
Dispose of the spuit without having to cover the needle with the hood (to prevent injury to the nurse) at the disposal properly
Remove gloves and clean the patient
Clean up tools - tools
Hand wash
Record the administration of drugs that have been implemented (dosage, time, manner) on the drug sheet or nurse notes.
Evaluate the client's response to the drug (15 to 30 minutes)
C. Outcome
The needle is located right on the vein
Work fast and thorough
Pay attention to the principles of aseptic and antiseptic
D. Responsiveness
Relevance of answers to questions
Argument ability
...CHAPTER III...
...COVERINGS...
3.1. Conclusions
Drugs given intravenously have the most immediate effect compared to other ways of administration.
Midwife students should be thoroughly trained in their giving.
Medication – intravenous drugs can be done through the following ways :
1) How to bolus or “dorong”
2) Intermittent infusion
3) Addition of infusion water
Sterility must be maintained
Flushing is necessary before and after administration of the drug
3.2. The Role and Responsibility of Student Midwives
Briefly, the roles and responsibilities of midwives students are :
1) Comply with unit policies for training and skills upgrading.
2) Perform the examination process to ensure the correct drug is given to the correct patient.
3) Maintain strict asepsis technique.
4) Perform the correct procedures, including the assessment of the location of the cannula and the speed of administration.
5) Observing the mother for an unexpected response.
6) Make the correct record." Devi Level One.
"Oke Devi and who wants to make a suggestion?." Said Mrs Wayan Yuniarti Lecturer KDK.
"So continue with mom." Say Ani, Bella, Bianca, Cika, Deva, Dina, Endah, Eka, Fani, Gita, Hena, Hamidah, Indah, Marsya, Nita, Octara, Pina, Rani, Ririn, Shinta, Sofia, Sonya, Tata, Tata, Talitha, Tiara, Tina, Ulfah, Willy And Wulan Level One.
"OK ready and now Beautiful." Said Mrs Wayan Yuniarti Lecturer KDK.
"Okay, mom and it's done." Beautiful Speech Level One.
"Okay well and Ulfah." Said Mrs Wayan Yuniarti Lecturer KDK.
"Do you understand?." Ulfah Level One.
"OK ready." Say Ani, Bella, Bianca, Cika, Deva, Devi, Dina, Endah, Eka, Fani, Gita, Hena, Hamidah, Indah, Marsya, Nita, Oktara, Pina, Rani, Ririn, Shinta, Sofia, Sonya, Tata, Talitha, Tiara, Tina, Willy And Wulan Level One.
"Continue?." Said Mrs Wayan Yuniarti Lecturer KDK.
"Mom continue." Say Ani, Bella, Bianca, Cika, Deva, Devi, Dina, Endah, Eka, Fani, Gita, Hena, Hamidah, Indah, Marsya, Nita, Oktara, Pina, Rani, Ririn, Shinta, Sofia, Sonya, Tata, Talitha, Tiara, Tina, Ulfah, Willy And Wulan Level One.
"Okay well, until 11:30 WIB yes, Rani, Hamidah, Shinta, Tina And Eka." Said Mrs Wayan Yuniarti Lecturer KDK.
"Okay mother." Say Ani, Bella, Bianca, Cika, Deva, Devi, Dina, Endah, Eka, Fani, Gita, Hena, Hamidah, Indah, Marsya, Nita, Oktara, Pina, Rani, Ririn, Shinta, Sofia, Sonya, Tata, Talitha, Tiara, Tina, Ulfah, Willy And Wulan Level One.
"Understand everything." Said Rani, Hamidah, Shinta, Tina And Eka Level One.
"understand." Say Ani, Bella, Bianca, Cika, Deva, Devi, Dina, Endah, Fani, Gita, Hena, Indah, Marsya, Nita, Octara, Pina, Ririn, Sofia, Sonya, Tata, Talitha, Tiara, Ulfah, Ulfah, Willy And Wulan Level One.
"Now you can submit the suggestion next Monday yes and continue the discussion of the contents of the powerpoint later yes Hena, Tata, Endah, Cika, Fani, Sofia, Pina, Tiara, Marsya, Ririn, Bianca, Deva, Deva, etc, Dina, Gita, Octara, Sonya, Talitha, Tiara, Willy, Wulan, Ani And Bella." Said Mrs Wayan Yuniarti Lecturer KDK.
"Dad mother." Say Ani, Bella, Bianca, Cika, Deva, Dina, Endah, Eka, Fani, Gita, Hena, Hamidah, Indah, Marsya, Nita, Octara, Pina, Rani, Ririn, Shinta, Sofia, Sonya, Tata, Tata, Talitha, Tiara, Tina, Ulfah, Willy And Wulan Level One.
"Okay, just end the powerpoint discussion today and have a good day." Said Mrs Wayan Yuniarti Lecturer KDK.
"Okay, good day." Say Ani, Bella, Bianca, Cika, Deva, Dina, Endah, Eka, Fani, Gita, Hena, Hamidah, Indah, Marsya, Nita, Octara, Pina, Rani, Ririn, Shinta, Sofia, Sonya, Tata, Tata, Talitha, Tiara, Tina, Ulfah, Willy And Wulan Level One.
