lab manual

bsi, scene safe, ppe






selects appropriate IV fluid, checking clarity,color,expiration date





selects appropriate catheter





selects appropriate administration set






properly inserts IV tubing in to the IV bag





prepares administration set, fills drip chamber and flushes tubbing





cuts or tears tape





applies constricting band, checks distal pulse





palpates suitable vein





cleanses site appropriately





PPE





inserts catheter with sterile technique





verbalizes flash/blood return and advances catheter slightly farther





occludes vein with finger at distal end of catheter and removes stylet





immediately disposes of needle in sharps





obtains blood sample,BGL





releases constricting band





runs IV for a brief period to ensure patency and adjust flow rate





check IV site for signs of infiltration





secures catheter with tape and verbalizes





attaches label with size of catheter,date,time,prehospital





assesses patients response to intervention

bsi,scene safe, ppe






checks patient allergies and physician order





selects filter needle and appropriately sized syringe for the type of administration/medication





secures the hub of the needle to the tip of the syringe





selects the correct medication ampule, checks clarity,color,and expiration date





holds ampule with gauze pad and flicks ampule with fingertip to get fluid into base





holds ampule on top and bottom with gauze





breaks ampule open by holding upright and breaking away from self





removes needle cap





inserts filter needle into ampule so fluid cover bevel





pulls back on plunger and withdraws correct amount of medication





rechecks medication and amount





changes filter needle to proper needle for medication administration





disposes of filter needle in proper container





examines barrel of syringe for air and expels any extra fluid rechecking amount





prepares to administer medication to patient

bsi,scene safe,ppe






checks patient allergies and physician order





selects appropriate needle and syringe for the type of medication and administration route





secures the hub of the needle to the tip of the syringe





selects the correct medication vial, checks clarity,color,and expiration date





removes protective cap from vial if present





cleanses stopper





removes protective cap from needle





pulls plunger back to same volume to be withdrawn from vial





inserts needle through center of stopper





injects air from syringe into vial





inserts vial so fluid covers bevel of needle and withdraws correct amount medication





withdraws needle from stopper and rechecks medication and amount





examines barrel of syringe for air and expels any extra fluid, rechecking amount





prepares to administer medication to patient

bsi, scene safe, ppe






elicits patient allergies and explains procedure





selects correct medication and checks physician order





checks label for correct name, concentration/strength, and expiration date





inspects medication for discoloration, particles, or humidity damage





prepare correct amount of medication and get patient something to drink





obtains baseline level of pain or other signs/symptoms medication is to help





gives patient sip of water and verifies patient can swallow





administer medication to patient





checks patients mouth for absence of medication





monitors patient for desired effects of medication or potential complications





reassesses and documents effects of medication

bsi,scene safe,ppe






checks physician order, elicits patients allergies, and explains procedure





selects corrects medication,check for ED drugs





checks label for correct name,concentration, and expiration date





inspects medication for discoloration,particles or humidity damage





prepare correct amount of medication





obtains baseline level of pain or other signs/symptoms medication is to help





ask patient to open his or her mouth and left his or her tongue





asministers medication under tongue





instruct patient to close mouth





monitor patient for desired effects of medication or potential complications





reassesses and document effects of medication

bsi,scene safe,ppe






ensure that patient has adequate tidal volume for procedure





elicits allergy history and explains procedure





checks physician order and selects correct medication





inspects medication for discoloration, clarity, and expiration date





obtains baseline lung sounds





places patient on cardiac monitor





places medication into nebulizer reservoir and tightly closes





hooks appropriate end of nebulizer tubing to oxygen





secures mouth piece or mask to reservoir end





turns on oxygen until mist flows from mouthpiece of nebulizer





places mask on patient or assists patient in holding mouthpiece and closing off nose





encourages patient to breathe slowly with adequate tidal volume





adjusts oxygen flow so medicates mist is inhaled with each breath, not flowing throughout





monitors patient throughout administration





reassesses patient for change in condition, both desired and undesired effects





correctly document administration and patient response

bsi,scene safe,ppe






checks physician order or protocol





obtains patient allergies and explains procedure





selects corrects medication





checks label for correct drug,concentration,and expiration date





checks medication for cloudiness or discoloration





prepares correct amount of medication





obtains baseline level of pain or other signs/symptoms medication is to help





ppe





chooses and cleanses injection site appropriately





rechecks allergies,correct drug and correct dose





inserts needle at 90 degree angle and aspirates for blood return(45 degree angle for subcutaneous)





if no blood return, injects medication at appropriate rate





place DSD over insertion site and holds while quickly removing needle





massages site, if appropriate, while disposing of needle and syringe in proper container





checks site for hemostasis and applies dressing





monitors patient for desired effects and potential complications





correctly records injection site and patient response

bsi,scene safe,ppe






verbalizes indications for fluid administration and peripheral line is unable to be obtained





selects correct IV fluid,proper size of bag, and checks clarity and expiration date





prepares appropriate equipment to include IO needle,syringe, 10cc sterile saline





selects extension set and minidrip administration set





attaches administration set to bag





prepares administration set, fills drip chamber and flushes tubing





draws saline into syringe and attaches to extension tubing





primes extension tubing until NO air is in tubing or fluid





cuts and tears tape





ppe





identifies proper anatomical site for IO puncture





checks distal PMS





cleanses site appropriately





firmly grasps tibia and inserts needle at 90 degree angle to tibial plateau





with controlled pressure twist needle into bone until feel pop





unscrews cap and removes styler from needle





properly disposes of stylet





attaches syringe and extension set to IO needle and aspirates





slowly injects saline to assure proper placement of needle





connects administration set and adjust flow rate as appropriate





secures needle with tape and supports with bulky dressing





assesses patients response to intervention