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Medication Administration via Subcutaneous Injection


Hi I’m Sarah and today we’re going to do
the skill of subcu injection. So I’m going to login to my computer here. Okay, so we have Morgan Brown MR number 281345 no known allergies, date of birth August 4th 1970.
I’m gonna look for my order. Okay. I see here he has an order from today of 522
at 6:30 in the morning for Hepburn sodium 5,000 units daily to be given
sub-q, scheduled for today at 10:00 a.m. Okay now I’m gonna go to the med cart
and get my supplies. I need my medication, heparin, I need a needle. Now when you’re
doing sub-q you need a smaller needle so this we want a 5/8 inch and this is a 25
gauge you don’t need a large needle, remember you’re going into fatty tissue
so it doesn’t go as deep. Gauze pad, some alcohol wipes, and my gloves. I also want
to look up the medication, I know that heparin is a blood thinner and in this
case we’re using it for DVT prophylaxis and we know that Morgan has no known
allergies so that’s good. Usually you use it for DVT prophylaxis and patients in the
hospital that might be bedridden not getting up as much as they usually do at
home or they might be post-surgery so here I have heparin it can be given IV
or we’re gonna do it sub Q for DBT MIRPE and the dose is 5,000 units, which is
what we’re giving today. Given every eight hours. We want to monitor for any
signs and symptoms of bleeding. So teach the patient to report any bleeding from
their gums, blood in their urine, blood in their stool. Let them know they’re gonna
bruise a little bit easier because of this being a blood thinner. So now I’m gonna go over here and I’m gonna do my first check. Okay. So I have my medication,
heparin sodium 5,000 units per ml, medication looks clear, no sediment,
nothing floating in it, expiration date 4/2039 which is good. I see here heparin sodium 5,000 units daily to be given sub-q. Order today at
6:30 scheduled for 10:00 a.m. to be given to Morgan Brown. So that’s my first
check. Now I’m going to do my second check again, check the medication, heparin
sodium 5000 units per ml be given subcu today at 10:00 a.m. to our patient, Morgan Brown. Medication looks good. Expiration date is 4/2039. Now I’m going
to go ahead and prepare my medication. I want to rub the top with some alcohol. Now remember again, you want to draw up air prior to drawing up the medications. So we’re gonna draw up the same amount a little bit more to leave room for your air to
get rid of it. Inject your air. Draw up your medication. So we want one ml. And you can go a little bit more just to make sure you get out that air. Got a big bubble in there. Okay. Get rid
of the air and we’re going to do the one-handed scoop. Okay. Now I’m going to do my third check. Heparin sodium, 5000 units per ml, to be given today
10:00 a.m. sub-q for Morgan Brown, expiration date 4/2039 and I
will do my documentation in the room when I administer the medication. Now I’m ready to go to the patient’s room. Hi Morgan, it’s Sarah your nurse. How you
doing today? I’m here to give you your heparin that the doctor ordered. I’m
gonna go ahead and give it in your abdomen, in your belly area. Are you
experiencing any discomfort or anything at this time? Okay. And then can you
verify your name and date of birth for me? Okay, great. That’s what I see there. All right so we’re giving this
medication to you today to prevent you from developing any blood clots while
you’re here in the hospital. It’ll be a really quick injection. Do you have any
questions for me? Okay. I’m gonna login. I’m just gonna pull up your chart here. Okay, Morgan I got to go ahead and scan you here first. Scan your bracelet. Okay now
I’m gonna scan the medication. Okay. Again, I’m gonna document my dose which is 5,000 units. And then we’re going to give it in the patient’s abdomen. We’ll do a right
abdomen. Morgan did they get… do you remember where they gave it to you the
last time? Okay, good. ‘Cause we never want to give it in the same spot two times in a row, we always want to rotate sites.
Okay I’m gonna submit that okay now I just need to clean your belly here, it’s
going to be a little cold, gonna give it in the abdomen which is the best place
to give it. When you’re giving heparin you want to give it at least two inches
from the umbilicus. You don’t want to give it any scars, incisions, stomas, you
want to give it right into the skin. I’m going to clean the area. Injection here. Okay. And you do not
aspirate with subcu. Go in at a ninety-degree angle, little
poke. Just want to grasp the skin, you don’t
really have to pinch it too hard. Okay. Good. Engage your safety, apply gauze, do not rub the site. All right Morgan.
Nice job. We’re all done. Get rid of your needle. Vover you back up here. Looks like you still have your call light, your side rails are up, your beds in the lowest
position. Is there anything else I can get for you right now? All right I’m going to gather my supplies, log out of the computer. And that completes our skill of subcu injection.

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