- Medications stored in vials need to be drawn up in syringes to facilitate administration
- Follow facility protocol regarding the use and storage of multi-use vials
- Vials are pressure-sealed (vacuum). In order to remove any volume of liquid, you must first replace it with air.
- Appropriate size syringe (calculate required volume of dose)
- Blunt tip needle
- Alcohol pad
- Steps and Nursing Considerations
- Verify provider order
- ALWAYS follow 5 rights BEFORE preparing medication
- Right Patient
- Right Drug
- Right Dose
- Right Route
- Right Time
- ALWAYS prepare medications at the patient’s bedside
- Gather supplies
- Perform hand hygiene
- Don clean gloves
- Let the patient know what meds they will be receiving
- Calculate the required volume of medication needed
- Choose appropriate size syringe
- Attach blunt tip needle to syringe
- Not applicable for insulin needles or other built-in needle/syringe combos
- Remove the lid from the vial, clean the top with an alcohol pad
- Draw up air in your syringe equal to the volume of medication required
- With the vial on the table or countertop, insert the needle/syringe through the rubber stopper
- Inject the air into the vial
- Invert the vial and slowly draw up the med to the prescribed volume
- Drawing up too quickly can cause air bubbles
- Remove the syringe/needle from the vial
- Flick/tap the syringe to remove any air bubbles
- Safely recap and/or remove the blunt tip needle and discard in sharps container
- If not administering right away, LABEL the medication syringe:
- Drug name
- Dose / Volume
- Date / Time / Initials
- **Do not draw up more than one medication at a time without labelling the syringe(s)
- **Can use a piece of tape or a patient label/sticker
- Follow the appropriate steps for administration based on the prescribed route (IV, IM, SubQ, etc.)
- Educate about administration of medication.
Cornell Note-Taking System Instructions:
- Record: During the lecture, use the note-taking column to record the lecture using telegraphic sentences.
- Questions: As soon after class as possible, formulate questions based onthe notes in the right-hand column. Writing questions helps to clarifymeanings, reveal relationships, establish continuity, and strengthenmemory. Also, the writing of questions sets up a perfect stage for exam-studying later.
- Recite: Cover the note-taking column with a sheet of paper. Then, looking at the questions or cue-words in the question and cue column only, say aloud, in your own words, the answers to the questions, facts, or ideas indicated by the cue-words.
- Reflect: Reflect on the material by asking yourself questions, for example: “What’s the significance of these facts? What principle are they based on? How can I apply them? How do they fit in with what I already know? What’s beyond them?
- Review: Spend at least ten minutes every week reviewing all your previous notes. If you do, you’ll retain a great deal for current use, as well as, for the exam.
For more information, visit www.nursing.com/cornell
In this video we’re going to look at the proper technique for drawing up medications out of a vial.
Of course your very first step is to calculate the required volume of medication needed. In this case, let’s say you need 2 mL of the medication.
Now you will pick your syringe, in this case a 3 mL syringe is perfect. Then you’ll attach a blunt tip needle to the syringe.
Remove the lid from the vial, and clean the top with an alcohol pad
Now, since these vials are vacuum sealed, you have to replace the volume you want to remove with air first. So draw up air in your syringe equal to the volume of medication required.
Then, insert the needle/syringe through the rubber stopper and inject the air into the vial.
Now you can invert the vial and slowly draw up the med to the prescribed volume. Carefully not to draw it up too quickly or you’ll get air bubbles.
Take the needle out of the vial and flick or tap the syringe as needed to remove any air bubbles. Sometimes I’ll use a pen to help save my fingers!
Now, to proceed with administration, you have to remove the blunt tip needle. You can do that by carefully twisting it off from the base OR by safely recapping it with the scoop technique. Then throw it in the sharps container
Now that you have your med drawn up, you can immediately move to administering it based on whatever the route is. IF you aren’t going to administer it right away, you MUST label the syringe with the drug, dose, and date/time/initials.
Check out the specific route administration videos for details on how to give IV push, IM, or SubQ injections. Now, go out and be your best selves today. And, as always, happy nursing!