06.05 Medications in Ampules
- Some medications are stored in glass ampules
- Must safely break the ampule to access the medication
- Must use a filter needle to prevent tiny shards of glass from being injected into patient
- Supplies needed
- Medication ampule
- Appropriate size syringe
- Filter needle
- Alcohol pad OR 2×2 gauze pads
- 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 filter needle to syringe
- Hold the ampule in your nondominant hand
- Flick or tap ampule to bring all medication to the bottom
- Wrap a piece of gauze around the top of the ampule with your dominant and
- If the ampule has a DOT on the top, that is where you will put your thumb
- Using your thumbs, break the ampule open away from you
- Uncap the needle/syringe and withdraw the correct amount of liquid from the ampule
- May need to tilt the ampule to get to the liquid
- Safely recap and/or remove the filter needle and dispose 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/stickerFollow 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 how to safely draw up medications that come in glass ampules without cutting yourself AND without getting glass in the syringe and giving it to your patient!
Of course, the first step is to calculate the required volume of medication needed. Let’s say in this case it’s 2 mL – or the whole ampule.
Grab your 3 mL syringe and this time you’ll have to attach a filter needle – this is how we’re going to prevent getting glass into the patient!
Hold the ampule in your non-dominant hand and flick it until all the bubbles are at the bottom, below the neck of the ampule
Look at the top and see if there’s a little dot on the top, if so, that’s where you want to put your thumb.
Wrap a piece of gauze around the top of the ampule with your dominant hand, you can also put the top of the ampule into an open alcohol pad package.
Put your dominant thumb over the dot and line up your non-dominant thumb with it on the base of the ampule.
Using your thumbs, break the ampule open away from you.
Now you can uncap the filter needle and withdraw the correct amount of liquid from the ampule. You may need to tilt the ampule to get to the liquid.
Now, safely recap or remove the filter needle from the abse and dispose of it in the sharps container.
As always, if you aren’t administering the drug right away, you MUST LABEL the syringe with the drug, dose, and date/time/initial.
Make sure you follow appropriate administration based on the ordered route, and of course, always follow your 5 rights!
Now, go out and be your best selves today. And, as always, happy nursing!