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Injecting gear
This was taken from Meso:
Clean the surface with alcohol, or soap and water, and a clean white towel.
Set up your medications, needles and syringes, diluent, alcohol wipes, gauze pads and Sharpe’s waste container.
Wash your hands for at least 20 seconds with soap and water.
Attach mixing needle (the mixing needle is usually larger than the other needles*) to syringe by twisting the mixing needle onto the hub of syringe until it locks in place. Place syringe with attached covered needle in your clean work space.
Be careful not to touch the needle. Handle only the outside of the syringe and plunger in order to prevent contamination.
Check with your medical staff as some centers may use the same needle to mix and inject the medication.
Open The Containers
For ampules
If using “ampule opener," place the snapper over the neck of the ampule and snap firmly away from you
or…
Hold the ampule between your index finger and thumb (If your ampule has a dot on the outside, face the dot away from you) and gently tap the ampule to remove any liquid from the top of the ampule.
Place the gauze over the neck of the ampule to protect your fingers and snap away from you.
Dispose the gauze and the snapped neck of the ampule in your sharps container.
For vials
Pop off the plastic cover and swab the top of the vial with an alcohol pad. Do not touch the top surface of the opened vial, to prevent contamination.
Twist the mixing needle onto the hub of syringe until it locks in place. Check with your physician, as some centers may use the same needle to mix and inject the medication.
Draw back on the syringe to insert the same amount of air as diluent needed and insert it through the rubber stopper and into the vial of diluent (liquid).
Invert the vial and syringe as one complete unit. Place the tip of the needle below the liquid level so the needle is in the liquid and pull the plunger to withdraw more than the amount needed. Withdraw the needle and syringe when filled.
Invert the syringe and point the needle upwards. Tap the syringe lightly on the side to remove air bubbles, and check for the upper most ridge of the plunger as it marks the amount needed.
Inject the diluent into the vial of powder medication and with the needle still in the vial, gently rotate the vial until the solution is clear.
Invert the vial and syringe as one complete unit, draw the needle below the liquid line and withdraw the solution. Remove all the mixed medication. You have successfully mixed one vial of medication
Carefully recap the mixing needle and replace it for an injection sized needle.
Mixing Gear
Pull off the cap of the mixing needle straight without twisting (twisting may loosen the needle).
Insert the needle into the ampule and withdraw more diluent than needed.
Invert the syringe so the needle is pointing up. Tap the syringe barrel to get the air bubbles to the top.
Depress the plunger to release the air and excess diluent. Watch for the upper most ridge of the plunger as it should mark the amount.
Slowly inject the diluent (liquid) into the ampule of powdered medication.
Without removing the needle, gently rotate the ampule between your finger and thumb until the solution becomes clear. Do not shake the solution.
Carefully withdraw the mixed medication back into the syringe.
Carefully recap the mixing needle and replace it with an injection-sized needle.
If your needle touches anything other than the inside of the ampule or needle cap, it is contaminated.
If Your needle become contaminated
Stop and pull on the plunger until you see a pocket of air beneath the syringe (to ensure that you not waste any medication).
Recap the needle, twist off, and discard it into the Sharpe’s waste container. Replace with a new needle.
Injecting the Gear
When selecting an injection site, make sure it is free from any tenderness, hardness, swelling, rash, scarring, itching, or burning.
Subcutaneous injection involves depositing medication into the fatty tissue directly underneath the skin using a short injection needle. These sites are most frequently found at the back of either arm, on the abdomen, the top of either thigh, or the buttocks.
Intramuscular injection involves depositing medication into deep muscle tissue using a longer injection needle. These sites include the mid-thigh, and the upper-outer quadrant of the buttocks.
Clean the surface with alcohol, or soap and water, and a clean white towel.
Set up your medications, needles and syringes, diluent, alcohol wipes, gauze pads and Sharpe’s waste container.
Wash your hands for at least 20 seconds with soap and water.
Attach mixing needle (the mixing needle is usually larger than the other needles*) to syringe by twisting the mixing needle onto the hub of syringe until it locks in place. Place syringe with attached covered needle in your clean work space.
Be careful not to touch the needle. Handle only the outside of the syringe and plunger in order to prevent contamination.
Check with your medical staff as some centers may use the same needle to mix and inject the medication.
Open The Containers
For ampules
If using “ampule opener," place the snapper over the neck of the ampule and snap firmly away from you
or…
Hold the ampule between your index finger and thumb (If your ampule has a dot on the outside, face the dot away from you) and gently tap the ampule to remove any liquid from the top of the ampule.
Place the gauze over the neck of the ampule to protect your fingers and snap away from you.
Dispose the gauze and the snapped neck of the ampule in your sharps container.
For vials
Pop off the plastic cover and swab the top of the vial with an alcohol pad. Do not touch the top surface of the opened vial, to prevent contamination.
Twist the mixing needle onto the hub of syringe until it locks in place. Check with your physician, as some centers may use the same needle to mix and inject the medication.
Draw back on the syringe to insert the same amount of air as diluent needed and insert it through the rubber stopper and into the vial of diluent (liquid).
Invert the vial and syringe as one complete unit. Place the tip of the needle below the liquid level so the needle is in the liquid and pull the plunger to withdraw more than the amount needed. Withdraw the needle and syringe when filled.
Invert the syringe and point the needle upwards. Tap the syringe lightly on the side to remove air bubbles, and check for the upper most ridge of the plunger as it marks the amount needed.
Inject the diluent into the vial of powder medication and with the needle still in the vial, gently rotate the vial until the solution is clear.
Invert the vial and syringe as one complete unit, draw the needle below the liquid line and withdraw the solution. Remove all the mixed medication. You have successfully mixed one vial of medication
Carefully recap the mixing needle and replace it for an injection sized needle.
Mixing Gear
Pull off the cap of the mixing needle straight without twisting (twisting may loosen the needle).
Insert the needle into the ampule and withdraw more diluent than needed.
Invert the syringe so the needle is pointing up. Tap the syringe barrel to get the air bubbles to the top.
Depress the plunger to release the air and excess diluent. Watch for the upper most ridge of the plunger as it should mark the amount.
Slowly inject the diluent (liquid) into the ampule of powdered medication.
Without removing the needle, gently rotate the ampule between your finger and thumb until the solution becomes clear. Do not shake the solution.
Carefully withdraw the mixed medication back into the syringe.
Carefully recap the mixing needle and replace it with an injection-sized needle.
If your needle touches anything other than the inside of the ampule or needle cap, it is contaminated.
If Your needle become contaminated
Stop and pull on the plunger until you see a pocket of air beneath the syringe (to ensure that you not waste any medication).
Recap the needle, twist off, and discard it into the Sharpe’s waste container. Replace with a new needle.
Injecting the Gear
When selecting an injection site, make sure it is free from any tenderness, hardness, swelling, rash, scarring, itching, or burning.
Subcutaneous injection involves depositing medication into the fatty tissue directly underneath the skin using a short injection needle. These sites are most frequently found at the back of either arm, on the abdomen, the top of either thigh, or the buttocks.
Intramuscular injection involves depositing medication into deep muscle tissue using a longer injection needle. These sites include the mid-thigh, and the upper-outer quadrant of the buttocks.
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