Dos and Don'ts in Injection
Dos |
Don’ts |
• Maintain hand hygiene(use Soap and water or alcohol rub) |
• Don't forget to clean your hands |
• Use alcohol swab to clean the site for Injection and plain sterile swab for vaccinations |
• Don't presoak cotton wool in container. |
• Use single- use device for blood sampling and drawing |
• Don’t re use a syringe, needle or lancet for more than one patient. |
• Do disinfect the skin at the vein puncture site |
• Don’t use a single loaded syringe to administer medication to several patients. |
• After giving injection, if using Re use prevention syringe, break the plunger of syringe and needle through hub cutter. • Where recapping of a needle is unavoidable, do use the one-hand scoop technique
|
• Don’t touch the puncture site after disinfecting it. • Don’t change the needle in order to reuse the syringe
|
• Seal the sharps container with a tamper-proof lid |
• Don’t use the sme mixing syringe to reconstitute several vials. |
• Ensure One needle, One Syringe and One patient |
• Don’t leave an unprotected needle lying outside anywhere |
• Take post exposure prophylaxis, in case of needle stick Injuries and blood & Body splash |
• Don’t overfill or decant a sharp container |
• Do report to higher authority as per PEP |
• Don’t suck blood from the site of needle prick and don’t squeeze out the blood • Don’t delay PEP for HIV beyond 72 hours, then PEP for HIV is NOT effective |
Recommendations
- Safe injection practices: The following recommendations apply to the use of needles, cannulas that replace needles, and, where applicable intravenous delivery systems.
- Use aseptic technique to avoid contamination of sterile injection equipment.
- Do not administer medications from a syringe to multiple patients, even if the needle or cannula on the syringe is changed. Needles, cannulae and syringes are sterile, single-use items; they should not be reused for another patient nor to access a medication or solution that might be used for a subsequent patient
- Consider using newer injection device technologies wherever possible.
- Use fluid infusion and administration sets (i.e., intravenous bags, tubing and connectors) for one patient only and dispose appropriately after use. Consider a syringe or needle/cannula contaminated once it has been used to enter or connect to a patient s intravenous infusion bag or administration set. Use single-dose vials for parenteral medications whenever possible
- Do not administer medications from single-dose vials or ampules to multiple patients or combine leftover contents for later use.
- If multi dose vials must be used, both the needle or cannula and syringe used to access the multi dose vial must be sterile.
- Do not keep multi dose vials in the immediate patient treatment area and store in accordance with the manufacturer's recommendations; discard if sterility is compromised or questionable.
- Do not use bags or bottles of intravenous solution as a common source of supply for multiple patients. Infection control practices for special lumbar puncture procedures
- Wear a surgical mask when placing a catheter or injecting material into the spinal canal or subdural space (i.e., during myelograms, lumbar puncture and spinal or epidural anesthesia.
Follow Seven Rs-
- Right medication;
- Right dose;
- Right patient and site;
- Right time;
- Right route of administration;
- Right documentation and
- Right disposal
Source: National Centre for Disease Control (NCDC)
Last Modified : 2/21/2020
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