Title Page
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Check for danger <br>I.e. Wet floor, hazards...
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Hand washing <br>According to WHO guidelines 2009
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Introduce self, role and why you are at pt's house
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Consent gained <br>You can ask the pt "is it your first time? Where do you usually get your injection? Do you prefer your right or left side ?"
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ID Checked. Check for allergies.
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Validate prescription <br>1. Correct pt<br>2. Drug<br>3. Dose<br>4. Date and time of administration <br>5. Route and method of administration <br>6. Diluent as appropriate <br>7. EXPIRY DATE of medication checked <br>8. Signature of prescriber <br>9. Prescription is legible <br><br>
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Ensure pt is comfortable <br>I.e. Offer repositioning, toilet, pain killers...
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Disinfect hands and Prepare equipment<br>I.e. Trolley, ensure everything is dry, sealed, intact and not expired.<br>Need to be verbalised.
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Go back to patient, prepare gloves, remove garment to expose site and assess area of injection<br>I.e. Free of bruises, signs of inflammation, oedema, infection, skin lesions...<br>If skin is intact... Preference of site?
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Clean the injection site<br>With a swab saturated with isopropyl alcohol 70% for 30 seconds and allow to dry for 30 seconds <br>Warn the pt that it might feel a bit cold
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Correct technique <br>-With the non-dominant hand stretch the skin slightly around the injection site <br>-holding the sry he with the dominant hand like a dart, inform the patient and quickly plunge the needle at an angle of 90 degrees into the skin until about 1 cm of the needle is left showing <br>-pull back the plunger. If no blood is aspirated, depress the plunger at approximately 1mL every 10 seconds (injecting the drug slowly).<br>-wait 10 seconds before withdrawing the needle <br>-withdraw the needle rapidly. Apply gentle pressure to any bleeding point but do not massage the site. <br>-ask pt if he/she would like a small plaster over the puncture site
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Activate safety device (where appropriate) and dispose everything safely <br>I.e. Ensure that all sharps and non-sharp waste are disposed safely and in accordance with locally approved procedures<br>VERBALISE that you dispose sharps into sharps bins and syringes into an orange clinical waste bag.
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Thank pt, hand washing, Document and escalate if needed.<br>Documentation has to include site of injection, date of next appointment and it has to be SIGNED
