Replacement of the vial with an infusion solution
Completion requirements
Authors: Rednenko V.V., Rednenko L.I., Poplavets E.V., Brikez J.I., Tolyaronok D.A.
Editor: Rednenko V.V.
Equipment for the practical skill:
- medical manipulation table
- disinfection table
- infusion solution in a vial as prescribed by a doctor with a volume of 200 or 400 ml
- emergency chemical disinfectant for disinfection of ampoules and vials
- infusion system
- sterile dressings in individual packaging (balls 2 pcs.)
- anatomical tweezers and scissors in a container with a disinfectant solution
- containers for disinfection with working solution of a chemical disinfectant:
- "Disinfection of dressings and PPE"
- medical waste containers:
- "Empty vials"
- "Packaging"
- medical tripod for intravenous infusions
- anatomical tweezers in a container with a disinfectant solution (to work with medical waste containers)
- treatment list
- marker or pen
Clinical situation:
• the patient was prescribed an additional intravenous infusion of the solution (second vial)the patient was prescribed an additional intravenous infusion of the solution (second vial)
Preparatory stage:
- compare:
- the name and dose of drugs on ampoules and vials with an entry in the treatment list
- Check:
- the integrity of the infusion vial, appearance, expiration date
- the integrity of the packaging of sterile dressings
- indicate on the vial with the infusion solution the date and time of hiding the vial' the patient's surname and initials
- perform hygienic hand antiseptics, put on gloves
Main stage:
- open the package with the balls
- prepare (treat) the second vial with infusion solution (see "Withdrawing of medicine from a vial");
- secure the prepared second vial in the second socket of the vial holder;
- stop the flow of the solution from the first (empty) vial;
- remove the sampling needle from the first (empty) vial;
- insert the sampling needle of the system through the stopper of the second (full) vial;
- open the roller clip slightly and adjust the speed of drug administration;
- if there is no air channel in the system design, use a large diameter needle (with a pink cannula color) to install (puncture the plug) as an air duct;
Final stage:
- remove the empty vial from the vial holder and place it in the container "Empty vials"
- place the packaging from the balls in a container "Packaging"
- remove the gloves and place them in the container "Disinfection of dressings and PPE"
- wash your hands
- monitor the patient's condition during the infusion
Последнее изменение: Понедельник, 20 Апрель 2020, 13:23
Last modified: Monday, 27 March 2023, 12:14 PM