Medication Administration Basics⎮Dosing/Drawing⎮
TLDRIn this informative video, the host Sam covers the fundamentals of medication administration, focusing on the routes of administration commonly used by paramedics and EMTs. He discusses the critical 'eight patient rights' to ensure medication safety and accuracy, and provides a detailed explanation of how to calculate and draw up medication from a vial. The video also touches on the importance of verifying medication doses and the potential risks of medication errors, emphasizing the need for careful and repeated checks throughout the process.
Takeaways
- 📚 Introduction to medication administration basics for paramedics and EMTs.
- 💊 Understanding various routes of medication administration crucial for pre-hospital care.
- 🧾 Importance of adhering to the six or eight patient rights to prevent medication errors.
- 🤒 Differentiating between right patient, right route, right dose, right drug, right time, and other rights.
- 📈 Dosage calculations require conversions and understanding drug concentrations.
- 🍼 Oral, buccal, sublingual, intramuscular, intranasal, intravenous, and intraosseous are common routes.
- 🧬 Patient rights vary in application depending on the healthcare environment.
- 💉 Proper syringe selection and safe needle practices are emphasized for medication administration.
- 📊 The formula for calculating medication dosages is explained with examples.
- 🩸 Steps for drawing up medication from a vial and the importance of checking for accuracy.
- 🚨 Final reminder that the information is for educational purposes and not a substitute for formal training.
Q & A
What is the main focus of the video?
-The main focus of the video is to discuss the basics of medication administration, including routes of administration, patient rights, dosage calculations, and the procedure for drawing up medication from a vial.
What are some common routes of medication administration mentioned in the video?
-The video mentions oral, buccal, sublingual, intramuscular (IM), intranasal (IN), intravenous (IV), and intraosseous (IO) as common routes of medication administration used by paramedics and EMTs in the pre-hospital environment.
What are the 'eight patient rights' in medication administration?
-The eight patient rights are right patient, right route, right dose, right drug, right time, right documentation, right reason, and right response. These rights are crucial to ensure patient safety and prevent medication errors.
Why is confirming the right patient so important?
-Confirming the right patient is important to ensure that the medication is given to the intended recipient, preventing potential harm or complications that could arise from administering medication to the wrong individual.
How does the video demonstrate the process of drawing medication from a vial?
-The video demonstrates the process by first selecting the correct syringe, preparing the vial, confirming patient rights, drawing the desired dose, and checking for air bubbles before administering the medication.
What is the conversion formula used to calculate the dosage from the vial?
-The formula used is (desired dose * total volume) / dose on hand. This calculation helps determine the number of milliliters to draw from the vial to achieve the required dosage.
Why is it important to use the correct syringe size when drawing up medication?
-Using the correct syringe size ensures accuracy in dosage and minimizes the risk of medication errors. It also helps in avoiding waste and ensures that the medication can be administered safely and effectively.
What precautions should be taken when drawing up medication from a vial?
-Precautions include using blunt tips to avoid injury, swabbing the vial cap with alcohol for sterilization, and creating a vacuum by injecting air before withdrawing the plunger to ensure easy withdrawal of the medication.
How does the video address the issue of medication errors?
-The video emphasizes the importance of the six patient rights, especially the right drug, right dose, and right patient, to prevent medication errors. It also highlights the need for double-checking calculations and consulting with others when in doubt.
What additional topics does the video mention will be covered in future videos?
-The video mentions that future videos will cover calculating drips, IV push medications, IM injections, IO injections, and provide an instructional video on using the Sam IO device.
What disclaimer does the video provide regarding its content?
-The video includes a disclaimer that its content is for general information purposes only and should not be considered official training or authorization. Viewers are advised to refer to their local protocols and procedures for accurate and authorized information.
Outlines
📚 Introduction to Medication Administration
This paragraph introduces the topic of medication administration, highlighting the speaker's initial apprehension about the subject during their paramedic training. It outlines the video's purpose, which is to discuss the fundamentals of administering medication, including dosage calculation, vial drawing techniques, and understanding pharmacology. The speaker emphasizes the importance of knowing the various routes of administration commonly used by paramedics and EMTs in pre-hospital settings, such as oral, buccal, sublingual, intramuscular, intranasal, intravenous, and interosseous. The paragraph sets the stage for a comprehensive discussion on patient rights in medication administration and the necessary calculations for drawing up medication from a vial.
🏥 Understanding Patient Rights in Medication Administration
This paragraph delves into the concept of patient rights in medication administration, acknowledging the existence of varying interpretations of these rights, ranging from five to ten. The speaker focuses on the eight most common rights, which include the right patient, right route, right dose, right drug, right time, right documentation, right reason, and right response. While some of these rights are more applicable to hospital or nursing home settings, the speaker aims to clarify their relevance in the pre-hospital environment. The paragraph underscores the critical nature of adhering to these rights to prevent medication errors, which are a significant cause of deaths in the U.S. healthcare system.
📊 Dosage Calculations and Conversions
In this paragraph, the speaker discusses the importance of understanding various dosage units such as micrograms, milligrams, and grams, as well as their conversions. The speaker explains how to calculate the correct dosage from a vial, using diphenhydramine (benadryl) as an example. The paragraph covers the formula for dosage calculation, which involves multiplying the desired dose by the total volume and dividing by the dose on hand. It also touches on the need to confirm dosages through lookups and consultations, especially in the pre-hospital environment, to ensure patient safety.
💉 Procedure for Drawing Up Medication
This paragraph details the step-by-step process of drawing up medication from a vial. The speaker explains the selection of the appropriate syringe, the importance of maintaining sterility, and the use of blunt-tip needles for safety. The paragraph covers the procedure of confirming patient rights, swabbing the vial cap with alcohol, and the technique for drawing the medication into the syringe. The speaker also discusses the practice of keeping the needle in the vial if the medication is not to be used immediately and the importance of checking for air bubbles. The paragraph concludes with the speaker's personal practice of taping the vial to the syringe for easy verification of the medication and dosage.
🚑 Final Thoughts and Future Topics
In the concluding paragraph, the speaker reiterates the complexity of the topic of medication administration and acknowledges that the video only covers a small portion of it. The speaker expresses their intention to cover more advanced topics in future videos, such as calculating drips, intravenous injections, and interosseous injections. The speaker also clarifies that the information provided is for general informational purposes and should not be considered official training. They encourage viewers to refer to their local protocols and procedures and invite questions and comments from the audience.
Mindmap
Keywords
💡Medication Administration
💡Paramedic
💡Pharmacology
💡Patient Rights
💡Dose Calculation
💡Intramuscular (IM)
💡Vial
💡Syringe
💡Pre-hospital Environment
💡Medication Safety
💡Healthcare Professionals
Highlights
Introduction to the basics of medication administration, including routes of administration and patient rights.
Discussion on the fear associated with medication administration, especially calculating doses and understanding pharmacology.
Explanation of different routes of administration most utilized by paramedics and EMTs in the pre-hospital environment.
Elucidation of the six or eight patient rights crucial for safe medication administration.
Importance of right patient, right route, right dose, right drug, right time, right documentation, right reason, and right response.
The significance of checking medications and avoiding medication errors to prevent healthcare-related deaths.
Detailed process of drawing medication from a vial, including calculations and precautions.
Explanation of medication dosing conversions, such as micrograms to milligrams and milliliters to liters.
Procedure for drawing up medication, including selecting the correct syringe and needle, and ensuring safety.
Demonstration of the correct method for aspirating and injecting air to create a vacuum for medication withdrawal.
The step-by-step process of withdrawing the correct dosage of medication from a vial.
Practice of keeping the needle in the vial if not using the rest of the medication to maintain sterility.
Emphasis on the responsibility of the healthcare provider in administering medications and avoiding reliance on others' preparations.
Instructions on taping the vial to the syringe for confirmation of the medication and dosage before administration.
Discussion on the potential topics for future videos, such as calculating drips and intravenous injections.
Disclaimer that the video is for general information and not official training, advising viewers to refer to local protocols.
Transcripts
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