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Dos and Don'ts in Injection

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)



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