ok. I am lost. I just started in a LTC facility. maybe I am just not "up to date". but this place does not used alcohol to clean off any tops of bottles before they stick their needels in like for TB injections, or insulin. are you supposed to anymore? or to even clean off the skin before you inject? they told me they do not do it for the TB test because it "interferes" with the TB stuff...i can understand that...but are we not introducing "stuff" into the skin when we inject the medications on unclean skin? by not cleaning it? I am very scared not to do this? and State is comeing monday. I am the new unit manger. I want to almost ask them what we need to do. I know I already to to "correct" the wound team. that team of LPN's drives me crazy. I am in school to become a WOC nurse and that is one reason they hired me, this "team" of nurses uses one pair of gloves from start to finish for wound care.
please tell me. am I just lost? did I do everything wrong while I was in home care the last 4.5 years? maybe i have and haven't kept up on infectious disease stuff.
I was e-mailing my instructor on this (we were e-mailing about something else and I just figured I would get the rationale behind it).
She said that the caps on vials are not "dust covers", they are there to protect the sterility of the top when you remove the cap. They are heat sealed.
She said that it works because if you have ever tried to remove the cap, you can never get it to go back on the vial because when you take it off, the rim springs into a shape that is smaller than it was before.
The "flip cap" is actually called a "safety cap".
Obvious, if you withdrew a second dose of a med from the same vial sometime later, you would need to swipe again.
Last edit by BabyLady on Feb 23, '09
we're taught in school to wipe it with alcohol, the vial top and the patients skin before the fingerstick and the injection.
there may be some confusion, as one of my instructors told me that when the patient is at home they are being taught to wash their hands thoroughly for 15 -30 sec before the fingerstick rather than use the alcohol swab, but still use the alcohol swab on the vial and injection site. i don't remember the evidence behind it, but i remember the lecture.
Last edit by cursedandblessed on May 29, '09
: Reason: clarity
thats gotta be the dumbest thing i have ever heard in my entire life.
Srry,, i didnt mean the person that posted.. i meant that whomever would think that we would teach NOT to wipe. had to clarify,, didnt want to offend.
Last edit by NewRN2008 on Jun 2, '09
: Reason: didnt sound right...