ktliz 379 Posts Specializes in critical care. Aug 24, 2011 On a related note, if you use a regular needle to draw from a vial, does anybody switch to a fresh, sharp needle before giving an injection? I understand the rationale that piercing the stopper dulls the needle, and a dull needle makes for a more painful injection. My instructor last semester did not change the needle. Not sure whether this is a practice I should implement this semester, or if I will be laughed off the floor?
Butterfly2625 9 Posts Specializes in Gen Med. Aug 24, 2011 When you draw out of an ampule use the filter needle when drawing up the medication. Once you have the amount of the drug you need, change the needle on the syringe to the one you need for the method of medication delivery (ie. IM injection 1-1/2 inch needle or 18g for adding medication to an IVPB).
Butterfly2625 9 Posts Specializes in Gen Med. Aug 24, 2011 Small hint of advice: When breaking the neck of the ampule, use the cover of the alcohol swab so you don't cut yourself.
Sun0408, ASN, RN 1,761 Posts Specializes in Trauma Surgical ICU. Has 4 years experience. Aug 24, 2011 Have you asked someone where they are?? Simple I know but many things are not "seen" but still available. Yes, we have filter needles and use them daily.
apocatastasis 207 Posts Specializes in Psychiatry, ICU, ER. Has 4 years experience. Aug 24, 2011 I meant ampule but I actually use them to draw up everything. And to the poster who switches needles out, that is my practice.
miss81, BSN, RN 342 Posts Specializes in Surgery, Tele, OB, Peds,ED-True Float RN. Has 8 years experience. Aug 24, 2011 Never seen a filter needle, ever! Not in nursing school or since I've been working for almost 10 yrs (in med-surg and critical care). And, all of our narcs come in ampoules.
Adenium 132 Posts Aug 24, 2011 I always use a filter needle to draw from an ampoule, but not all units stock them at all times. I've seen many nurses use a TB syringe and say they think it's small enough to act as a filter, but that doesn't cut it for me. And you can't remove the needle from those syringes and swap out with a new one, so whatever you think you're "filtering" is sitting in the needle waiting to be injected. These folks aren't really following through with their thought trains... Just because I can't SEE the glass bits doesn't mean they aren't there, as another poster pointed out above. Always a filter needle and then a new needle for whatever the situation calls for.
Gently.me 51 Posts Has 2 years experience. Aug 24, 2011 On a related topic, the epi we have here comes in ampules. If we were to need to administer epi STAT due to anaphylaxis, do you have the time to draw up with filter needle then administer the epi?I have never had to use epi in this way before, but it is my huge fear!!!! Hard enough to remember the dang doses of epi, but to also have to remember filter needle!?On another note, there is no excuse coverage for the nurse to not use a filter needle on ampule. Ignorance is no excuse either, so if you facility does not have filter needles GET THEM!! I cant imagine glass shards in an IV....eeek!!!
subee, MSN, CRNA 4,768 Posts Specializes in CRNA, Finally retired. Has 51 years experience. Aug 24, 2011 In 30 years of giving anesthesia, I've probably opened about 20,000 ampules without a filter..as does every other anesthesia practitioner and have never heard of or read about glass shards being identified as problematic in real life. Oh good grief, I hope the committees that write the cook books to micromanage every aspect of our practice never hear about this one!:)
Gently.me 51 Posts Has 2 years experience. Aug 24, 2011 I have been doing some research on this subject and found this website to be very enlightening!!! http://findarticles.com/p/articles/mi_m0FSS/is_5_15/ai_n17215448/
MKS8806 115 Posts Specializes in Labor and Delivery, Newborn, Antepartum. Has 7 years experience. Aug 24, 2011 we use filter straws with our ampules
evilolive, BSN, RN 193 Posts Specializes in Cardiac/Step-Down, MedSurg, LTC. Has 6 years experience. Aug 24, 2011 Very infrequently do I have to use filter straws, but on the rare occasion when I have to draw up phenergan, I always use one. I remember when I did a L+D rotation in college we used them frequently to draw up Vitamin K. For some reason, there are always MILLIONS of them stocked on my floor. Someone must like them a lot!
