kathy4

Are the following lab steps correct for the cpne? Feel free to add or take away any steps. * - Critical Element Station A: Wound Management (15 minutes) Tear off 4 strips of tape. Hang tape off table Don clean gloves Loosen tape toward the wound * Remove Abd pad and 4X4 together * Discard dressing and gloves in bag Open sterile gloves, ABD pad, and sterile 4X4 Remove cap from NS bottle Don sterile gloves using aseptic technique Soak 4X4 with NS over garbage container Cleanse wound with wet 4X4 Change sterile gloves using aseptic technique * Apply 4X4. Cover with Abd pad * Secure edges with tape Remove sterile gloves * Label - initials, date, time Gather trash. Dispose in trash Station B: IV Medication (20 minutes) Read MAR Calculate drip rate on SLRF * Record flow rate (gtts/min) on SLRF - 1min, 30 sec, 15 sec, sec/gtts * Select Medication from assorted medications * Check ID against MAR - verbalize to CE Don clean gloves * Assess IV site for edema - verbalize to CE Remove gloves Clamp primary and secondary tubing Drop primary bag Spike and hang minibag * Clear any air in tubing Open clamp all the way on secondary tubing * Adjust drip rate using clamp on primary tubing Count for one minute * Sign the MAR Let CE check rate Station C: IV Push into IVAD (15 minutes) Read the MAR Calculate amount of medication (total bolus, 15 sec, 30 sec) * Record volume and time on SLRF Select medication from assorted medications Cleanse top of vial with alcohol swab * Measure bolus and label syringe with tape Cleanse port of saline bag with alcohol swab Measure two syringes with flush solution from 500 ml bag * ID patient - verbalize to CE Don clean gloves * Assess IV site for edema - verbalize to CE Wipe secondary port with alcohol pad Attach first flush syringe * Aspirate * First flush and dispose of syringe in sharps container * Administer Bolus slower than prescribed rate Dispose of syringe in sharps container * Second Flush and dispose of syringe in sharps container * Record Medication on MAR Station D: Intramuscular or Subctaneous Injection (15 minutes) Read the MAR Calculate amount of medications * Record individual and total volume on SLRF * Select medications from assorted medications Roll NPH Insulin - if assigned * Choose right syringe and right needle Cleanse top of vials with alcohol swabs Inject air into vial of second medication to be drawn up Inject air into vial of first medication to be drawn up * Invert vial and measure first medication - clear air from syringe Measure second medication without letting air get into the syringe Recap needle using one hand scoop method * ID patient - verbalize to CE Don clean gloves Palpate to find the site Cleanse site with alcohol swab using a circular motion Insert needle using a dart-like motion Aspirate with nondominant hand Inject slowly and steadily Withdraw the needle and dispose in sharp container Apply light pressure to the area (unless Heparin or insulin) Remove gloves * Record Medication on MAR Thanks a million:wink2: