Hello everybody. I am Mike from Surgtech Academy and today I'm going to
demonstrate how to draw up medications. Now there are two ways we can do this.
The first way is to draw up the medication from a vial held by the
circulator. The second way is for us to draw up the medication we have received
onto the sterile field. One of the major, if not the key concepts
of medications, is that we need to know and remember the six rights of
medications. Some experts have added two more to make it the eight rights of
medications. Some say the five rights. Our textbook says six. So for this
demonstration I'm going to stick with the six. And this six are: the right
patient, the right medication, the right dose, the right route, right time, and
right documentation. For us it means labeling. Now the right patient is
determined during the timeout and also verifying the patient allergies is also
important at this time. The right route and the right time is decided by the
surgeon. So, first make sure we have the correct supplies. We have looked at the
surgeons preference card or the plan of care and have determined that the
surgeon wants 10 milliliters of 0.9% normal saline. And wouldn't you know it,
as chance would have it, that's all we have in the lab. So, the first way we are
going to draw up the medication is from a vial held by the circulator. The
circulator presents the medication to us by showing us the medication label and
announcing the medication and the dosage.
0.9% sodium chloride. Expiration date August 2018. Okay, 0.9% sodium chloride.
Expiration date August of 2018. I'm going to pull back 10 milliliters of air.
The circulator is gonna hold it straight up and down. I'm gonna eject all the air
in the vial. Pull down and get the medication. I go slow because I think it
adds less air bubbles. And I also draw up a little more if I can than the ten
because inevitably I always, you, lose half a CC when I'm getting out all the
air bubbles. So next we're gonna use the scoop method. So with no hands I'm gonna
scoop the needle on the cap onto the needle. Make it click. I'm gonna make sure
that all the air bubbles are out and I'm gonna make sure that I have ten
milliliters of 0.9% normal saline inside the syringe. At this point I'm gonna go
ahead and label my syringe. Expiration date August of eighteen.
And there you have it. A properly labeled syringe. Also make sure that
intra-operatively, remember to let your surgeon know that you are... what you're passing
them when you're giving the medication for the first time. Next let's go up and
draw a medication that's been received onto the sterile field. First, the
circulator has shown you the vial and has announced the medication like they
did before. Then they would either sterilely draw the medication and inject
it into the syringe or they would take off the top of the vial and pour it into
the med cup. So very similar process I'm just going to take a syringe with no
needle ,stick it into the medication, and draw it up. Again, I go slow and draw up a
little more. Get all the air bubbles out. Make sure that I have 10. Now, again, don't
forget to get the air bubbles out. Put the correct amount into the syringe and
once again label the medication.
Now since I do have some medication left in the med cup
I also labeled the med cup. And I've already done this and it just reads just
like everything else. 0.9% sodium chloride. Eight of 2018. And that's it.
Drawing up medications in a vial held by the circulator and drawing up
medications received onto your sterile field.
So I'm Mike from Surgtech Academy wishing you a great day in surgery and
reminding you to be a superstar in your O.R.