This is the intranasal medication administration skill.
The first thing that we need to do is
we want to make sure that the patient is being adequately ventilated if necessary.
Then we want to make sure that the patient
no allergies to any medications that we could be giving them
and we also want to clearly explain the procedure to the patient.
From there we are going to set up our equipment
The equipment that we will need for this skill
is our PPE
our needle, syringe,
a mucosal atomizing device,
our steril gauze,
our alcohol swabs,
medication and our sharps container
After we have assembled our equipment
we need to confirm our medication with our five medication rights
Our five medication rights are
right patient, right medication
right dose, right route and right time.
we also want to check for clarity and a good expiration.
Now it's time to draw up our medication
We are going to remove the syringe from the packaging.
We are going to attach it to the needle.
From there we are going to grab our medication
remove the cap
and clean the rubber stopper with an alcohol swab
Once that's been cleaned
We are going to go ahead and draw up our medication.
Once we have drawn up the appropriate amount
We will dispel the air from the syringe.
We will then immediately
sharps
and reattach our syringe to the mucosal atomizing device
also called the MAD.
After applying the appropriate PPE
which in this case is eye protection and gloves
we are going to direct the partner to cease ventilations
From there we are going to come over and inspect the nostrils
looking for the larger of the two
as well as the one that is least deviated and least obstructed
Once we found that we're going to insert the MAD into the nostril
and briskly depress the syringe plunger.
From there we will get rid of the MAD appropriately
Begin ventilations if necessary
and observe our patient for the desired and adverse effects.