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Medication Administration

Click the BUY button to purchase the program. Click PREVIEW VIDEO to view an online streaming video preview of the first section of the program where available.
 

Administering Medications: Injections

Product code: M258C        

Series Overview:

FDA studies show that medication errors injure about 1.3 million people in the United States each year and cause the death of 7,000. Safe medication administration is essential to nursing practice, and nurses need to have knowledge and skill in the techniques of administering all pharmaceutical agents because the nurse is the last line of defense to protect a patient against a medication error.

This 3-part basic skills series demonstrates and describes the safe administration of oral, topical, suppository, inhalant and injectable medications.

The programs in this series are:

  • Administering Medications: Medication Safety and Oral Medications
  • Administering Medications: Topical, Suppository and Inhalant Medications
  • Administering Medications: Injections


Overview:

This program describes the safe administration of medication by injection: subcutaneous, intradermal, intramuscular and into an intravenous injection port (parenteral medication administration).

Included in this program is discussion of the mandatory use of safer needle devices to prevent needlestick injuries.

Objectives:

After completing this course, the learner should be able to:
  • Differentiate between subcutaneous, intradermal and intramuscular injections and when each would be used
  • Identify the landmarks used for subcutaneous, intradermal and intramuscular injections
  • Describe the use of the
  • Z-track
  • injection technique
  • Describe the need for the use of safer needle devices

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Administering Medications: Medication Safety and Oral Medications

Product code: M258A        

Series Overview:

FDA studies show that medication errors injure about 1.3 million people in the United States each year and cause the death of 7,000. Safe medication administration is essential to nursing practice, and nurses need to have knowledge and skill in the techniques of administering all pharmaceutical agents because the nurse is the last line of defense to protect a patient against a medication error.

This 3-part basic skills series demonstrates and describes the safe administration of oral, topical, suppository, inhalant and injectable medications.

The programs in this series are:

  • Administering Medications: Medication Safety and Oral Medications
  • Administering Medications: Topical, Suppository and Inhalant Medications
  • Administering Medications: Injections



Overview:

This first program will describe the safe administration of oral medications and will demonstrate practices that are required in order to help prevent medication errors.

Objectives:

After completing this course, the learner should be able to:

  • Describe the scope of medication errors
  • List the "5 Rights of Medication Administration"
  • List additional safety practices often considered to be medication rights.
  • Describe safe medication administration practices that are part of the Joint Commission's National Patient Safety Goals

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Administering Medications: Topical, Suppository and Inhalant Medications

Product code: M258B        

Series Overview:

FDA studies show that medication errors injure about 1.3 million people in the United States each year and cause the death of 7,000. Safe medication administration is essential to nursing practice, and nurses need to have knowledge and skill in the techniques of administering all pharmaceutical agents because the nurse is the last line of defense to protect a patient against a medication error.

This 3-part basic skills series demonstrates and describes the safe administration of oral, topical, suppository, inhalant and injectable medications.

The programs in this series are:

  • Administering Medications: Medication Safety and Oral Medications
  • Administering Medications: Topical, Suppository and Inhalant Medications
  • Administering Medications: Injections

     

Overview:

This program will present techniques for the administration of topical medications, suppositories and inhalants.

Objectives:

After completing this course, the learner should be able to:

  • Apply a topical medication
  • Administer a suppository medication
  • Administer eye and ear drops
  • Describe the process for administering an inhalant medication

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Administering Oral, Topical, Suppository and Inhalant Medications

Product code: M226        

Overview:

Prerequisite knowledge and skills for administrating oral, suppository and inhalant medications are presented in this program which has also been updated to reflect current hand hygiene technique. Oral medications are introduced first beginning with types of solid and liquid forms. Guidelines for preparing oral medications are demonstrated including administration via a nasogastric tube and sublingual administration. Different forms of topical medications and techniques for application of topical discs, sterile ophthalmic ointments and drops and nasal agents are shown. The suppository method of administration is presented with emphasis given to techniques for rectal and vaginal administration. Devices used to administer prescribed inhalant medication are introduced and skills for their use are demonstrated for patient teaching.

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Case Studies in Medication Error Prevention

Product code: 78794        

Overview:

Caring for patients is challenging and fulfilling, but often stressful and harried as well. Frequent interruptions and constantly changing patient needs can lead to error. Since nurses do most of the actual medication administration in a facility, they provide the last opportunity to prevent a medication error. This program presents 12 scenarios that result in medication errors, then discusses how they could have been avoided. The goal is to help the viewer identify ways errors can creep into nursing practices and develop strategies that can be used to prevent them.

Objectives:

After viewing this program the nurse should be able to:
  • List the "6 Rights of Medication administration"
  • Describe methods for preventing medication errors

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Heart Medications: Anatomy Review and Antianginals

Product code: 78584R        

Series Overview:

The series focuses on the medications used to treat conditions of the cardiovascular system. It begins with an overview of the anatomy and physiology of the heart, followed by an explanation of the effects of chronotropic and inotropic agents. Drug classes used for the treatment of cardiac disorders are discussed as they relate to specific conditions and uses, including angina, hypertension, anticoagulation, heart failure, hyperlipidemia and arrhythmias. Indications, contraindications and possible adverse reactions are included. The segment on antiarrhythmics begins with an overview of the electrophysiologic properties of the heart. Patient teaching regarding the medications as well as signs and symptoms of cardiac disease and adverse drug reactions are covered. Content throughout is enhanced with animated graphics and realistic patient care scenarios.

Overview:

This program provides a review of the cardiovascular system and discusses the role of angina medications in heart diseases

Objectives:

After completing this course, the learner should be able to:
  • Identify the major components of the heart and explain their purpose/functions.
  • Identify three main factors that determine proper function of the heart.
  • Define angina and describe the causes and results of this condition.
  • Identify the three types of angina medications and understand how and under what circumstances each is used.

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Heart Medications: Antiarrhythmic Agents, Part 1

Product code: 78587R        

Series Overview:

The series focuses on the medications used to treat conditions of the cardiovascular system. It begins with an overview of the anatomy and physiology of the heart, followed by an explanation of the affects of chronotropic and inotropic agents. Drug classes used for the treatment of cardiac disorders are discussed as they relate to specific conditions and uses, including angina, hypertension, anticoagulation, heart failure, hyperlipidemia and arrhythmias. Indications, contraindications and possible adverse reactions are included. The segment on antiarrhythmics begins with an overview of the electrophysiologic properties of the heart. Patient teaching regarding the medications as well as signs and symptoms of cardiac disease and adverse drug reactions are covered. Content throughout is enhanced with animated graphics and realistic patient care scenarios.

Overview:

This program provides an overview and discussion of the electrical properties of the heart as they relate to arrhythmias, which are abnormalities of heart rate or rhythm.

Objectives:

After completing this course, the learner should be able to:
  • Define arrhythmias and their related conditions.
  • Understand and differentiate the various electrical properties of the heart.
  • Discuss the five phases of depolarization and repolarization.
  • Describe the heart's conduction system, including how and why "reentry" may occur.

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Heart Medications: Antiarrhythmic Agents, Part 2

Product code: 78588R        

Series Overview:

The series focuses on the medications used to treat conditions of the cardiovascular system. It begins with an overview of the anatomy and physiology of the heart, followed by an explanation of the effects of chronotropic and inotropic agents. Drug classes used for the treatment of cardiac disorders are discussed as they relate to specific conditions and uses, including angina, hypertension, anticoagulation, heart failure, hyperlipidemia and arrhythmias. Indications, contraindications and possible adverse reactions are included. The segment on antiarrhythmics begins with an overview of the electrophysiologic properties of the heart. Patient teaching regarding the medications as well as signs and symptoms of cardiac disease and adverse drug reactions are covered. Content throughout is enhanced with animated graphics and realistic patient care scenarios.

Overview:

This program provides a detailed overview and discussion of the four classes of antiarrhythmic drugs.

Objectives:

After completing this course, the learner should be able to:
  • Define arrhythmias and their related conditions.
  • Differentiate the various electrical properties of the heart.
  • Discuss the five phases of depolarization and repolarization.
  • Describe the heart's conduction system, including how and why "reentry" may occur.

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Heart Medications: Antihypertensives and Anticoagulants

Product code: 78585R        

Series Overview:

The series focuses on the medications used to treat conditions of the cardiovascular system. It begins with an overview of the anatomy and physiology of the heart, followed by an explanation of the affects of chronotropic and inotropic agents. Drug classes used for the treatment of cardiac disorders are discussed as they relate to specific conditions and uses, including angina, hypertension, anticoagulation, heart failure, hyperlipidemia and arrhythmias. Indications, contraindications and possible adverse reactions are included. The segment on antiarrhythmics begins with an overview of the electrophysiologic properties of the heart. Patient teaching regarding the medications as well as signs and symptoms of cardiac disease and adverse drug reactions are covered. Content throughout is enhanced with animated graphics and realistic patient care scenarios.

Overview:

This program provides a brief overview of high blood pressure or hypertension and discusses the various medications used to treat this condition, as well as anti-clotting agents or anticoagulants

Objectives:

After completing this course, the learner should be able to:
  • Identify the causes and basic pathophysiology of high blood pressure.
  • Identify the various medications used to treat high blood pressure and discuss their function and administration.
  • Discuss the circumstances under which blood clots can form in the heart.
  • Describe the purpose, function(s), administration and side effects of various anticoagulants.

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Heart Medications: Heart Failure Medications and Cholesterol-Lowering Agents

Product code: 78586R        

Series Overview:

The series focuses on the medications used to treat conditions of the cardiovascular system. It begins with an overview of the anatomy and physiology of the heart, followed by an explanation of the effects of chronotropic and inotropic agents. Drug classes used for the treatment of cardiac disorders are discussed as they relate to specific conditions and uses, including angina, hypertension, anticoagulation, heart failure, hyperlipidemia and arrhythmias. Indications, contraindications and possible adverse reactions are included. The segment on antiarrhythmics begins with an overview of the electrophysiologic properties of the heart. Patient teaching regarding the medications as well as signs and symptoms of cardiac disease and adverse drug reactions are covered. Content throughout is enhanced with animated graphics and realistic patient care scenarios.

Overview:

This program provides an overview and discussion of heart failure medications and cholesterol-lowering agents.

Objectives:

After completing this course, the learner should be able to:
  • Identify the causes and symptoms of congestive heart failure.
  • Discuss the origin, action, administration and side effects of digoxin.
  • Explain the purpose and administration of loop and potassium-sparing diuretics.
  • Identify high cholesterol and understand the purpose, proper administration and possible side effects of cholesterol-lowering medications, including cholestyramine and lovastatin.

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Medication Management: Meeting the Standards

Product code: 78768        

Overview:

The Medication Management: Meeting the Standards video and workbook can be used to train and educate clinical care providers, pharmacists, physicians and new hires about the JCAHO medication management requirements for each discipline.

Your staff will learn:

  • Key processes that lead to optimal medication management
  • Mandatory JCAHO medication management requirements
  • How best to demonstrate compliance with these requirements
  • Safeguards against medication errors
  • Methods to avoid common medication management pitfalls
  • Types of medication management information that will be requested and examined during your next JCAHO accreditation survey


The Medication Management: Meeting the Standards video and workbook examine JCAHO's focus on medication error prevention including:

  • Use of an Acceptable Abbreviation List to prevent prescribing and transcription errors
  • Appropriate pharmacy and patient care unit medication storage and labeling - including "look-alike/sound-alike" drug labeling and storage
  • Transcription best practices
  • Licensed Independent Practitioner prescribing and ordering best practices
  • Clinical care provider "five rights" of medication administration and other error prevention safeguard methodology
  • Narcotic and controlled substances requirements
  • Use and storage of emergency medications
  • Use of medication transport boxes
  • Practical methods on how to identify ADRs
  • Differences between actual ADRs and medication side effects
  • Use and specifics related to medication delivery devices (i.e., "pixis" machines)
  • Management of medication delivery equipment (i.e. pumps)
  • Obtaining patient specific information for safe medication prescription, preparation, administration and monitoring
  • Documentation requirements
  • Requirements for educating patients and families in managing their medication (including inpatient and discharge preparation information)


Surveyor interviews with staff and patients take the worry out of this "hot topic" survey issue. By viewing this video and using the helpful workbook included, you will increase staff knowledge and comfort levels while building survey confidence. Knowing what the surveyors expect to see and hear related to medication management throughout your institution, can guarantee accreditation success in this area.

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Medication Use by the Elderly: Implications for Nurses

Product code: 88202        

Overview:

UCLA Medical Center staff and professors interact with a number of elderly patients focusing on:

  • Correct procedures for taking a drug history from an elderly client
  • Effects of physiologic changes of aging on drug absorption, distribution, metabolism and excretion
  • Principles of prescribing for the elderly with regard to drug/drug interactions, drug/food interactions, common drugs prescribed to elderly patients and problematic drugs.
  • OBRA regulations, including Resident Rights, self administration of drugs, antipsychotics and drug monitoring.

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Moderate or Procedural Sedation: Patient Assessment and Monitoring

Product code: 78804AS    Copyright © 2015
    

OVERVIEW:
The nurse has an important role in caring for patients who receive moderate, or procedural, sedation before, during, and after diagnostic and therapeutic procedures. This program focuses on intravenous administration of moderate, or procedural sedation as this route shortens recovery times and reduces risk for patients having minor surgery and endoscopic procedures.

 

OBJECTIVES:

After completing this course, the learner should be able to:

  • Define the degrees of sedation and anesthesia.
  • Describe the nurse's pre-operative responsibilities in moderate sedation.
  • Describe the nurse's peri-operative responsibilities in moderate sedation.
  • Describe the nurse's post-operative responsibilities in moderate sedation.

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Moderate or Procedural Sedation: Preventing and Managing Complications: Sedation in Children

Product code: 78804BS    Copyright © 2015
    

OVERVIEW:

Not all patients are good candidates for moderate, or procedural, sedation. Pregnant women, and patients with kidney, liver, and cardiac disease may be excluded from receiving sedating drugs, as well as those patients with respiratory compromise, acute narrow angle glaucoma, unstable arrhythmias. In addition, young children, infants, neonates must be treated with caution.


The purpose of this program is to provide nurses and others an understanding of monitoring and managing complications of moderate sedation, and the special responsibilities of performing moderate sedation on children.

 

OBJECTIVES:

After completing this course, the learner should be able to:

  • Identify complications of moderate sedation.
  • Describe the safe use of reversal drugs.
  • Define the nurse's responsibilities during moderate sedation of children.
  • Describe discharge criteria after moderate sedation of children.

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Multi-lumen Central Venous Catheters

Product code: A2218        

Overview:

Shows nurses how to provide safe, competent care when using multi-lumen catheters.

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Never Events and Hospital-Acquired Conditions: Admission Assessment and Quality Reporting

Product code: M254CR        

Series Overview:

A "Never Event" is an adverse medical event, occurring during care that is unambiguous, serious and preventable. These are shocking medical errors, such as wrong-site surgery, that should never occur. The Centers for Medicare and Medicaid Services (CMS), has moved aggressively to improve patient safety by adopting a policy of actively addressing some of these identified Never Events - and in fact denies payment to providers for some of them, when they do occur. This series identifies specific Never Events and describes practices that can prevent them.

This series is designated for a total of 1.5 contact hours of continuing nursing education.

Overview:

The final program will discuss identifying conditions present on admission, plus the quality measures that need to be reported to CMS in order to qualify for the updated payment schedule.

Updated Info:

This series has been updated with a new title to emphasize Hospital-Acquired Conditions and to reflect the CMS's revised organization of Hospital-Acquired Conditions into the following 10 categories:
      1. Foreign Object Retained After Surgery
      2. Air Embolism
      3. Blood Incompatibility
      4. Stage III and IV Pressure Ulcers
      5. Falls and Trauma
      6. Manifestations of Poor Glycemic Control
      7. Catheter-Associated Urinary Tract Infection (UTI)
      8. Vascular Catheter-Associated Infection
      9. Surgical Site Infection following:
      • Coronary Artery Bypass Graft (CABG) - Mediastinitis
      • Bariatric Surgery
      • Orthopedic Procedures
      10. Deep Vein Thrombosis (DVT )/ Pulmonary Embolism (PE)

Objectives:

After completing this course, the learner should be able to:
  • Define a "Never Event"
  • Describe new indicator codes that have been created for present-upon-admission (POA) diagnoses
  • Identify conditions already present - particularly conditions that CMS is excluding from payment - so that payments will not be reduced
  • Identify the measures that must be reported, which are defined in six areas of care

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Never Events and Hospital-Acquired Conditions: Identifying the Danger

Product code: M254AR        

Series Overview:

A "Never Event" is an adverse medical event, occurring during care that is unambiguous, serious and preventable. These are shocking medical errors, such as wrong-site surgery, that should never occur. The Centers for Medicare and Medicaid Services (CMS), has moved aggressively to improve patient safety by adopting a policy of actively addressing some of these identified Never Events - and in fact denies payment to providers for some of them, when they do occur. This series identifies specific Never Events and describes practices that can prevent them.

This series is designated for a total of 1.5 contact hours of continuing nursing education.

Overview:

This program identifies specific Never Events and provides background information on the CMS's decision to withhold payment of specific never events.

Updated Info:

This series has been updated with a new title to emphasize Hospital-Acquired Conditions and to reflect the CMS's revised organization of Hospital-Acquired Conditions into the following 10 categories:
      1. Foreign Object Retained After Surgery
      2. Air Embolism
      3. Blood Incompatibility
      4. Stage III and IV Pressure Ulcers
      5. Falls and Trauma
      6. Manifestations of Poor Glycemic Control
      7. Catheter-Associated Urinary Tract Infection (UTI)
      8. Vascular Catheter-Associated Infection
      9. Surgical Site Infection following:
      • Coronary Artery Bypass Graft (CABG) - Mediastinitis
      • Bariatric Surgery
      • Orthopedic Procedures
      10. Deep Vein Thrombosis (DVT) / Pulmonary Embolism (PE)

Objectives:

After completing this course, the learner should be able to:
  • Define a "Never Event"
  • Describe the six main categories of Never Events
  • Identify which types of Never Events are most prevalent/reported
  • Describe the steps the NQF and DHHS are taking to reduce the incidence of Never Events
  • Define the payment implications that are instituted by Never Events and identify the 11 hospital-acquired events that incur these payment implications
  • Define "Value-Based Purchasing"

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Never Events and Hospital-Acquired Conditions: Prevention Practices

Product code: M254BR        

Series Overview:

A "Never Event" is an adverse medical event, occurring during care that is unambiguous, serious and preventable. These are shocking medical errors, such as wrong-site surgery, that should never occur. The Centers for Medicare and Medicaid Services (CMS), has moved aggressively to improve patient safety by adopting a policy of actively addressing some of these identified Never Events - and in fact denies payment to providers for some of them, when they do occur. This series identifies specific Never Events and describes practices that can prevent them.

This series is designated for a total of 1.5 contact hours of continuing nursing education.

Overview:

This program will discuss nursing practices that can prevent Never Events - many of which are already in place in healthcare institutions.

Updated Info:

This series has been updated with a new title to emphasize Hospital-Acquired Conditions and to reflect the CMS's revised organization of Hospital-Acquired Conditions into the following 10 categories:
      1. Foreign Object Retained After Surgery
      2. Air Embolism
      3. Blood Incompatibility
      4. Stage III and IV Pressure Ulcers
      5. Falls and Trauma
      6. Manifestations of Poor Glycemic Control
      7. Catheter-Associated Urinary Tract Infection (UTI)
      8. Vascular Catheter-Associated Infection
      9. Surgical Site Infection following:
      • Coronary Artery Bypass Graft (CABG) - Mediastinitis
      • Bariatric Surgery
      • Orthopedic Procedures
      10. Deep Vein Thrombosis (DVT) / Pulmonary Embolism (PE)

Objectives:

After completing this course, the learner should be able to:
  • Define a "Never Event"
  • Identify the 11 hospital-acquired events that currently incur payment implications
  • Implement the practices and measures that should be taken to prevent the occurrence of the 11 Never Events

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Parenteral Medication Administration: Equipment Preparation

Product code: 78773R        

Series Overview:

This comprehensive series has been updated to include safer-needle devices and features updated graphics to better provide information on the equipment and techniques utilized in administering both subcutaneous and intramuscular injections. This includes equipment preparation, withdrawing medication from ampules and vials, side selection and injection techniques.

Overview:

This program provides an introduction to the basic equipment necessary for administering medications by injection, featuring safer needle devices. This includes discussion and demonstration of syringe and needle selection and safety precautions.

Objectives:

After completing this program, the learner should be able to:
  • Describe the parts of syringe
  • Explain the difference between standard, insulin and tuberculin syringes
  • Describe injection needles
  • Describe precautions used to handle injection equipment safely

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Parenteral Medication Administration: Preparing Medication for a Vial

Product code: 78776R        

Series Overview:

This comprehensive series has been updated to include safer-needle devices and features updated graphics to better provide information on the equipment and techniques utilized in administering both subcutaneous and intramuscular injections. This includes equipment preparation, withdrawing medication from ampules and vials, side selection and injection techniques.

Overview:

The techniques for withdrawing medication from a vial are demonstrated in this program and include discussion and demonstration of reconstituting powdered medication and combining two medications into a single syringe.

Objectives:

After completing this program, the learner should be able to:
  • Explain the purpose of injecting air into a vial prior to withdrawing medication
  • Describe the process for removing air bubbles from a syringe
  • Explain the process for reconstituting powdered medications in a vial
  • Describe the process for safely combining two medications from separate vials into a single syringe
  • Describe the process for combining two types of insulin in a single syringe

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Parenteral Medication Administration: Preparing Medication from an Ampule

Product code: 78774R        

Series Overview:

This comprehensive series has been updated to include safer-needle devices and features updated graphics to better provide information on the equipment and techniques utilized in administering both subcutaneous and intramuscular injections. This includes equipment preparation, withdrawing medication from ampules and vials, side selection and injection techniques.

Overview:

The techniques for withdrawing medication from a glass ampule are demonstrated in this program.

Objectives:

After completing this program, the learner should be able to:
  • Describe ampule characteristics
  • Explain the technique for moving medication from the top portion of an ampule
  • Describe the techniques for safely opening an ampule and withdrawing medication
  • Describe the safe handling of glass ampules

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Parenteral Medication Administration: Site Selection and Injection Techniques

Product code: 78775R        

Series Overview:

This comprehensive series has been updated to include safer-needle devices and features updated graphics to better provide information on the equipment and techniques utilized in administering both subcutaneous and intramuscular injections. This includes equipment preparation, withdrawing medication from ampules and vials, side selection and injection techniques.

Overview:

This program identifies commonly used sites for intramuscular and subcutaneous injections and discusses considerations for site assessment and selection. The techniques for intramuscular and subcutaneous administration of medication are demonstrated using a step-by-step process ending with documentation. Emphasis is placed on the "z-track" method of intramuscular injection.

Objectives:

After completing this program, the learner should be able to:
  • Explain how to safely handle equipment used to administer an injection
  • Describe nursing measures to take throughout the injection process
  • Describe commonly used intramuscular and subcutaneous injection site on adults
  • Describe factors used to assess an injection site
  • Explain the rational behind use of the "air bubble technique" for intramuscular injections
  • Describe the procedures for properly performing an intramuscular injection using the "z-track" method
  • Explain the purpose of aspiration during intramuscular injection
  • Describe the procedures for properly performing a subcutaneous injection

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Preventing Medication Errors Part 1: General Recommendations for System-Wide Change

Product code: M218TA    Copyright © 2016
    

OVERVIEW:
One of the most common types of medical errors are errors involving medication. Fortunately, prevention measures have been shown to be greatly effective in reducing medication errors. This is the first in a 3-part series that focuses on medication errors and strategies that can be implemented to prevent their occurrence.  In this program, general recommendations for system-wide changes to enhance medication safety will be discussed.

OBJECTIVES:
After completing this course, the learner should be able to:

•    Explain the various aspects of the “systems approach to error prevention,” including reporting systems, standardized safety procedures and safety training.
•    Describe the importance of applying lessons learned from sentinel events.
•    Identify the key attributes of building a new culture of safety to prevent medication errors

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Venous Access Devices Program 3: Ports

Product code: A2216        

Overview:

This program defines and describes a venous port. The position and placement of the port as well as flushing are discussed. Viewers will also learn how to select the appropriate length, gauge, and style of a Huber point needle.

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