Guided by - Miss Sharon Someul

Subject - Research and statistical nursing

Topic - Video Assisting Teaching Programme on Practical guideline on maintaining aseptic

Technique during administration of intravenous injection

Class - B.Sc. Nursing 4th year

Place - B.Sc. Nursing 2nd year

Date - 16-06-2019

Time - 11:30 AM

Duration - 45:00 Minutes

Language - English and Hindi

AV aids - LED

Method - lecture, explanation, discussion.

Previous of knowledge - By asking question we found that students having inadequate

Knowledge regarding practical guideline on maintaining aseptic technique during

administration of Intravenous injection.

70
GENERAL OBJECTIVE :- At the end of class, students will be able to gain adequate knowledge about practical
guideline on maintaining aseptic technique during administration of intravenous injection.

SPECIFIC OBJECTIVE :- At the end of class, students will be able to –

 Do you have any idea about the topic

 What are purpose
 What are the common sites intravenous injection
 What are the advantage and disadvantage
 What are types of intravenous transfusion
 What are the preliminary assessment
 What are the preparation of the patient and environment
 What are the aseptic technique process.
 What are the procedure
 What are the methods of administering transfusion

71
 Time Specific Teaching Learning AV
Objective Content matter method method aids Evaluation
Explain Listening LED Do you have
1. 2min Define the DEFINITION:-Intravenous transfusion is the introduction of any idea
topic a small quantity of drug into the vein by venous puncture. about the

Introduction of drug directly into the blood stream is called topic ?

intravenous transfusion.

PURPOSE:-
2. 2min Explain the Explain Listening LED What are
1. To have a fast action of the medicine as in emergency.
purpose purpose ?
2. To give medicines there are irritating or ineffective while
given by other routes.
3. To have the action of medicines on the bloodstream or
the blood vessels.

3. 1min Enlist the COMMON SITES:- explain listening LED What are the
common  Ventral aspect of elbow or forearm median cubical common
sites. basilica or cephalic vein. sites?
 Dorsal aspect of hand brachial, cephalic, metacarpal
vein.
 In the infant the scalp vein is used.

72
 ADVANTAGES:-
4. 1min Enlist the  Aseptic technique helps prevent health care associated Discuss Listening LED What are the
advantage infections[HCALs]. advantage
and  Using aseptic technique prevents the spread of infection and
disadvanta by harmful germs. disadvantage
ge  Use aseptic technique before, during, after procedure ?

help protect from infection.

DISADVANTAGES:-
 There is no time to correct in case of medication error.
 Direct irritation to the lining of blood vessels.

TYPES OF INTRAVENOUS

5. 4min. Listout the ADMINISTRATION:- Discuss Listening LED What are

indication *Adding the medicine in intravenous solution bottle (intravenous types of
of genetic transfusion). intravenous
counseling *Existing intravenous line for continuous infusion. transfusion?
*Bolus ; direct intravenous push for immediate or fast action.

73
6. Min. Describe PRELIMINARY ASSESSMENT:- Lecture Listening LED What are the
the Check- preliminary
preliminary 1. The diagnosis and age of the patient. assessment?
assessment 2. The purpose of injection.
3. The doctors order for the type, dose, time and route of
administration.
4. The patient name and bed number.
5. The nurses record to findout the time at which the last
dose was given.
6. The symptom of overdose and allergic reaction.
7. The necessity for giving test dose.
8. The form of medicine available and correct method of
administration.
9. The level of consciousness of the patient.

7. 3min. Discuss the Explain Listening LED What are the

PREPARATION OF THE PATIENT AND
preparation preparation
of the ENVIRONMENT:- of the patient
patient and 1) Identify the patient correctly. and
environme- 2) Explain the procedure to the patient. environment
nt 3) Provide privacy. ?

74
 4) Place the patient in comfortable and relaxed position
suitable for intravenous transfusion.

Select a site suitable for the route of administration, quantity of

medication to be given and characteristics of medication he site
and previous experience of the patient.

8. 5min. Explain the Explain Listening LED What are the

ASEPTIC TECHNIQUE PROCESS:-
types of aseptic
 Aseptic technique is a framework for a aseptic practice .it
genetic technique
include both a risk assessment and the use of specific
counseling process.
infection control measures.
 Risk assessment ;
-Determining the types complexity of the procedure .
-Determine what are the key parts and key site .
- Determine whether the key parts and key site needed to
be touched ,
-Determine the appropriate infection prevention
measures to protect key parts and key site.
 Infection prevention measures ;
a) ENVIRONMENTAL CONTROL –
- Bed making in close proximity.
- Clean the environment in close proximity .

75
 - Use of commands by other patient in a shared room .
- Moment and proximity of privacy certain .
- Confined working are .
- Excessive number of people present .
b) HAND HYGIENE;

MEDICAL -It should be performed using natural PH soap and

running water [ duration -60 second ] alcohol based hand rub [
duration 20- 30].
SURGICAL –Surgical hand antisepsis using on approved
antimicrobial skin cleanser or waterless hand rub formation is
required when full barrier precaution are necessary.

c) APPROPRIATE USE OF PPE-

Non sterile gloves may be necessary to protect the clinician from

blood and body fluid or exposure to toxic drugs during
administration.
-Sterile gloves

d) ASEPTIC FIELD MANAGEMENT

Disinfect the tray or trolley with an appropriate disinfectant wipe

76
 and allow to dry, before placing any items in or on the tray or
trolley.

NON TOUCH TECHNIQUE:- It is a technique where the

clinician hands do not touch, thereby contaminate key parts and
key sites. These is critical for maintaining asepsis.

9. 5min. Explain the PROCEDURE:- lecture Listening LED What are the
procedure 1) Read the doctor order and select the medication. procedure

2) Wash hands.
3) Select appropriate syringe, needle and check whether
they are in good weaking order.
4) Recheck the order, medicine card with the label of the
medicine, expiry date etc.
5) Mix well and take out the required amount of solution in
the syringe.
6) Carry medicine to the patient.

77
10. 4min. Descibe the lecture Listening LED What are the
methods of METHOD OF ADMINISTERING IV methods of
administeri administerin
TRANSFUSION:-
ng g
I. Apply a tourniquet on the upper arm.
transfusion transfusion?
II. Ask the patient to clench and unclench the hand.
III. Pull the skin taut and place the needle in line with vein at
15 to 45 angle.
IV. Insert the needle, a bit flow the point when the needle
will pierce the vein.
V. When the back flow of blood occurs into the syringe
relase the tourniquet and injects the medicine very
slowly.
VI. Pressure with swab at the puncture site after the needle is
withdrawn to prevent bleeding.

78
11. 3min. Describe AFTER CARE:- Lecture listening LED What is the
the after 1. Observe the area for bleeding, if bleeding occurs apply after care.
care. pressure, but do not massage.
2. Give comfortable position to the patient.
3. Ask the patient to take rest at least 15-30 minutes
observe him for any reaction.
4. Observe the patient for any allergic reaction.
5. Replace the equipment used for injection.
6. Clean all other articles and replace them in their proper
place.
7. Wash hands.

79