✦ = 3–6 points
✶ = 7–9 points
1. ✦ Check the medication as
instructed in the “three befores”
technique before beginning.
Compare the medication vial
(bottle) against the physician’s
order (Figure A).
2. ✶ Select the correct syringe and
needle based on the type of
medication and location for the
3. ✦ Perform hand hygiene and apply
4. ✦ Roll the medication vial between
your hands to mix any medication
that has settled on the bottom.
Do not shake as this will create air
5. ✶ Wipe the rubber stopper with an
alcohol wipe ﬁrmly in a circular
motion. Then set the vial on a
clean surface while you prepare
the syringe (Figure B).
6. ✦ Remove the protective cap from
the needle on the syringe. In
some circumstances, such as
in home health or if the needle
needs to be transported safely
to another location, it may need
to be recapped. In this case,
after removing the protective cap
from the needle on the syringe,
maintain the sterility of the inner
surface of the protective cap
because it will be needed to cover
the needle again after you have
ﬁlled the syringe. However, many
needles have automatic retraction
or sheathing devices and do not
need to be recapped. Follow the
manufacturer’s directions for the
type of needle you are using.
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