Medication Administration Basics⎮Dosing/Drawing⎮
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- Опубліковано 19 тра 2024
- Step by step instruction covering the basics of medication administration and dosing along with how to draw-up medication from a vial. This video is geared towards prehospital providers such as paramedics and advanced EMTs but is still applicable to nurses and nursing students looking for a review.
I'm not a medic at all. The group I ride with wanted to call me "medic" because of all the supplies I carry with me.
Knowing what it took to become a medic and especially a combat medic, I wouldn't allow it.
Was taught a lot of medic skills from growing up logging and military service.
I'm glad I found your channel. Very professionally done. Knowledgeable, professional, and informative.
I’m gonna start medic school soon, thanks for the great videos!
Your going to fail
During Emt school, we were taught DR PMT
Dose
Route
Patient
Medication
Time(covers time of admin and making sure it’s not expired)
There are many different variations on the Medication Rights, plus it may vary by protocol.
that sounds similar to the "rights" of medication. the other rights include the right ordering provider, the right to know more about a medication, the right to request alternative choices, and the right to refuse medicine // medical care (think: religious refusals or written DNR // DNAR // DNI orders for terminally ill individuals)
Sam looks sooo much younger than ever before lol. Basically, as a paramedic in China we all love ur video because they’re always bringing us high-tech and some necessary tactical principles. Love
Paramedic in China? Interesting. I wonder what the differences would be.
Are international standard courses like ITLS, ACLS etc available in China?
Can you give morphine?
Are you working for private companies or government services?
In Europe, we have benefited from US innovation in the pre hospital field a lot too in recent years.
@@gusjeazer actually, there’re no paramedics in
China though I called myself as a paramedic.
In China, every pre-hospital treatment is given by a doctor or a nurser. See? The emergency medical service is relied on the doctors and nurses instead of EMTs. Once you got the qualification of a Doctor, every medication is available in theory, but you have to obey the protocols made by the medical dispatch or the hospital where you work.
The courses like ITLS, ACLS are totally available in China but you don’t have to get qualified in these courses if you’re a doctor on the ambulance.
Morphine is one of the most controlled drugs, so there would be no morphine in an ambulance except you got the special prescription for morphine before departing.
There’re two ways of becoming a prehospital aider, employing by a ER or a medical dispatch. Any private companies are not reliable because they’re even not a first aider, they mainly charge the transportation of the old.
@@chewchin7052 thank you for the reply!
In Europe some countries also have nurses with special training on the ambulance instead of paramedics or similar.
@@gusjeazer you’re welcome. I also lived in Portugal for years, so I love the EMS there
Great job explaining. I'm in class for IV Sterile Preparations for Pharm Techs and I found this video very informative! The only thing I saw different was inserting the vial initially at a 45° angle to prevent "coring".
I am so glad you cover this! Thank you brother!
Thanks for this! Great review with medic school coming up in a month. Definitely interested in more med math, drip calculations, etc in the future! 👊🏻
This is a great video! I would love for you to go over Administration through IVs and IOs
Awesome video! Every caregiver who handles meds/narcs, need to know this stuff💉💊
Dude, please drop those other videos ASAP! I am literally at this point in Medic school, about to get signed off on IV's to start hospital time. Love the videos man, a way I can understand them. Thanks! Keep doing good work
Me too legit this simplies it to the max
Could you potentially post a video specifically on dosing tips that you learned through medic school? What may be easy for one person may be a struggle for another person. Awesome video!
You should look up something called JRCALC - it’s a book/ app we use in the U.K.
Published every year and the app is updated almost weekly.
Brilliant thing really.
It’s contains various medications, dosages etc as well as various protocols and flowcharts.
Very useful. It has saved my bacon more than once!
Loved this. Absolutely great content!
MABUHAY FROM PHILIPPINES !
great video...
lots of vaccination program here in country people need to know these ALWAYS...
THANK U PREPMEDIC...
These refreshers are awesome. Thank you kind sir 👍
Loved the video. Can't wait for the next one!
Hi Sam, how I was taught, right time meant that the drug wasn't expired, which I think applies better in prehospital care. Thanks!
Once again an amazing vid! Keep up the great work!!!!
I work at a vet assistant, I stick myself drawing up vaccines too often because I am trying to do it while holding the vile. I will be using this tip from now on. thank you.
Thank you Prepmedic!!
I would love the video on drip rates. Also a video on piggybacks would be nice.
Starting AEMT school Tuesday this is gonna be a big help
I’m about half way through my AEMT school right now our scope here in NC includes Intubation so got to learn that too. Enjoy the class I am loving mine.
Nice 👍🏻 looking forward to the drip 1 👍🏻🤔
Fantastic video!
Thank you so much!! 🤍
Great video!!
Great video
Practice makes perfect, friend.
I will love to see the Mag one.
Some really cool little tips in there
Nicely done
Hi Sam, I was hoping you could clarify something for me. So say that I was drawing up a medication to give intramuscularly. Once I get the medication up to the correct marking on the syringe, what do I do with the medication that is still in the needle? Is it not enough to need to worry about (giving the exact dose). I’m referring to the medication in the needle when the medication is up to the correct marking
Can I ask what and where you got you med pouch in the thumbnail from? I like the layout of that one and would fit well with my kit
One thing I noticed. Is when you first went over drawing up the med you pulled down into the medication before injecting air. We were taught not to inject the air into the medication but above the medication so as not to introduce air into the medication itself. However I'm just a Medic student clearly you have more experience then I do. However I did find value in this especially with the 8 rights since we were only taught 6
thank you!
3:11 "Not going to be eye up my partner to give them the medication"
*brain instantly recalls **ua-cam.com/video/NRexm0xjB0s/v-deo.html** and snickers*
🤣🤣🤣🤣🤣
🤣🤣🤣🤣😵😵☠️☠️☠️
Hey Sam, I was wondering if you have any tips on how to become a Flight Paramedic?
ua-cam.com/video/usTzTnjGao0/v-deo.html
Thank you
What is the app you’re using to look up dosage? Is there an equivalent available for civilians?
What’s the app used?
Your statement about incorrect medication having a high percentage of deaths are so true.
About a week after coming out of the ICU from being on life support for 2 weeks. Had a nurse trying to give me a dose in the PIC line. Saw the markings didn't look right. Asked what it was and informed her that wasn't one of my medications. We had been arguing for a few minutes when my wife woke up from the cot they had put in the room for her, came over and turned the chart over and pointed out it was the wrong patients name on it.
Wow glad you were aware of that
That’s pretty scary
@@MILSPEC_MEXICAN in Canada, you need an advocate when in the hospitals. An ex girlfriend who is a nurse went up there to look after her dad who had surgery. She went in and found him in shock from the surgery. She called the nurse and they stabilized him.
All of the hospitals are understaffed. The nurses are over worked.
That's here and up in Canada.
@@eddieb4227 Yeah especially right now I can imagine how much stress and pressure they’re under , prayers for them and everyone going through this pandemic!!
The best way to help these guys out is to have all your meds pills and doses rote down on cards you can give them and the doctor at the hospital
great video. Just a heads up its inTRA nasal, inTRA venous, not inTER :)
What's the name of the pouch you had on the video with all the vials in it?
made by cro medical - NARC medic case
Great presentation thank you 🇬🇧⚔️🗡️🪓😎💪🏼
@PrepMedic , gave you a shout out in my fake cat tourniquet video
Who makes that pouch on the thumbnail????
Im a freshman nursing studen right now, and i realized i dont wanna be in a hospital setting, what are the things i need to consider if i wanna be a Swat medic? if i becaome a registered nurse will i be able to use those credentials ?
It’s not impossible to do tac med as a nurse but it is harder. Generally I tell people that if they want to work prehospital paramedic is the way to go and if you want to work hospital, nursing is the way to go. Nurse education is not as well suited to prehospital tac med because you lack some fundamental skills coming out of school such as surgical crics and intubation. Some states will have bridge programs you can do though 🤷♂️
@@PrepMedic I see, thanks you so much! I'll continue with my course and probably Learn Tac Med and the other skills that i need to learn after.☺️
We have the Pre-Hospital Registered Nurse in Pennsylvania...California and Idaho also have a pre-hospital nursing specialty...you have to take 6 months extra training to get your specialty as a PHRN...as any nursing specialty...but with this specialty, you are allowed to do procedures and push meds beyond paramedic protocols so long as you are A) Trained in those skills and B) have permission from your medical director. In Pennsylvania its usually a requirement to have your PHRN in order to be a flight nurse...obviously field time is necessary too...I had mine, and was a medic before...but that isn't necessary...as far as being on a SWAT team...yes, I have a buddy who was a PHRN who was on the SWAT team...they were unarmed, though...I don't know what Idaho and California allow...and yes, you definitely can bridge from RN to Paramedic...
What is the reason you do not use the same needle in a IM injection ?
Every time the needle is used, you take some of the edge off the bevel and roll it back into a bur. This makes the next stick more painful for the patient and may create a (small) risk of microscopic pieces of the bur breaking off inside the patient and creating a vector for infection. This happens whether you are piercing skin and muscle on a patient, or the rubber stopper of a medication vial or the hub on an iv line or bag. There is also a (again, small) risk of pieces of the rubber stopper from the medication vial being left inside the needle and injected into the patient if it is reused. A blunt filter needle, as its name suggests, has a filter which prevents small pieces of the rubber stopper from being aspirated into the syringe. Needless cannulas don't cut pieces of the stopper out like a cookie cutter the way a needle would, they spread the stopper apart, lowering the risk of pieces of the stopper breaking off and being aspirated into the syringe.
@@thenewsshow thanks a lot ! :)
Do you have a video on drip rates? For trauma, peds, neonates? I know the rule of thumb for our agency and area is 10mL/kg (infants) and 20mL/Kg for (paediatrics).
im a certified prepmedic fanboy
Hm when I was in EMT school we were taught to use the same needle to draw and inject for im
The reality is that that is a pretty normal practice but if you are going by the textbook it is incorrect.
@@PrepMedic Is that mostly for an contamination control reason? Or is it more to know that the vial has been used?
@@calebnasiatka5711 Both preventing cross contamination and some studies have shown that the rubber cap slightly blunts the needle and causes more pain.
Can you show the medication you have in that puch?
Or write it in this comment
golden star anyone?
Eyeing up my partner for administration...wadya doing with the Haldol? Nothing.
Good
What kind of case is on the video thumbnail?
Cro Medical Narc Case.
Where did you get that? Lol
Get what?
MORPHINE ALL THE WAY
Hey not trying to be rude but did you use a different camera because the quality looks not as amazing as usual
You should seriously consider seeing a chiropractor, if you haven’t already. Your shoulders look just like mine used to. I was basically same build and fitness level you appear to be, and my t-shirts would always slide to one side of my neck... I was 100% against anything chiropractic but eventually went so my wife would stop hassling me. My neck was also in bad shape, I would NEVER look up (to look at airplanes and junk) without supporting my head with my hands. Also my lower back hurt chronically. All that went away with regular chiropractic care and the ONLY trade off is the money spent, something you can’t claim with any surgery or drugs. I use normal MDs for everything else but they are not the best for spine problems (unless bones are broken). Just my 2cents. I wouldn’t bother typing this out if I didn’t greatly appreciate your videos (and ultimately respect your choices in life).
Smoke weed
Smoke weed
2nd
where de aspirin at
Make a video off your patrol gear review
Allergy????? The one important thing pharmacy will ask
First
have you ever used your edc medic gear on a person in the real world
Great video!