Step 1: Assess for allergies to sodium bicarbonate or lidocaine. Do not use on patients receiving chemotherapy or if they are on a blood thinner.
Step 2: Prepare the child and their family for popping sound – sounds like a soda can being opened (portable CD player and head phones are in upper cabinet of north side doctor’s work space to use as distraction).
Step 5: Locate your site and cleanse as you would normally.
Step 6: Use the Z-track method to mark your J-tip injection site (make a bulls-eye impression over the vein and then pull skin to either side).
Step 7: Pull skin away from the vein to inject – never directly over the vein.
Step 8: Inject J-tip using a 90 degree angle and making sure that you use firm pressure (otherwise the buffered lidocaine will spray and all of the medication won’t go into the skin). Push the activation lever and wait 2-3 seconds before you remove the J-tip. Excess medication may spill out if there is little subcutaneous tissue present.
Step 9: Start your IV (local anesthetic lasts for 20 minutes).
Step 10: Document in Health Link and complete quality management information.
If you have any questions, contact MJ Erschen, email@example.com or page 5503.