Preparing the devices and equipment
1. After the equipment has been assembled, perform hand hygiene. Medications are usually supplied as a liquid in a single-dose ampule, vial or multi-dose vial. A single-dose vial is intended for use in a single patient. Do not administer medications from single-dose vials to multiple patients. A multi-dose vial contains more than one dose of medication. Multi-dose vials should be dedicated to a single patient whenever possible. If multi-dose vials are used, both the needle and syringe used to access the multi-dose vial must be sterile. Occasionally, they are supplied in a single dose vial in powder form, which has to be reconstituted with either sterile water or saline.
2. Before opening, read the information on the syringe and needle packages. Verify that length and gauge are correct. Check that the seals have not been broken; sterility is assured only if the packages are unopened and undamaged.
3. Open the syringe and needle packages (Fig.1). If the syringe and needle are not one unit, connect the syringe tip to the hub of the needle. Always ensure a secure connection between the needle and syringe. Avoid contamination by not touching the hub of the needle or tip of the syringe.