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Vitamin K Administration

  1. Perform hand hygiene.
  2. Verify the patient's identity using two patient identifiers in accordance with institutional policy.
  3. Provide the newborn with sucrose analgesia both pre- and postprocedure, as required.
  4. Cleanse the top of the vial with antiseptic and draw ordered dose of medication into the syringe.  If supplied in a glass ampule, crack neck while protecting fingers and use filter straw to draw up medication.
  5. Perform hand hygiene and apply clean gloves.
  6. Expose one of the newborn's legs from thigh to foot and identify the vastus lateralis muscle. Secure the leg under the thigh for support and cleanse the area with antiseptic.
  7. Pinch skin gently around the selected injection site and insert the needle of syringe at a 90-degree angle.
  8. Aspirate gently to check for blood return. If no blood return, slowly inject the medication directly into the muscle. If blood is returned upon aspiration, remove the needle and discard medication, syringe, and needle in proper trash receptacles. Prepare a new syringe and begin again.
  9. Remove needle and syringe slowly once medication has been administered, maintaining a 90-degree angle.
  10. Pull the needle guard over needle, if applicable, and immediately dispose of the needle in the proper sharps receptacle.
  11. Apply 2 × 2 gauze and gentle pressure over the injection site. Apply adhesive bandage, if required.
  12. Remove gloves and discard with supplies in proper trash receptacles. Perform hand hygiene.
  13. Document the procedure in the patient's record.
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