Joint Injection
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      Joint Injection

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      Article summary

      Injecting certain joints with numbing medicine (Lidocine) and/or a steroid can provide short-term relief of pain in some situations.

      In advance (huddle)

      • MA to confirm supplies needed with provider.

      Glove size:

                                 

      Lidocaine

      1% with epi
      1% WITHOUT epi
      2% with epi
      2% WITHOUT epi
      Steroid?YesNo

      Other requests:



      PPE

      • Sterile gloves

      Setup (MA)

      • Complete demographics portion of consent form.
      • Verify if allergy to iodine or Betadine.
      • Ensure all supplies are available and in procedure room.

      Prepped on non-sterile counter

      • Consent form (demographics completed)
      • Sterile gloves (size above)
      • Marking pen
      • Alcohol wipes
      • Betadine swabs
        • Substitute Chloraprep swabs if allergic to iodine or Betadine.
      • Syringe 5mL with needle, 18 g x 1” (for drawing medicine)
      • Needle, 27 g x 1” (for administering) ****************depends on procedure, below
      • Ethyl chloride spray
      • Lidocaine (type above)
      • Bupivicaine
      • Steroid
      • Bandaid

      Procedure (Provider)

      Before

      • After reviewing procedure with patient, have patient sign consent form.
      • Confirm allergies.
      • Perform time out immediately before procedure.

      After

      • Remove all sharps from work stand and place in sharps container. 
        • Do not delegate this task.

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