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Study ID:IRB202101979 Date Approved: 11/11/2022INFORMED CONSENT FORM to Participate in Research, andAUTHORIZATION to Collect, Use, and Disclose Protected Health Information (PHI)INTRODUCTION Name
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How to fill out lidocaine with intramuscular injection

01
Gather all necessary supplies: lidocaine vial, syringe, alcohol swabs, and a sharps container.
02
Wash your hands thoroughly with soap and water.
03
Use an alcohol swab to clean the top of the lidocaine vial.
04
Draw back the syringe plunger slightly to fill it with air equal to the amount of lidocaine needed.
05
Insert the needle into the vial and push the plunger to inject the air into the vial.
06
Turn the vial upside down and pull back the plunger to draw the correct amount of lidocaine into the syringe.
07
Remove the syringe from the vial and expel any air bubbles by tapping the syringe and pushing the plunger slightly.
08
Identify the injection site on the muscle (commonly the deltoid or gluteus), clean the area with an alcohol swab.
09
Hold the skin taut and insert the needle at a 90-degree angle to the skin.
10
Inject the lidocaine slowly and steadily.
11
Withdraw the needle and apply pressure to the site with a cotton ball or gauze.
12
Dispose of the syringe and needle in a sharps container.

Who needs lidocaine with intramuscular injection?

01
Individuals who require local anesthesia for minor surgical procedures.
02
Patients with specific types of pain management needs.
03
Those undergoing diagnostic procedures or interventions that may cause discomfort.
04
Emergency medical situations where rapid pain control is necessary.
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Lidocaine with intramuscular injection is a local anesthetic used to temporarily relieve pain in a specific area by blocking nerve signals in the body.
Healthcare professionals, such as doctors and licensed nurses, administering lidocaine with intramuscular injection are typically required to file appropriate medical records and documentation.
To fill out lidocaine with intramuscular injection, the healthcare provider must document the patient's details, the dosage administered, the site of injection, and any observations post-administration.
The purpose of lidocaine with intramuscular injection is to provide local anesthesia for minor surgical procedures, pain relief, and to alleviate discomfort in specific areas.
The information reported must include the patient's name, date of administration, dosage, injection site, and any reactions or side effects noted.
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