j. Remove the sterile glove by grasping the portion of the glove over the heel of
the hand and pulling the glove off. Discard the glove in an appropriate container.
k. Write the date and time and your initials on the bottle label.
l. Return the bottle to the storage area. (NOTE: Local SOP may require that
you discard the bottle rather than reusing it.) Vacuum-packed sterile liquids can
normally be used for 24 hours if the bottle is resealed. If your ungloved hand or other
contaminated object touches the neck of the bottle, inside the bottle cap, the bottle rim,
or the lip of the cap, the rim or cap is considered contaminated and you must discard
ASSISTING WITH THE WITHDRAWAL OF STERILE SOLUTION FROM A
Some sterile liquids that are used as medications for injection come in small
bottles with rubber tops. These tops can be pierced with a sterile needle in order to
withdraw the sterile contents. When performing this procedure, you will be assisting a
physician or other medical personnel who is wearing sterile gloves and cannot touch the
outside of the vial because the vial is contaminated. You, however, will not be gloved.
Follow the procedures given below.
a. Obtain a correct vial of solution. Check the bottle against the physician's
orders to verify that the solution is correct (correct name, dosage, and route).
b. Clean the vial stopper with an alcohol swab.
c. Hold the vial firmly with the label up so that the person with the sterile gloved
hands can verify that the solution is the proper one. The gloved person then:
Pulls the plunger of the syringe to the amount of solution required.
Inserts the needle through center of rubber stopper.
Pushes the plunger into the syringe to increase air pressure inside vial
Figure 3-10. Withdraw sterile fluid.