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all right now were going to talk about if pharmacy is sending us a syringe the medication already prefilled okay so well make sure that we have our patient still do our identifiers make sure we have the correct medication and dose thats been ordered for the patient so going into your patients room you want to scan as you normally would but you may want to scan the barcode scan here prior to putting it your medication in here just in case when youre pulling off your label to add it to your bird trial that you dont ruin or tear one of your scan items or scan three times so if this is a purple site I can use my alcohol prep pad if it is a central line I want to make sure Im still using my site scrubs so going into my patients room with my medication done all my identifiers and everything Im going to go ahead and clean off my medication added port so Im clean it really good take off my cap that my medication was on my medication syringe put in place go ahead and add my medication