Application of a GTN transdermal patch
 
Version: 1 - 16/02/2010
 
KEY POINTS
Prepare patient
  1. Explain the procedure
    [Reassures the patient]
  2. Position patient appropriately
  3. Select a clean, dry skin area with little or no hair. Preference for left upper chest or left upper arm
    [Usually locations used by medical staff and easier to locate on visual inspection]
  4. Remove any current patches of same medication
    [Prevent overdoes of medication]
Prepare Equipment
  1. Check expiry date of transdermal patch
  2. Remove patch from package
  3. Document time and date on patch surface
  4. Hold patch with brown line facing operator in an up/down position
  5. Bend the side of the patch away from operator, then toward you until you hear a 'snap'
  6. Peel off one side (half) of the plastic backing
    [Ensures smooth opening and reduces risk of exposure to medication]
Application
  1. Apply the sticky side of the patch to the recommended area of skin and smooth down
  2. Fold back the remaining side of the patch. Take off the plastic and smooth down firmly
  3. Remove gloves and reapply new gloves for continued patient treatment
    [Minimise risk of exposure to medication]
Document application on PCR
  1. Document drug dose, route, application site, time and patient clinical response

NOTE:

  1. Verbal and written confirmation of transdermal patch application must be given at hospital handover
  2. Do not cut or trim adhesive patch to adjust dose
  3. Avoid area over right pectoral due to potential placement of defibrillation pads