Here in Germany we just break them without anything. We also don’t wipe them down. I open lots of these daily as I work in the ICU, and never hurt myself.
I'm from the UK and have many IV medications from ampoules. I was taught to just break it by hand, never heard of needing to use anything fancy like a plunger-less syringe. Though, my hand dexterity deterioration means I can't do my own meds, so I have to have nurses (who come to set up my TPN too, so they're not just here to do meds) and they've always opened ampoules the same way I used to! I'll ask next time if they've ever come across a method like this video. I do wish I'd known about the syringe method earlier though, I feel like that would have made it easier for me to open as my dexterity was deteriorating and possibly could have kept me independent a bit longer
In the UK (or at least Edinburgh where I work) best practise is to clean for 30 seconds before opening. But this lady cleaning then using a glove/cause to open it seems very counterproductive to me 🙈
Honestly, I would just use the wipe. Like, you already used it to clean the ampule, why not use it to open it? Or even just your gloved hands, if you can avoid cutting yourself.
I do that. Its not that slippery and it tilted in a way that even if my hand slip it gonna slip away from the breaking point (and not break probably because of it)
From South Africa here. We rarely have enough stock to use solely for opening an ampule. Thus I learned to use the sterile side of the plastic of the syringe I will use to inject the medication. It helps protect you while ensuring no resources are used unnecessarily.
I used the package my alcohol wipe came in. Poke the ampule head in there and snap away from you. It’s thick enough to offer protection and doesn’t waste other supplies
If you invert them immediately after opening you can often get a pressure bubble and it doesn’t leak out. It’s helpful with glass shards also. They tend to stick to the glass sides. ALWAYS use a filter needle. Just kniw, it’s not necessary to put the filter needle in the bottom this way.
In Canada we give out naloxone kits and we use the same needle to inject as we use to draw it up, no filter at all. But I guess having some glass in a muscle is less bad than dying.
Ugh had to give myself inhections a while ago and these ampules were the bane of my existence… the injections were fine but those things were ugh. The amount of times I just managed to shatter them between my fingers instead of breaking them. A nurse gave me an actual ampule breaker to help but that for some reason was worse 😭
I've never seen the syringe technique! I might have to try that. In residency (20 years ago) I had an attending slice open her hand opening a glass ampule. I've always wanted to know the details about why we still use these.
Glad to hear that, I thought this is a waste of resources. Especially because the ampule is supposed to be clean, why wipe it down again? Air bubbles what?
According to Google "ampoules are tamper safe and offer high chemical resistance and excellent extractable and leachable profiles. Since ampoules are hermetically sealed by melting, they also provide intrinsic container closure integrity"
pieces of glass can get into the medication, however the type of needle they use filters out any shards and they always change the needle after they've put the medication into the syringe, even if it isn't out of an ampule, because the first needle they used is dulled when it pierces the medication bottle.
Because needles have filters and they don't pick up glass shards . If a tiny molecule of glass / silicate enters the bloodstream, it's completely inert .
This is probably a dumb question but isn't there a better alternative to glass ampule? Like if there's potential to get glass shards in the medication. Why isn't there a glassless option that fully avoids this risk?
Considering the shelf life of the medication glass wouldn't disintegrate into the medication like plastic would which could alter the medication, that why a lot of liquid medicine's are in glass
The people i used to know didnt clean the glass bc it seemed unnecessary because it gets thrown away anyway and they flick the bottle a few times to make sure that there are no bubbles then flick hard one last time next to a trash can so that the top just goes in the trash without a mess then boom you have an open ampule
I wish I knew this years ago. I cut my finger breaking an ampule. It was my meds for IVF stimming. I was alone at home and bleeding wouldn't stop easily..I was also on blood thinners then. 😢 I had to knock on my. Neighbor's door for help
I remember back when i was a kid i was put on some medications and i needed to get injections every week and my doctor would open these bad boys up by just flicking it with his finger.I always found it so cool yet dangerous but apparently he worked mostly in the ICU so he had years of experience of opening them.
I go with the wipe usually, but we also have little silicone things to pop over to break, kinda like the syringe method but I don’t find them as effective
Always remember to open it facing away from you aka pulling the top towards you! This was you avoid any of the medication or glass ending up on your skin or worse in your eyes/mouth
All my life I’ve wondered how they seal the medications in those glass vials. I assumed high heat would be involved to mold the glass shut somehow, but wouldn’t that affect the chemicals inside? Had this question since I was a kid.
Because some medications are not shelf stable in plastic vials or vials with metal seals. Plus the glass ampule can be filled with an inert gas or under vacuum for particularly sensitive medications
My mom used flick Flick lightly bubble gone and than karate super finger Flick lol and that thing would fly into the trash can lol back in the early 90’s lol
The syringe is my favorite. One of my preceptors showed me and it’s the best (also most common ampule for us is Methylene blue and that stuff STAINS), in a pitch it’s just a alcohol wipe, still in the package.
Jeez, we learn it a completely different way in pharmacy school! Just wipe it down and crack it *away from you* then use a filter needle to draw it up.
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Here in Germany we just break them without anything. We also don’t wipe them down. I open lots of these daily as I work in the ICU, and never hurt myself.
Yeah in most of emergencies it's like what u said imagine a patient in acls and I'm slowly taking needle to break the ampoule😂😂
I'm from the UK and have many IV medications from ampoules. I was taught to just break it by hand, never heard of needing to use anything fancy like a plunger-less syringe. Though, my hand dexterity deterioration means I can't do my own meds, so I have to have nurses (who come to set up my TPN too, so they're not just here to do meds) and they've always opened ampoules the same way I used to! I'll ask next time if they've ever come across a method like this video. I do wish I'd known about the syringe method earlier though, I feel like that would have made it easier for me to open as my dexterity was deteriorating and possibly could have kept me independent a bit longer
This is the US, we have health standards
In the UK (or at least Edinburgh where I work) best practise is to clean for 30 seconds before opening. But this lady cleaning then using a glove/cause to open it seems very counterproductive to me 🙈
@@brittanyrearick414 so do we 😎
Honestly, I would just use the wipe. Like, you already used it to clean the ampule, why not use it to open it?
Or even just your gloved hands, if you can avoid cutting yourself.
It's slippery
MY THOUGHTS EXACTLY
I do that. Its not that slippery and it tilted in a way that even if my hand slip it gonna slip away from the breaking point (and not break probably because of it)
It’s usually not that sharp either. I’ve opened a bunch of those with my bare hands, never used a glove or gauze or anything like that
@@ahleenahI got sliced by one in nursing school, so it can happen.
I was always taught to open/snap the glass away from you. That way if anything should splinter off it will move away from your body
I came her to comment that.
Yeah me too
From South Africa here. We rarely have enough stock to use solely for opening an ampule. Thus I learned to use the sterile side of the plastic of the syringe I will use to inject the medication. It helps protect you while ensuring no resources are used unnecessarily.
Here in mexico we do the same
I used the package my alcohol wipe came in. Poke the ampule head in there and snap away from you. It’s thick enough to offer protection and doesn’t waste other supplies
If you invert them immediately after opening you can often get a pressure bubble and it doesn’t leak out. It’s helpful with glass shards also. They tend to stick to the glass sides. ALWAYS use a filter needle. Just kniw, it’s not necessary to put the filter needle in the bottom this way.
In Canada we give out naloxone kits and we use the same needle to inject as we use to draw it up, no filter at all.
But I guess having some glass in a muscle is less bad than dying.
Break away from yourself to prevent any potential glass shards from hitting you, better safe than sorry
Break the ampule away from you not towards you, to prevent cuts from shattered glasses
Ugh had to give myself inhections a while ago and these ampules were the bane of my existence… the injections were fine but those things were ugh. The amount of times I just managed to shatter them between my fingers instead of breaking them. A nurse gave me an actual ampule breaker to help but that for some reason was worse 😭
Do you just have caveman hands and can't control your strength or something?
I've never seen the syringe technique! I might have to try that. In residency (20 years ago) I had an attending slice open her hand opening a glass ampule.
I've always wanted to know the details about why we still use these.
Honestly a lot of nurses just go bare hand
Glad to hear that, I thought this is a waste of resources. Especially because the ampule is supposed to be clean, why wipe it down again? Air bubbles what?
it's so you don't get glass shards in the ampule man, what? you want glass in your veins?
@@justashrimp7594 but you draw it up with a filter needle anyway
Does not happen.
@@justashrimp7594 There are glass shards this way too makes no difference only waste of resources
So glad I taught nursing prior to all the you tubes 😊
This amazes me in the uk we have amuple breakers its kinda like the Synge method but its dedicated to breaking ampules
Either I'm very lucky, or I didn't accumulate enough glass in my system to kill me😂.
How does it not spill
Surface tension
Tip: use glass cutting diamond tip- it is like a pen.. use it on the neck and it cuts effortlessly. I do it in my practice.. it is awesome
I always use the gauze method 😊
I would too. Gauze and alcohol bio degrade. Glove probably wont.
The 1st one is most commonly used. They increase in order of safety. The last being the safest.
The glass shards are ridiculously sharp
In Pakistan we don't use such things we just break it bear hands
really? that’s interesting. do you cut your hands sometimes when you open it?
@@troymcghee3848 I haven't faced such things up till now 😉
@@troymcghee3848sometimes
So your telling that you don't clean with alcohol wipe 😅
@@troymcghee3848 Not really
My parents do that too and they have rarely faced any sort of small injury from the ampule
Can I ask why is it packaged like that? Seems like pieces of glass can get into the medicine when snapping it.
According to Google "ampoules are tamper safe and offer high chemical resistance and excellent extractable and leachable profiles. Since ampoules are hermetically sealed by melting, they also provide intrinsic container closure integrity"
And if you turn them up side down when open the meds don't spill because of surface tension that is created by the form of the opening
pieces of glass can get into the medication, however the type of needle they use filters out any shards and they always change the needle after they've put the medication into the syringe, even if it isn't out of an ampule, because the first needle they used is dulled when it pierces the medication bottle.
That’s why you use the red filter needle to draw up and then change out the needle for administering the medication ☺️
Because needles have filters and they don't pick up glass shards . If a tiny molecule of glass / silicate enters the bloodstream, it's completely inert .
There are ampules without line......we have to use and ampule cutter ...so tips for that is more necessary i feel
This is probably a dumb question but isn't there a better alternative to glass ampule? Like if there's potential to get glass shards in the medication. Why isn't there a glassless option that fully avoids this risk?
Considering the shelf life of the medication glass wouldn't disintegrate into the medication like plastic would which could alter the medication, that why a lot of liquid medicine's are in glass
Any medications that are drawn from an ampule have to be drawn with a blunt filter needle. It prevents glass shards from entering the syringe.
@@katarinaarn ahh I see that makes way more sense
in the PH, we are taught to break ampoules away from ourselves so glass shards won't accidentally injure us
I'm so glad they make filters!
Good god, I'm so glad none of my medications come in ampules.
Wow! Never thought to use an empty syringe lol
The people i used to know didnt clean the glass bc it seemed unnecessary because it gets thrown away anyway and they flick the bottle a few times to make sure that there are no bubbles then flick hard one last time next to a trash can so that the top just goes in the trash without a mess then boom you have an open ampule
I wish I knew this years ago. I cut my finger breaking an ampule. It was my meds for IVF stimming. I was alone at home and bleeding wouldn't stop easily..I was also on blood thinners then. 😢 I had to knock on my. Neighbor's door for help
I am a nursing student. Haven’t done this yet. But I’ve seen openers for these online. Don’t no how they work.
Just flick the upper part with ur fingers a few times and u can remove it easily bare hand.
I'm staff nurse too dr and I break it with my bare fingers 😅😅😅without any gloves or any thing without single cut😅
I remember back when i was a kid i was put on some medications and i needed to get injections every week and my doctor would open these bad boys up by just flicking it with his finger.I always found it so cool yet dangerous but apparently he worked mostly in the ICU so he had years of experience of opening them.
I always use method 3👍👍
I personally like the twists n all.
Why are these medications encased in glass?
did the heat of encasing affect the quality of the medication? I feel there are better ways to do this.
Excellent video.
Question: why do some medicine come in ampules and not a normal bottle?
Safety and medication stability
I go with the wipe usually, but we also have little silicone things to pop over to break, kinda like the syringe method but I don’t find them as effective
I have done that many times❤
What are you doing about the small glass pieces in the glass bottle?
The filter needle prevents those being drawn up.
I always pulled it up and away from me and didn't use anything to do it. I had gloves on though.
OMG WHY DIDNT YOU SAID IT HAD TO BE UPSIDE UP😮
Because maybe it’s supposed to be common sense? Like otherwise the liquid would spill
if you can't figure that on your own then you aren't smart enough to be a medical professional
Always remember to open it facing away from you aka pulling the top towards you! This was you avoid any of the medication or glass ending up on your skin or worse in your eyes/mouth
I’m disturbed that we’re still distributing medications in glass ampules that need to be broken and that can leave glass shards in the medicine.
In my lab, we have a cutted upper part of a pasteur pipette and used that so we didnt touch the glass
All my life I’ve wondered how they seal the medications in those glass vials. I assumed high heat would be involved to mold the glass shut somehow, but wouldn’t that affect the chemicals inside? Had this question since I was a kid.
OMG, i have cut my hand so many times trying to open those things
I hate these things 😂
How can you esure that tiny pieces of glas do not enter the fluid?
I use nothing, bare hands and alcohol wipe:)
Have you tried using box cutters or maybe a construction crane to help one one?
Why are there still glass ampules?
Why would medical manufacturers even make them this way?
Because some medications are not shelf stable in plastic vials or vials with metal seals. Plus the glass ampule can be filled with an inert gas or under vacuum for particularly sensitive medications
My anxiety would make me choose the last option. 😂❤
I saw a video of a nurse who had a plastic/rubbery thing on a necklace that she wore during her shift to break those. I thought it was cool
My mom used flick Flick lightly bubble gone and than karate super finger Flick lol and that thing would fly into the trash can lol back in the early 90’s lol
I’m a student. Wore gloves and covered the head with paper towels and still sliced my finger open 😓
I was taught to use gauze and break away from me.
Show me three dangerous ways to open it next
The syringe is my favorite. One of my preceptors showed me and it’s the best (also most common ampule for us is Methylene blue and that stuff STAINS), in a pitch it’s just a alcohol wipe, still in the package.
When you snap the ampoule does the broken glass not get inside?
Here, we break it with scissors, a light with scissors.
Why glass ampules at all?
i had to use these at one point and i was cutting my fingers open every damn time
I fucking got cut of a glass vial yesterday and got this today. My phone is spying on me 😢
Why is the medicine in th glass ampule? Why not in regular glass bottle?
Ha ha I'm Indian
Iykyk!😅
Jeez, we learn it a completely different way in pharmacy school! Just wipe it down and crack it *away from you* then use a filter needle to draw it up.
Aren’t you supposed to break the ampule away from you not towards ?
In India they just hit break with nail 🥲
Maybe i misunderstood but is she saying the alcohol wipe gets rid of the air bubbles? If so how does that work?
My hand is enough 😂
Good trick
I love it ❤l
In India ,we uses our keys to break off the neck😂
I just used a folded paper towel🤷🏻♀️
Meanwhile the patient who got 5 sec left .
We just hir it with a key and its done
Why do they even make containers like this? What is the actual purpose?
My nurse breaks it by hitting it with bare hand😂😂
Won’t glass shards go in the medication?
That's what the blunt filter needle is for. It filters out any potential glass shards.
Instead of doing all that, just clean off the top and break with your hands
Wat abt micro glass
I use last one but without wipe
Ive seen paramedics flick these off
Medicine comes in glass? I've only ever seen the plastic bottles
how to break a ampules neck;
A syringe to open an ampule??
REDUCE glass in medication? How about NO glass in medication? 😮
Ok, im not a med person, but why on earth is this a thing?!
We do use ampule cutter in India🙄
Who use big bottles or or scissors in which ampoule cutting line is nit present 😂😂
I can smell those wipes 😅
3ml syringe top works better
Why are you clean that before?
To reduce as much bacteria as possible
I do it with my stethoscope
Why waste so much when you could just use the alcohol swab to pop it?
Are filter needles compulsory?
Yes they should be , and new filter needles each time to prevent any damage to patient from the glass shards
Just do the first and second don't waste syringe