The document provides instructions for administering the drug Lovenox via injection. It describes prepping the patient by cleaning an area of the abdomen and prepping the syringe by removing the needle cap. It then outlines how to hold the syringe like a pencil and insert the needle at a 90 degree angle into the skin, depress the plunger until empty, and withdraw the needle at the same angle. Afterward, it notes to point the needle away, activate the safety shield, and dispose of the syringe in a sharp collector.

1. Lovenox
Mollie Hayes, RN

2. Reasons to Use Lovenox
● Prophylaxis of DVT, w/ or w/o pulmonary embolism
● Patients undergoing abdominal surgery
● Patients at risk for clotting issues while being immobile

3. Preparation
● First, clean and dry your hands. This is a practice that
should be followed in any medical endeavour.
● Second, put the patient in a comfortable position that
exposes the abdomen.

4. Prepping the Patient
● Select an area of the abdomen about two inches from the
belly button, on either the left or right side.
● Then, cleanse the selected area with alcohol and give time
for it to dry.

5. Prepping the Syringe
● The needle cap needs to be removed, so pull it away from
the syringe.
● Keep the needle cap straight while pulling, so you do not
damage the needle.
● Afterward, discard the needle cap into a sharp item
collector.

6. Holding the Needle
● Take the syringe, now free of its cap, in your hand.
● The syringe should be held in much the same way that a
pencil is held.

7. Injection Process
● Begin the injection by inserting the syringe at a 90 degree
angle into the folded area of skin you have made.
● Focus on inserting the needle fully into the folded skin.
● Apply pressure to the plunger and push it down until the
syringe has been depleted.

8. After the Injection
● Once the injection is complete, remove the needle from the
skin.
● Do not move around the needle by keeping it straight.
● Also, pay attention and be certain that it is withdrawn at the
same 90 degree angle that was made upon beginning
injection.

9. Afterward
● Once the needle is removed from the patient, keep the
needle pointed away from other people and yourself.
● Activate the syringe's safety shield by pushing down the
needle's plunger.
● Finally, dispose of the empty syringe in a sharp item
collector.

10. For Additional Information...
● For visual learners or those who desire a visual
demonstration, there is a link to a video below that contains
additional information on Lovenox and how to inject it.
Lovenox - Step by Step Injection GuideLovenox - Step by Step Injection Guide

11. References
Healthbleep.com – Healthcare Videos and More. 2012,
February 21. Lovenox enoxaparin sodium injection Step
by Step Self Injection Guide. Retrieved from
https://www.youtube.com/watch?v=OJfzh6hacLM&feature=youtu.be&t=4m17s
How to Self Inject Guide. (n.d.) Retrieved June 15, 2015,
from http://www.lovenox.com.