Transcript Safe Injection and Drug Calculation

Safe Injection and Drug Calculation
Clinical Skills
Safe Injection and Drug Calculation
Formative Quiz
Clinical Skills and Simulation Team
Safe Injection and Drug Calculation
Answer 1
Answer 1
Injections are invasive.
Strict aseptic technique is required during
P****** and A****** to minimise the risk of infection.
Write down the words that should occupy the gaps
Safe Injection and Drug Calculation
Question 1
Question 1
Injections are invasive.
Strict aseptic technique is required during
of infection.
PREPARATION and ADMINISTRATION to minimise the risk
Write down the words that should occupy the gaps
Safe Injection and Drug Calculation
Question 2
Question 2
Name 3 risks associated with Intra Muscular Injections.
Safe Injection and Drug Calculation
Answer 2
Answer 2
Name 3 risks associated with Intra Muscular Injections.
Damage
to a
structure
Allergic
Reaction
Infection
Pain
Sterile
abscess
Bleeding
Hitting a
Blood
Safe Injection and Drug Calculation
Question 3
Question 3
There is some debate about the necessity to cleanse the skin before administering an I/M injection.
If we do decide to cleanse what is important to remember to do (regarding the effectiveness of the swabbing)
before we actually deliver the injection?
Safe Injection and Drug Calculation
Answer 3
Answer 3
There is some debate about the necessity to cleanse the skin before administering an I/M injection.
If we do decide to cleanse what is important to remember to do (regarding the effectiveness of the swabbing)
before we actually deliver the injection?
ALLOW THE AREA TO DRY
Safe Injection and Drug Calculation
Question 4
Question 4
Only up to ***ml is injected via the subcutaneous route, so using a 5ml syringe is usual. Needle choice is an
orange (****gauge)
Write down the words or numbers that should occupy the gaps
Safe Injection and Drug Calculation
Answer 4
Answer 4
Only up to 2ml is injected via the subcutaneous route, so using a 5ml syringe is usual. Needle choice is an orange
(25 gauge)
Safe Injection and Drug Calculation
Question 5
Question 5
The deltoid area can be used for a variety of injections.
A useful landmark is the area 2cm below the acromial process.
What type of injection, Sub Cut or I/M can be sited in this
region?
Safe Injection and Drug Calculation
Answer 5
Answer 5
The deltoid area can be used for a variety of injections.
A useful landmark is the area 2cm below the acromial process.
What type of injection, Sub Cut or I/M can be sited in this
region?
BOTH SUB CUT AND I/M
Safe Injection and Drug Calculation
Question 6
Question 6
Which injection site was, and sometimes still is, used extensively for deep I/M injections?
?
Name two potential risks to the patient associated with giving an I/M injection at the site mentioned above
?
Which injection site is now the preferred option for deep I/M injection?
?
Safe Injection and Drug Calculation
Answer 6
Answer 6a
Which injection site was, and sometimes still is, used extensively for deep I/M injections?
DORSOGLUTEAL SITE
Safe Injection and Drug Calculation
Answer 6b
Answer 6b
Name two potential risks to the patient
associated with giving an I/M injection at the
site mentioned above
Possible damage to:
SCIATIC NERVE
SUPERIOR GLUTEAL ARTERY
Safe Injection and Drug Calculation
Answer 6c
Answer 6c
Which injection site is now the preferred option for deep I/M injection?
VENTROGLUTEAL SITE
This is a safer option which accesses the gluteus medius muscle. It
avoids all major nerves and blood vessels, and research reports no
contraindications. The area also has the benefit of having a relatively
consistent thickness of adipose tissue (3.75cm) compared with 1-9cm
on the dorsogluteal site.
The patient can be prone, semi-prone or supine for using this injection
site.
Safe Injection and Drug Calculation
Question 7
Question 7
The lateral thigh (middle third), can be used in adults but also
children.
Name a risk that could be associated with this site
Safe Injection and Drug Calculation
Answer 7
Answer 7
The lateral thigh (middle third), can be used in adults but also
children.
Name a risk that could be associated with this site
Risks associated with incorrect siting are accidental damage
to the FEMORAL NERVE or MUSCLE ATROPHY THROUGH OVERUSE.
Safe Injection and Drug Calculation
Question 8
Question 8
Name 3 of the most common types of medication errors reported to the NPSA (2007)
?
?
?
Safe Injection and Drug Calculation
Answer 8
Answer 8
Name 3 of the most common types of medication errors reported to the NPSA (2007)
X
X
X
Wrong Dose
Wrong Strength
Wrong Frequency
X
X
Omitted Medicine
Wrong Medicine
Safe Injection and Drug Calculation
Question 9
Question 9
Before administering a drug to a patient what are the 5 R’s that should be checked?
R
R
R
R
R
Safe Injection and Drug Calculation
Answer 10
Answer 10
Before administering a drug to a patient what are the 5 R’s that should be checked?
R
R
R
R
R
RIGHT PATIENT
RIGHT DRUG
RIGHT DOSE
RIGHT TIME
RIGHT ROUTE
Safe Injection and Drug Calculation
WELL DONE
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