Post on 14-Dec-2015
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Safe Injection and Drug Calculation
Clinical Skills and Simulation Team
Safe Injection and Drug CalculationClinical Skills
Formative Quiz
Safe Injection and Drug Calculation
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
Answer 1
Safe Injection and Drug Calculation
Question 1
Injections are invasive.
Strict aseptic technique is required during PREPARATION and ADMINISTRATION to minimise the risk of infection.
Write down the words that should occupy the gaps
Question 1
Safe Injection and Drug Calculation
Question 2
Name 3 risks associated with Intra Muscular Injections.
Question 2
Safe Injection and Drug Calculation
Answer 2
Name 3 risks associated with Intra Muscular Injections.
Answer 2
Pain
Infection
Bleeding
Hitting a Blood
Allergic Reaction
Sterile abscess
Damage to a
structure
Safe Injection and Drug Calculation
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?
Question 3
Safe Injection and Drug Calculation
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
Answer 3
Safe Injection and Drug Calculation
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
Question 4
Safe Injection and Drug Calculation
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)
Answer 4
Safe Injection and Drug Calculation
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?
Question 5
Safe Injection and Drug Calculation
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
Answer 5
Safe Injection and Drug Calculation
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?
?
Question 6
Safe Injection and Drug Calculation
Answer 6a
Which injection site was, and sometimes still is, used extensively for deep I/M injections?
DORSOGLUTEAL SITE
Answer 6
Safe Injection and Drug Calculation
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
Answer 6b
Safe Injection and Drug Calculation
Answer 6c
Which injection site is now the preferred option for deep I/M injection?
VENTROGLUTEAL SITE
Answer 6c
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
The lateral thigh (middle third), can be used in adults but also children.
Name a risk that could be associated with this site
Question 7
Safe Injection and Drug Calculation
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 damageto the FEMORAL NERVE or MUSCLE ATROPHY THROUGH OVERUSE.
Answer 7
Safe Injection and Drug Calculation
Question 8
Name 3 of the most common types of medication errors reported to the NPSA (2007)
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Question 8
Safe Injection and Drug Calculation
Answer 8
Name 3 of the most common types of medication errors reported to the NPSA (2007)
Answer 8
X Wrong Dose
X Wrong Strength
X Wrong Frequency
X Omitted Medicine
X Wrong Medicine
Safe Injection and Drug Calculation
Question 9
Before administering a drug to a patient what are the 5 R’s that should be checked?
Question 9
RRRRR
Safe Injection and Drug Calculation
Answer 10
Before administering a drug to a patient what are the 5 R’s that should be checked?
Answer 10
RRRRR
RIGHT PATIENT
RIGHT DRUG
RIGHT DOSE
RIGHT TIME
RIGHT ROUTE