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Safe Injection and Drug Calculation Clinical Skills and Simulation Team Safe Injection and Drug Calculation Clinical Skills Formative Quiz.

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Presentation on theme: "Safe Injection and Drug Calculation Clinical Skills and Simulation Team Safe Injection and Drug Calculation Clinical Skills Formative Quiz."— Presentation transcript:

1 Safe Injection and Drug Calculation Clinical Skills and Simulation Team Safe Injection and Drug Calculation Clinical Skills Formative Quiz

2 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

3 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

4 Safe Injection and Drug Calculation Question 2 Name 3 risks associated with Intra Muscular Injections. Question 2

5 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

6 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

7 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

8 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

9 Safe Injection and Drug Calculation Answer 4 Only up to 2 ml is injected via the subcutaneous route, so using a 5ml syringe is usual. Needle choice is an orange ( 25 gauge) Answer 4

10 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

11 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

12 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

13 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

14 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

15 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.

16 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

17 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 damage to the FEMORAL NERVE or MUSCLE ATROPHY THROUGH OVERUSE. Answer 7

18 Safe Injection and Drug Calculation Question 8 Name 3 of the most common types of medication errors reported to the NPSA (2007) ? Question 8

19 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

20 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 R R R R R

21 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 R R R R R RIGHT PATIENT RIGHT DRUG RIGHT DOSE RIGHT TIME RIGHT ROUTE

22 Safe Injection and Drug Calculation WELL DONE Please add up your marks… Score is out of 22


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