Clinical Skills

Safe Injection and Drug Calculation

Clinical Skills and Simulation Team

Safe Injection and Drug CalculationClinical Skills

Formative Quiz


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


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


Question 2

Name 3 risks associated with Intra Muscular Injections.

Question 2


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


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


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


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


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


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


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


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


Answer 6a

Which injection site was, and sometimes still is, used extensively for deep I/M injections?

DORSOGLUTEAL SITE

Answer 6


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


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.


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


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


Question 8

Name 3 of the most common types of medication errors reported to the NPSA (2007)

???

Question 8


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


Question 9

Before administering a drug to a patient what are the 5 R’s that should be checked?

Question 9

RRRRR


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


WELL DONE

Please add up your marks…

Score is out of 22

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