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Clinical Skills

Clinical Skills. Formative Quiz. Clinical Skills and Simulation Team. 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.

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Clinical Skills

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

  2. 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. 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. Question 2 Name 3 risks associated with Intra Muscular Injections. Question 2

  5. Answer 2 Answer 2 Name 3 risks associated with Intra Muscular Injections. Damage to a structure Bleeding Sterile abscess Infection Allergic Reaction Pain Hitting a Blood

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

  10. 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. 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. 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. Answer 6 Which injection site was, and sometimes still is, used extensively for deep I/M injections? DORSOGLUTEAL SITE Answer 6a

  14. 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. 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.

  16. 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. 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. Question 8 Name 3 of the most common types of medication errors reported to the NPSA (2007) ? ? ? Question 8

  19. Answer 8 Answer 8 Name 3 of the most common types of medication errors reported to the NPSA (2007) X Omitted Medicine X Wrong Medicine X Wrong Dose X Wrong Strength XWrong Frequency

  20. 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

  21. Answer 10 Answer 10 Before administering a drug to a patient what are the 5 R’s that should be checked? R RIGHT PATIENT R RIGHT DRUG R RIGHT DOSE R RIGHT TIME R RIGHT ROUTE

  22. WELL DONE Please add up your marks… Score is out of 22

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