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INTRAMUSCULAR INJECTION. Welman January 2012. Outcomes:. List the indications for IM medication injections. Explain the principles of IM injections. Administer safely and implement preventative precautions. Perform patient assessment before procedure.
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INTRAMUSCULAR INJECTION Welman January 2012
Outcomes: • List the indications for IM medication injections. • Explain the principles of IM injections. • Administer safely and implement preventative precautions. • Perform patient assessment before procedure. • Using the medication formula, determine correct dose. • Maintain sterility during procedure. • Complete documents correctly.
Refrences: • Mulder, part 2. p. 445 • Dosages for injections in workbook.
Principles: • Identification and allergies. • Check medication and prescription chart 3 times. • Date • Drug • Dose • Time • route • 5 Golden rules. • Select the correct size needle. • Ensure area is clean and well lighted. • Do not inject: • Paralysis. • Necrotic tissue. • Skin allergy present • Painful muscle • Skin scars/moles or rash • Inflammation • Ask for assistance in children or incapacitated adult. • Keep needles and syringes from view.
Steps: • Checks • Medication for: • Name • Expiry date • Cloudiness • Colour change • Sediment • Strength • Planning • Preparing injection • Administration • Documentation
Determine injection dose: Dose needed X Volume diluted in Dose in stock 1 = ml Practice: Prescribed: 100mg. You have 2 500mg in 5ml. 200mg. You have 2G in 10ml.
Links to videos: • z-technique http://www.youtube.com/watch?v=IPp28ZGgobw • Holding the syringe http://www.youtube.com/watch?v=BFwXlT1X1NM • Area for injection http://www.youtube.com/watch?v=HUFwaLwhCOU&feature=results_main&playnext=1&list=PL62D1879109DFC0E8
questions Please! Make an appointment with the clinical preceptor allocated to your clinic for the skill as soon as possible