Injections - Subcutaneous Flashcards
1
Q
Step 1 should always be?
A
Your ID Patients ID Explanation of procedure and possible complications Consent Ask about pain
2
Q
What are some possible s/c injection complications?
A
Lipodystrophy - a disorder of the fat cells under skin
Haematoma - small bleed that can happen with any injections
Local irritation
3
Q
What should be done after consent is achieved?
A
Choose appropriate site of injection for volume and type of drug - sites should be rotated for insulin
Check prescription expiry and if it is correct for the patient
Check patient for allergies
4
Q
How do we prepare the medication?
A
- Hand hygiene and put on gloves
- Disinfect top of vial - CHECK WITH EXAMINER THE MEDICATION IS CORRECT
- Open and place a new alcohol wipe to the side to put the cap of needle on
- Open packet, take off cap and put it onto the wipe
- Draw amount of air equal to the dose into the syringe, puncture rubber top of vial and inject air into it
- Invert the vial and withdraw medication into it, purge all air before removing needle
- Remove needle and SCOOP up cap then fit it, do not fit it directly with fingers
- CHECK WITH EXAMINER THE DOSE IS CORRECT
- Remove gloves
5
Q
What is done after medication is prepared?
A
- Taken to patients bedside
- ID, consent, reasons for injection and possible side effects explained again - get consent
- Re-perform hand hygiene and reglove
- Double check dose is correct
6
Q
How do we administer the medication?
A
- Disinfect injection site for 30s and allow to dry
- Pinch skin
- “sharp scratch” = Stab at 90 degree angle, let go of skin once needle is in and stabilize needle by grabbing it with the hand that let go of skin
- Inject over 5-10 secs, NEVER aspirate
- Immediately take it out once done and dispose without re-sheathing
7
Q
What is done to wrap up?
A
- Clean up
- Thank the patient and inform them that the site may be a bit sore and that if any complications arise and persist they should see the doctor
