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

Answer 1 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

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

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

Question 3 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?

Answer 3 ALLOW THE AREA TO DRY 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

Question 4 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

Answer 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)

Question 5 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?

BOTH SUB CUT AND I/M Answer 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

Question 6 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?

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

SUPERIOR GLUTEAL ARTERY Answer 6b 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

VENTROGLUTEAL SITE 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.

Question 7 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

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

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

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

R R R R R 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

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

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