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

2. 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

3. 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

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

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
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?

7. 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

8. 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

9. 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)

10. 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?

11. 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

12. 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?

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

14. 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

15. 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.

16. 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

17. 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.

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

19. 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

20. 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

21. 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

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