Intramuscular Injections

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Intramuscular Injections

• An e-learning learning resource pack

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An ideal world!!!!!
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Administration Of Intramuscular
InjectionsCustom practice Wheres the
evidence?
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Intramuscular Injections

• Injections are one of the most frequent used
  pharmacological interventions
• The importance of safe injection administration
  cannot be underestimated. Once the medication has
  been administered via IM it is irretrievable
• The identification of the most appropriate muscle
  site for each injection is vital in order to
  ensure that the medication reaches its target
  area, and to avoid injury/trauma to the person
• Traditionally given into Dorsogluteal muscle,
  however contemporary evidence suggests that this
  muscle is not as safe or effective as
  Ventrogluteal muscle

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A simple task?

• Which site should I use?
• What size of needle should I use?
• Should I use an alcohol wipe?
• Should I wear gloves?
• Should I use Z-track?
• What angle should I inject?
• How much of the needle do I insert into the skin?
• Should I aspirate?
• How long should I take to inject medicine?
• How long should the needle remain insitu?
• What records should I keep?

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Project Development

• Action Research Capture current practice (n62).
  No nurse uses VG site!!
• QIS Ask question
• August 2010 An enquiry to CSMEN
• October 2010 Agreed to support
• A call to arms HEI, Nursing, Pharmacy, Medicine,
  CSMEN

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Project Development

• First meeting Jan 21st 2011, April,
  August..Dec?
• Literature Review Best evidence available
• Shared Space
• E-mail, telephone, visits, VC conversations
• 4 modules, guideline DVD

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Project Development

• Meeting Dundee with Andrea
• Learning outcomes developed Clarify what can be
  achieved
• Assessment Drive learning desired learning
  outcomes met
• Evaluation of pack Does it work?
• Complete December 2011
• High quality, time flexible, cost effective,
  fun!!

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Intramuscular Injections
Paul Smith Paulsmith1_at_nhs.net