Skill Practice Station Considerations IM Injection Station considerations: Do you know how to landmark for all 3 IM injection sites using proper anatomical terminology o Ventral gluteal site o Vastus lateralis o Deltoid—what are the restrictions with this site? What is the difference between drawing up from a vial or an ampule? Which syringe and needle is appropriate for an IM injection? What is your decision making for selecting the correct syringe and needle? Have you practiced Z-track for all IM injections? Why is Z-track recommended? Which medications require an Independent Double Check (IDC)? How is an IDC done? Which 2 patient identifiers can you use? Skill Practice Station Considerations Subcut Injection Station considerations: How do you select a site for injection? Do you know the different types of insulin? What is the difference between Humalog and Humalog Mix 25? How do you select the syringe size for the injection? What is the difference between drawing up med from cartridge vs vial? Which medications require an Independent Double Check (IDC)? How is an IDC done? What 2 patient identifiers can you use? Why should you hold the syringe in place for 10 seconds after administering insulin? What is the difference between pinching up skin and plumping up skin? What is the acceptable blood glucose range? What are the S/S of hyperglycemia? Of hypoglycemia? What is the treatment for hypoglycemia? (15g fast-acting CHO; wait 15 minutes, retest, if still low RE-TREAT) Skill Practice Station Considerations Catheter Station considerations: What size catheter is common for men? For women? What size is the balloon? How is a bladder scan done? What information does this give you? When and why is Urojet (xylocaine gel) used? How much urine can you drain from the bladder at one time? Why is there a limit? How is foley catheter insertion different from straight catheter insertion? How would you explain the procedure to the patient? How do you obtain a sample from patient who already has a catheter inserted? What is the minimal urine output per hour? What are some reasons for catheterization? Skill Practice Station Considerations Dressing Change Station considerations: When do you need to wear sterile gloves? When are clean gloves appropriate? How do you clean an incision (order of cleaning)? If a drain is present, when is it cleaned? What patient teaching would you do for a patient with a drain? How do you clean an open wound? Why is cotton balls not used for this wound? What are the signs and symptoms of wound infection? How do you obtain a wound culture? What are some factors that impair wound healing? How do you measure the wound? What would you document? Skill Practice Station Considerations NGT Station considerations: What equipment do you need? How do you measure an NGT for insertion? How is the suction container set up? If the patient is NPO how will insertion differ? What do you lubricate the tube with? How do you check for placement? How is the NGT secured to the patient? When removing an NGT, why do you ask the patient to hold their breath? Skill Practice Station Considerations Trach Care/Suctioning Station considerations: How do you know the patient requires suctioning? How long should you suction for? How many times? Why is it important to stabilize the trach plate when removing the inner cannula? What is the obturator used for? How do you clean around the stoma? How are trach ties changed? How is this different if velcro trach ties are used? Skill Practice Station Considerations IV Station considerations: How do you calculate drip rate for a primary or secondary line? Which clamp do you regulate the rate with? How do you count the drip rate? Which bag is higher on the IV pole (primary bag or IVPB)? Why do you flush a saline lock before connecting a medication? Why do you flush after the medication has infused? Why is primary tubing used for a saline lock? How is the IV bag labeled? (what information is included) What do you assess the IV site for? What are signs of infiltration? What are signs of infection?
