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

Safe Injection and Drug Calculation
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

Safe Injection and Drug Calculation
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

Safe Injection and Drug Calculation
Question 2
Question 2
Name 3 risks associated with Intra Muscular Injections.

Safe Injection and Drug Calculation
Answer 2
Answer 2
Name 3 risks associated with Intra Muscular Injections.
Damage to a structure
Pain
Infection
Bleeding
Hitting a
Blood
Allergic
Reaction
Sterile abscess

Safe Injection and Drug Calculation
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?

Safe Injection and Drug Calculation
Answer 3
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

Safe Injection and Drug Calculation
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

Safe Injection and Drug Calculation
Answer 4
Answer 4
Only up to
ml is injected via the subcutaneous route, so using a 5ml syringe is usual. Needle choice is an orange
(
gauge)

Safe Injection and Drug Calculation
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?

Safe Injection and Drug Calculation
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?

Safe Injection and Drug Calculation
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?
?

Safe Injection and Drug Calculation
Answer 6
Answer 6a
Which injection site was, and sometimes still is, used extensively for deep I/M injections?

Answer 6b
Safe Injection and Drug Calculation
Answer 6b
Name two potential risks to the patient associated with giving an I/M injection at the site mentioned above
Possible damage to:

Safe Injection and Drug Calculation
Answer 6c
Answer 6c
Which injection site is now the preferred option for deep I/M injection?
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.

Safe Injection and Drug Calculation
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

Safe Injection and Drug Calculation
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.

Safe Injection and Drug Calculation
Question 8
Question 8
Name 3 of the most common types of medication errors reported to the NPSA (2007)
?
?
?

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

Safe Injection and Drug Calculation
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

Safe Injection and Drug Calculation
Answer 10
Answer 10
Before administering a drug to a patient what are the 5 R’s that should be checked?
R
R
R
R
R

Safe Injection and Drug Calculation
Score is out of 22