TECHNIQUE FOR INTRAVENOUS INJECTION (STEPWISE APPROACH FOR MBBS PRACTICAL EXAMINATION, IN A SIMULATED ENVIRONMENT USING MANNEQUIN)

Necessary materials

 · Gloves

· Disinfectant (sprit swab)

· Tourniquet

 · Compress gauze (normal swab)

·  Medicine to be given (to be prefilled in syringe)

· Containers for waste and sharp items

Technique for Intravenous Injection

1. Wash your hands with soap and water/sanitizer. Wear the gloves (Observe aseptic precautions).

2. Reassure the patient and explain the procedure (like why this drug needs to be injected, how much amount and by which route and slight pain can be felt etc.).

3. Uncover the arm completely (if possible, let patient to expose the area, with help of attendant or nurse).

4. Ask the patient relax, apply tourniquet and look for suitable vein.

5. Stabilize the vein by pulling the skin in the longitudinal direction of the vein.

6. Disinfect the skin (by gauze soaked in sprit)

7. Insert needle at an angle of 35 degree.

8. Puncture skin and move needle slightly into the vein (3-5 mm).

9. Aspirate; if blood appears, hold the syringe steadily as you are in the vein. If blood does not come, try again.

10. Loosen tourniquet, inject very slowly then withdraw needle swiftly.

11. Press sterile cotton wool at the injection site, Reassure the patient

12. Clean up, dispose waste properly, wash your hands.


TECHNIQUE FOR INTRAMUSCULAR INJECTION (STEPWISE APPROACH FOR MBBS PRACTICAL EXAMINATION, IN A SIMULATED ENVIRONMENT USING MANNEQUIN)

1.Wash your hands with soap and water/sanitizer. Wear the gloves (Observe aseptic precautions).

2. Reassure the patient and explain the procedure (like why this drug needs to be injected, how much amount and by which route and slight pain can be felt etc.).

3.Uncover the area to be injected (lateral upper quadrant major gluteal muscle, lateral side of upper leg, deltoid muscle) and disinfect (by gauze soaked in sprit).

4.Ask patient to relax the muscle.

5.Insert needle at an angle of 90 degree.

6.Aspirate briefly; if blood appears, withdraw needle, replace it with new one, if possible and start again from disinfecting the skin

7.Inject slowly (0.5-2 minutes).

8.Withdraw the needle swiftly.

9.Press sterile cotton wool onto the site

10.Clean up, dispose of waste safely and wash your hands