Monday, May 4, 2020

Subcutaneous Heparin Sodium Injection †MyAssignmenthelp.com

Question: Discuss about the Subcutaneous Heparin Sodium Injection. Answer: Introduction: My experience in the clinical practice unit (CPU) was generally good. There was a lot to learn. In medication administration, there are 10 rules (Catanyag, 2012). The first step in drug administration an assessment of the patient (Wockhardt, 2016). I did exactly that and made sure I followed the 10 rules. I can comfortably give oral medications. I felt challenged and at the same time, I admired my colleague administering subcutaneous heparin sodium injection. I was balancing an input/output chart for a patient. There was a patient complaining that both deltoids were in pain due to the constant and alternate injections on the site. Pain is what the patient describes to be (Brunner and Sudderth, 2013). My colleague was able to solve this problem by injecting the patient on the lateral thigh. I was feeding a patient when I heard a patient rejecting drug injection. The mother claimed that her two months old baby cannot be injected into the gluteal regions because an advert she saw prohib ited it. My colleague was arguing with her. I intervened and helped in solving the case. I can comfortably give oral medications. I know when and to whom they are indicated to. The first colleague had sufficient knowledge on subcutaneous injection sites. It can be injected on the stomach, thighs and deltoid muscles. This challenged me to read more on injection sites. My second colleague was inadequately informed. Intramuscular injects are not done on infants gluteal areas due to the risk of injecting their sciatic nerves. From this, I learned when we are not sure of the actions we are taking, we should consult our supervisors for help. We are also supposed to listen to our patients and get to know their explanations. From this clinical practice, the positive impacts in my profession are that I have acquired skills on subcutaneous injections (heparin sodium), intramuscular injection (metoclopramide) and oral medications. On the negative side is that I did not have exposure to administering different types of drugs treating different conditions. The learning revolved between observing, being assisted and practical. This was very effective. After a few observations and being facilitated in a few procedures. I am comfortable administering drugs via any route (Potter et al., 2013). The barriers to effective learning were not having as many patients as I could have wished for intramuscular and subcutaneous injections. We shared the ones we had to ourselves. I was also afraid of doing a mistake. This made me observe more other than do the practical. I had to perfect. I am ready for my OSCA exams. I am well equipped with knowledge and skills. A mastery of theory is key. To enhance my learning and to be able to solve my dilemmas. With adequate knowledge of anatomy, pharmacology of the drugs it would have boosted my confidence hence I would have observed less and done more practice. In future clinical practice unit, I will ensure I have all the details on drug administration. The rights of the patients. The administration route. Patient-centered care (Briggs et al., 2014). The contraindications to the sites. The pharmacology pertaining the medication. I will also ensure that I am confident enough so as to learn more. I will also be ready to be corrected so as to learn from my mistakes. References Briggs. L et al., (2014) Patient-centered care as a priority in healthcare provision. Journal of professional nursing. Ed 21(4) pg. 23-24 Brunner and Suddarth, (2013). Textbook of medical and surgical nursing, 13th edition Bullock, S., (2013). Fundamentals of pharmacology. Ed. 7 Catanyag, H., (2016). 10 Golden Rules for Drug Administration. Nursing notes. Retrieved on 30th September 2017 from www.nursehussein.com/10-golden-rules-for-drug-administration Potter, A., Griffin, A., Hall, A., (2013). Fundamental of nursing. Ed.8

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