Mock 10
Completion requirements
- Picture for Ocular toxoplasmosis (station-4)
- Picture for Telephone - Wrong XRays (station-3)
- Picture for Leg cellulitis (station-9)
- Mannikin and stethoscope for abdominal examination - Bloated abdomen (station-7)
- Arm + blood bottles + needles with cups (U-shaped) for blood sampling (station-16)
1. Subcutaneous Injection Teaching
Scenario: Teaching Subcutaneous Injection Technique
Background Information:
- You are a nurse or nursing educator in a medical ward.
- James, a first-year nursing student, is under your supervision and is keen to learn the correct technique for administering subcutaneous injections.
Educational Objectives:
- Demonstrate and explain the step-by-step process of giving a subcutaneous injection.
- Emphasize aseptic techniques, proper site selection, and patient safety.
- Ensure understanding of the indications, medication handling, and potential complications of subcutaneous injections.
Student Profile:
- James, an enthusiastic first-year nursing student, eager to learn and practice new skills.
- Has basic theoretical knowledge but limited practical experience in clinical procedures.
Task:
- Provide a hands-on demonstration of preparing and administering a subcutaneous injection.
- Supervise James as he practices the technique, providing feedback and correction as needed.
Teaching Points and Procedure Steps:
Preparation:
- Review the purpose of subcutaneous injections and the types of medications commonly administered this way (e.g., insulin, heparin).
- Discuss the necessary supplies: syringe, needle, medication vial or pre-filled pen, alcohol wipes, and gloves.
Technique Demonstration:
- Demonstrate hand hygiene and aseptic technique throughout the procedure.
- Show how to properly fill the syringe from a vial or use a pre-filled syringe, ensuring all air bubbles are removed.
- Explain site selection: common sites for subcutaneous injections include the upper arms, thighs, abdomen, and lower back. Rotate sites to prevent tissue damage.
Injection Procedure:
- Instruct on cleaning the injection site with an alcohol wipe and allowing it to air dry to prevent irritation.
- Demonstrate the "pinch" technique: pinch a fold of skin between your thumb and forefinger, which helps ensure the injection goes into the subcutaneous tissue, not muscle.
- Insert the needle at a 45 to 90-degree angle, depending on the patient's body fat.
- Discuss how to inject the medication slowly and steadily, then release the pinched skin and withdraw the needle.
- Show how to safely dispose of the needle and syringe in a sharps container.
Post-Procedure Care:
- Explain how to monitor the injection site for reactions such as redness, swelling, or infection.
- Discuss patient education regarding the injection and site rotation.
Practice and Feedback:
- Allow James to practice the injection technique under your supervision using a practice pad.
- Provide feedback on his technique, especially his aseptic technique, needle handling, and the comfort level he provides to his "patient" (even if it's just a practice pad).
Clinchers:
- Reinforce the importance of patient comfort, safety, and communication during the procedure.
- Encourage questions and provide clarifications to ensure thorough understanding.
Important Points to Keep in Mind:
- Maintain a supportive and educational environment, encouraging James to learn through both observation and hands-on practice.
- Emphasize critical points like aseptic technique and correct injection sites to prevent complications.
Expected from the Educator:
- Display comprehensive knowledge of subcutaneous injection techniques and patient care.
- Demonstrate excellent teaching skills, providing clear explanations and constructive feedback.
- Foster a learning atmosphere that is encouraging and patient, allowing James to gain confidence in his skills.
This scenario not only helps James learn a vital nursing skill but also reinforces best practices in patient care and procedural execution, essential for a developing nursing professional.