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Introduces self
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1
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Confirms name & date of birth of patient (against wristband and
drug chart)
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1
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Explains & gains consent, warning the patient of any side effects
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1
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Checks the drug to be given has been correctly prescribed and has not yet been given
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1
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Asks the patient if they have already had the injection
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1
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Checks for any allergies with patient and against drug chart
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1
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Asks patient for any relevant contraindications
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1
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Gathers equipment selecting specialised insulin needle if
administering insulin
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1
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Washes hands
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1
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Wears gloves
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1
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Checks the drug's name, concentration, expiry date and looks at
contents for any contaminants
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1
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Confirms drug with another member of staff
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1
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Asks patient to expose preferred area
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1
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Cleans skin with alcohol wipe and leaves to dry for 30 seconds
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Assembles syringe and needle with the higher gauge or larger needle
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1
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Draws up drug ensuring no bubbles present
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1
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Changes needle to lower gauge or smaller needle
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1
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Confirms right amount with another member of staff
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1
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Administers injection at 45 degrees (or 90 degrees for smaller
insulin needle)
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1
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Disposes of needle in sharps bin and applies cotton wool to skin
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1
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Documents that drug has been administered
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1
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Asks patient to report any side effects or features of overdose to a
member of staff
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1
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Deals with any concerns
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1
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Disposes of equipment and gloves in clinical waste bin
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1
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Thanks patient
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1
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Washes hands
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1
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Examiner global score: confidence, methodical and proficient
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1
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2
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Advice from Alexandros Sklavounos (Phase 2, 2016)
This station is one of the most practical ones. So, practising over and over again is very important. Usually, the station will require you to administer insulin to a diabetic patient or more rarely heparin. You can either narrate what you would do to the examiner or pretend that the sponge is an actual patient. Make sure to clearly show to the examiner that you are checking for allergies specifically for the drug you are using as well as any allergies in general and what reaction the patients get when exposed to the allergen. Also, make sure to ask the patient whether they have had the medication taken recently. Whilst preparing the injection make sure to check all expiry dates. For the medication check also that the concentration is the correct one and double check that it is the correct drug with the examiner to make the examiner aware that you know how important it is to administer the correct medication. For insulin, use an alcohol swab to clean the bottle and before inserting the needle inside the bottle check again the dose of the medication and say that you are doing so. Also, do not forget to explain to the patient the procedure and do not forget to warn him that it will be a sharp scratch. Do not forget to document that you have performed the injection. At the end, the most common question is to describe the differences between drawing insulin and heparin. For insulin the injection is performed at right angles while for heparin at 45 degrees and mention the difference between the needle used.