'Intramuscular Injection Essay\r'

'The clinical acquisition I construct chosen to reflect on is the administration of Intramuscular (IM) injections. I will call a reflective model to guide me in my reflection. The Gibbs reflection cycle features, description, flavours, evaluation, description, conclusion and an put to death formulate (Gibbs 1988). The setoff stage of Gibbs (1988) is description of events. On my clinical placement I had the chance to administer a drug to a commodious-suffering via IM injection chthonic the supervision of my instruct.\r\nI had already observed this acquirement on various occasions and previously had the opportunity to administer IM injections in previous placements. My mentor was lecture me through the process as this was the first measure I have performed the skill with her supervision. When the mentor got to the touchstone of utilise an intoxicant wipe to groom the welkin of the injection site the patient verbalize he did not usually get that done. He move to sa y that an alcoholic beverage wipe had been single-valued functiond in one case before and had pay backd him an unpleasant stinging sensation and he would rather it was not gived.\r\nThe previous times I had administered IM injections, I had cleansed the site with alcohol wipe, and then I asked my mentor for some steerage in this situation. My mentor confirmed that it was acceptable to administer the injection with come on using the alcohol wipe and I continued with the injection. Feelings ar the next stage of Gibbs (1988) cycle. My thoughts and feelings about this situation was that I felt a little nervous as I was under the supervision of my mentor for the first time doing this skill.\r\nHowever as I had already had the opportunity to administer IM injections before, I felt I was competent to carry out that skill. When the patient had said he did not usually have the alcohol wipe used, I began to doubt my practice. I knew I had previously used this in my practice, but began to incredulity myself if it was correct. As the patient continued to say he had previously had an unpleasant stinging sensation when the alcohol wipe had been used I began to think that the individual who had administered that injection did not allow trim to teetotal properly before administering the injection.\r\nIf the skin is not teetotal the cleaning is ineffective and the antiseptic may cause the irritation by being injected into the tissue (D receiveie et al. 2000). The patient requested that the alcohol wipe not be used on this occasion and this left me feeling confused. I knew he has the right to patient self-reliance and without his consent I could not carry out this procedure. As a nurse you are responsible for gaining consent and maintaining the patients right to be autonomous . Hawley (2007) states that impropriety means a persons right to make their accept decisions in life, as long as they do not harm eitherone else.\r\nI was unsure of the risks of not using the alcohol wipe and had to seek guidance from my mentor. Evaluating this situation make me realise that questioning your own practice is a good way of retentiveness up to date with stated found practice. The munificent Marsden manual of clinical nursing procedures (Dougherty & lister 2004) advocate the use of skin cleansing wipes, it is in time stated within their guidelines that they adopt this for patients who are immunosuppressed, and also give separate of previous studies which indicate that skin cleansing is not normally necessary.\r\nResearch by Workman (1999) suggests that the use of skin cleansing wipes is repugnant and not necessary in IM injections if the patient appears to be physically clean and the nurse has adopted an antiseptic technique as well as nasty hand hygiene. The fourth stage of Gibbs cycle (1988) has made me become more aware of different practices concerning the use of alcohol wipes in skin cleansing. I infer that both practices have been r esearched, and as I give away professionally I will not cleanse the skin in future unless the local constitution states to do so or the patient requests me to.\r\nThe evidence in this area is not clear therefore I will use any literary works which is available to allow me to justify my actions, and deliver proficient evidence based care. In conclusion, I have learned that not all nurses use evidence in the same way and may use different methods. I understand that as long as my practice is safe and evidence based then I can practice safely. My action plan would be to continue to maintain updated with any new research and evidence of using alcohol wipes in the administration of IM injections. This will help me to keep my practice safe and up to date.\r\n'