Intramuscular injection - OSCE Skill Station Demonstration
ฝัง
- เผยแพร่เมื่อ 12 ธ.ค. 2021
- Practice video for NMC Test of competence preparation.
INSTRAMASCULAR INJECTION Skill Station.
LinkedIn: Michael Mangwiro for ideas, collaboration and service development needs.
This is great practice. Now imagine you have a ward of 14 patients, 3 of them need IM injections just similar to this. 1 needs morphine which is a controlled drug, you have vital signs and discharges with 8 patients needs Their next dose of IV antibiotic. One ripped out their cannula so you need to insert another. The doctor is asking why the patient doesn’t have IV access yet. A new admission of up from the A&E and has already been waiting 20 mins and not been assessed yet and is screaming because of pain or behaviour issues?
Good luck :) enjoy your shift.
Oh and 4 of the call bells are ringing.
It's happened with me which u hv explained
Hahahaha. This is my ward!!!! Typical busy you want to give up!
Exactly 💯 this is how a nurse real lyf s..
and u have my grandpa on the corner who is confused and high risk of fall🤣😂😂🤣🤣
😂fact
Perfect you have explained properly. Good job
It's a tutorial video and for those who think it's taking too long isn't true in real life situation. The nurses are fast workers and they do this all without time wasting. In many countries gloves and spirits swabs might not be used for IM injection but it's mandatory there.
Very helpful tutorial Video. Thanks for sharing.
Hey sugandha glad to see you performing excellently. Keep it up beta. God bless you.
If it's 1:1 staff patient ratio well and good and will be able to follow these methods . otherwise it's not possible to follow all the steps. That is a real life of a nurse 🙄😔
💯. Right not possible in real life
Very good Samantha great Job
Really super
Great practice please make more vedios on osce
In this time 😂 we gave 20 to 30 IM injections in such a crowded hospital
😀😀😀
Mm
Fucking true bro😅
Absolutely 😅
Thank you so much I 'm upgraded.
None of this happens in real life though.😣🤷🏻♂️
Yep that's so true 👍👍
Yeah
If it happen in real life there will lots of life in danger or untreated
i wouldn't say it doesn't but ~80% of what she is saying actually has to be done to insure the right medication and right dose is given to the right patient. she is doing it out loud but most doctors and nurses do this with their mind
Exactly
If one follows the whole procedure in India he would hardly be able to attend a single patient whole day with other criterias such as admission discharge, documentation, and managing other criterias till then whole ward patients will start beating you😂😂😂
😅😅😅😅
So true 🤣🤣
🤣🤣
Informative
Thank you!
This reminds me of my osce as a student nurse
Nope never happens in India. We don't have time to do all this just for a single patient. There are many waiting as serious cases for the treatment.
Wow.. perfect
Video was good... But these things can only be followed for practical exams but this is not possible in practical field...
Nice 🤩
When she's preparing the medication she's not wearing apron or gloves. In my final year of msc nursing and they make us wear apron and gloves to mix medication as a student under observation obviously.
Yes
Also no lable on the syringe
Yes, I agree. Great theoretical and practice. However in a emergency eg. aggression or violent incidents you have got to be a lot faster without ignoring any of the critical medication and patient checks if injection administered as a last resort.. As a student nurse teaching video or indeed a qualified nurses ongoing training I ,thought this video was good
Thank you for the support, much appreciated. You are very right, in many instances the skill is demonstrated to the marking criteria
Thank you..plz make more..
We plan on filming more stations in the coming weeks, thank you
Pls do implementation station
താങ്ക് യു
I wish I had this time to give the Injections.But happy to see withdrawal to see any blood coming
Only this in practical exam time but not practical in daily routine.and e.r time also not practical
Don’t you reconfirm id when you return with the medication?
When she was talking to the patient she told him that she will his medication at his left hand but she gave the medication at his right
Very well performed however not to be harsh but one error I realised is. The nurse mentioned she will give the IM injection om left arm but gave it on the right arm. I know it’s demo but one thing to look out for. I hope no one gets offended
U explained it very well
Not possible to spend time like this 😂 if you have 20 patients.
But you should know the policy procedure.
Lovely experience and explanation ❤
Thank you for the support, much appreciated
Great .. 👍
Thank you for the support, much appreciated
🔥🔥🔥
While preparing medicine... whether glove is required or not...she was wired the gloves after prepared that inj...
No need to wear gloves while preparing medication?
Its an hour to give one IM injection??? OSCE wise its okey.
South East Region which university assessing osce
If i handle 20 operative patients how can possible maintain this types of stages
It's very interesting 😊😊😊
By the way she administered the injection on right side and documented on left side....don’t u people think so?
Great
Good job
Thank you! Cheers!
When I saw this uniform i remember the same uniform which I was wereing in a hospital at Bangalore
If you're check BNF for every IM injections, better to you have 1 pt for whole day.
Link for the bnf?
Where r u practicing nursing...in India I am assigned to give im injection for 200 patients in OPD..
I didn't know that osce is like this, currently in my job I do this everytime I give medicines to my patients.. Following the IPSG. But do you really need to wear that apron when administering IM injections except for patients with contact isolation precaution?
Video was filmed during Covid restrictions where PPE was fundamental for any contact care. Now that restrictions have been eased some of the measures have been reduced by test centres but always worth checking prior sitting exam
എന്താ ഒരു അഭിനയിഫിക്കേഷൻ. സീരിയൽ ഇല് ഒന്ന് നോക്കണം ട്ടോ...
👌👌👌👌👌👏👏👏👏🌹🌹🌹🌹
Endd❤
Thank you for the support, much appreciated
What medicine book you follow pls tell us name
Mam 3 months Baad pregency kit se check kare to accurate result show karte h kya plz reply mam
Can someone please provide a link to BNF as I’m in 1st year nursings student
No second ID check?
Reality is DIFFERENT.
Woow so professional
Thank you for the support, much appreciated
Do they allow cross checking in the bnf during exams?
Some test centres will require checking while in some cases verbal confirmation that you check against BNF will suffice
Plz be follow 5 moments of hand hygiene....&...Is recapping is allowed in the presenting scenario?
Yes..U can recap but when its very neccessry and you have to use the needle again but you will have to use the fishing method or one hand scoop method.
If you are taking care of 10 patient and you are taking this small procedure around 12 minutes wow how it will be I can't Amazing hahaha...
Gloves no need?
She doesn't wear gloves while preparing the medicine.
Y need gloves.. She already saniterize her hand... No need
Whether these many steps in detail to be done every time or only at first time?
Practically speaking, it is difficult to follow every time with fully and patient also would get irritated.
Why u don't use gloved hand while preparing medicine?
She's not using a gloved hand because it's her own hand rather than using somebody else's hand.
After putting new needle no need to air out???
she already expelled the air bubble prior to changing the needle to a new one. Hence, it's all ready to administer the drug to the patient.
@@doremifasolatido-ro7zs we still need to prime the second needle dont we?
In Africa such professional care doesn't exist
It's only for OSCE exam
Why no gloves while preparing medicine
Hai do u have OSCE training
She did not wash hand after touching the patient. Is it not a problem in OSCE exam
This is good
Thank you for the support, much appreciated
Clean vial one way direction not around
In India, there's no empathy neither patients nor we have becz we are abide by many patients,rules and in between ruckass, we control our nature's call....
Itne time m India m surgery kr dete h. Inhone sirf inj.he lgaya.
Identity and allergies not rechecked before drug Administration
That was deltoid muscle nurse
Injection zuclopenthixol decanoate is given deep IM in gluteal muscle or vastus lateralis, never deltoid.
@@sugandhasharma7076 this injection for what. Can you tell me pls
But she didn't double checked with other nurse. Tha is very very important.. It can be avoid medicayion error... Double checking is must..
For the purpose of the OSCE, the invigilator checks that you are administering the correct dose. Please refer to specific marking criteria as that acts as the guide for each skill.
All these requirements are evidence based, certain meds needs double checking, not mandatory around the world
I wish we get this much time( 12mins) for a single injection😀for an uncomplicated clinical situation!
I'm attending an OSCE exam next week ,I need some advice please.
Apologies for slow response, hope examination went well
First keep your mask then next to the duty...my dear suganda
Some cloudy Vedio
Can you tell me please take medication sheet writing videos
Is this standards are maintained in everyday patient in NhS 🙄🙄
😂😂no way
in our dreams🤭🤭🤣🤣😂🤣
NMC knows that🤣🤣🤣
this is just an EFFfF for international nurses😅 who are better trained than UK nurses🤣
Do we have to say each and everything
For the purposes of the exam, verbal affirmations are needed in case there is confusion or disparity on the course of your actions.
Do you have only one patient for 6 hrs ? 🤣
Which do not happen in real😂
Sugandha when you start doing this😂
By the time she does checking everything her shift will be over.
Exactly! As if like in the real world, she's only dealing with one patient on the ward for the entire long day shift.
It's an 'objective' and 'structured' clinical examination - this exam scenario is by no means an extension of clinical practice on a shift basis otherwise there would be distractions and options to confer with the rest of the team on that particular shift
Exactly
@@ashdonic still too many unnecessary checks that only can delay care. Hopefully, this person is not working in the ER
Why is she not wearing gloves
Proper hand washing before & after preparing medications.You didn’t reconfirm patients details checking wrist band & allergy status before giving the injection maybe other patient occupy on patients bed while you were preparing the medication sometimes it happens.
This video was performed against a marking criteria, if you were to consider all the possibilities in a ward environment you would need hours of footage.
@@ashdonic so it’s not the right SOP then that every nursing students should know.
please I forgot to do second ID check, is it a fail?
well done, why in these "tutorials" are there only about 20% showing the vital aspiration technique pre pressing plunger, it is standard practice for I.M., it takes an extra 2 secs and is insurance that with no blood aspiration that you are not in a blood vessel.and do not tell me that this is not needed!, it is just bad technique.
lol, why she holding the needle, contaminating the injection site..
Medication to be checked with two nurses
indian nurse's laughing at the corner 😂
പിന്നല്ലാതെ... ഈ സമയം കൊണ്ടു പത്തു രോഗികൾക്ക് ഇൻജെക്ഷൻ കൊടുത്തു കഴിഞ്ഞ് കാണും... പ്രത്യേകിച്ച് മലയാളീസ്..
Iv in It right side 🙄 yes ....
You made a mistake when you secure needle after that you don't uncover till you are with patient. You never told patient where to be injected.
Why is she putting ppe on
Itne time me to me 10 ko im lga du😄🩺
she didn't wear apron and gloves,when she was preparing the injection,,? forgit
forgot
It hardly take 5 minutes to actually give im injection in india , and here 😣😂😂
Not explained i. IM. Properly .
This dress zydus hospital 😊😊
Don,t you follow ANTT method when preparing.
No, not for this clinical station.
u mentioned about address rather than the allergies
Allergies were definitely asked before giving the medication. In fact it’s one of the important marking point of OSCE. From OSCE point of view, address is also confirmed with the patient.
For elderly dimented patient who lives in care homes/nursing homes yes you check the address but for those who can communicate ask the complete name, date of birth & allergy status is a must.
@@melbabalubugan1347 what im trying to point is; when giving medications, allergy is more important than the address.,,
@ kurten zena very true check allergy status rather than address
That's true.
I was told we no longer swab the skin prior to injection. Is this incorrect?
What is d rationale?? Before any invasive procedure we hve to make antiseptic environment!!!!
you always have to clean the injection site.
@@doremifasolatido-ro7zs why she wiped the vial in circular motion. Any idea?