The document discusses various intramuscular injection sites for different ages and medications. The vastus lateralis muscle in the thigh is preferred for infants, children, and adults. For the vastus lateralis, the injection should be given in the middle third of the thigh, lateral to the midpoint between the knee and hip. The deltoid muscle in the upper arm can be used for immunizations and non-irritating medications. The ventrogluteal site in the hip is good for adults and children over 7 months, with the injection given in the center of a triangle formed by palpating bony landmarks. Proper technique includes quickly inserting the needle at a 90 degree angle and aspirating before injection.
IMPORTANCE OF ORAL CARE IN ICU MURUGESH HJ.pptxMURUGESHHJ
THIS PPT EXPLAINS ABOUT IMPORTANCE OF ORAL HYGIENE ESPECIALLY FOR UNCONSIOUS PATIENTS, SEVERLY ILL PATIENTS , IT EXPLAINS YOU ABOUT PROCEDURE, IMPORTANT ARTICLES , MOST BENEFICIAL FOR NURSES
IMPORTANCE OF ORAL CARE IN ICU MURUGESH HJ.pptxMURUGESHHJ
THIS PPT EXPLAINS ABOUT IMPORTANCE OF ORAL HYGIENE ESPECIALLY FOR UNCONSIOUS PATIENTS, SEVERLY ILL PATIENTS , IT EXPLAINS YOU ABOUT PROCEDURE, IMPORTANT ARTICLES , MOST BENEFICIAL FOR NURSES
The Pressure Ulcer Scale for Healing (PUSH) tool is a fast and accurate tool used to measure the status of pressure wounds over time. The tool was designed by the National Pressure Ulcer Advisory Panel (NPUAP) and has been validated many times over.
Surgical Hand Washing
By Josfeena Bashir
Lecturer, BGSBU, Jammu
Introduction
During the 19th century, surgical hand preparation consisted of washing the hands with antimicrobial soap and warm water, frequently with the use of a brush.
Definition
Hand washing is important in every setting, including hospital. It is an effective infection control measures, as it prevent spread of micro organisms. For routine client care, the CDC recommends a vigorous hand washing under a stream of water for at least 10 seconds using soap.
Purpose
To remove transient and resident bacteria from fingers, hand and forearms.
To prevent the risk of transmission of infection to patients.
To reduce the risk of transmission of infection organisms to oneself.
To prevent cross infection among clients.
Equipments/ Articles Used For Hand Washing
Soap in a soap dish
Bacteriocidal or antimicrobial soap.
Surgical scrub brush
Running water
Towel/ sterile towels
Surgical hand washingSteps of procedure
Done mask, hair cover and booties, if required
Perform 5 to 10 minute surgical scrub using counted brush stroke method.
Remove rings, chipped nail polish and watch.
Contd….
Wet hands and arm from elbows to fingerprints under flowing water (use sink with side or foot pedal).
Place soap, preferably antimicrobial/ bacteriostatic, on hands and rub vigorously for 15 to 30 seconds; use scrub brush gently
Contd….
Using circular motion, scrub all skin areas, joints, fingernails, between finger and so forth (on all sides and 2 inches above elbows); slide ring, if present, up and down while rubbing fingers.
Continue scrub for 5 to 10 min or per agency policy.
Contd…
Rinse hands from fingers to elbow under flow of water.
Repeat soaping, rubbing and rinsing until hands and arms are clean.
Pat hands dry with sterile towel, moving from fingers to wrist.
Introduction to the Visual Infusion Phlebitis (VIP) scoreivteam
The Visual Infusion Phlebitis score is a standardised approach to monitoring peripheral IV catheter sites.
The fact that it encourages site observation means that it also has an impact on other peripheral IV catheter problems such as dislodgement, infiltration and infection.
The innovation of this tool is the recognition of the visual nature of peripheral IV problems and the subsequent benefits of a visual tool to identify these issues early.
As health care workers we have a duty of care to monitor the condition of a patients IV site.
Failure to monitor IV sites is seen as failure in duty of care.
The VIP score is internationally acknowledged as a proven standardised tool for the monitoring of peripheral IV catheter sites.
As part of my course, I have prepared power point presentation on lumbar puncture. Books which i have referred are Sister Nancy and Poter and Perry Fundamental of nursing. I hope this ppt will be be some help to the prospect Nursing learners.
This presentation is about Iv injection which is used by all health professionals to the patients. This presentation includes definition, purpose, types, equipment with procedure and role of nurse all are included.. this is very helpful demonstration for health care settings.
This is a powerpoint presentation I gave to junior nursing students reviewing injections and injection technique in preparation for medical-surgical clinical.
The Pressure Ulcer Scale for Healing (PUSH) tool is a fast and accurate tool used to measure the status of pressure wounds over time. The tool was designed by the National Pressure Ulcer Advisory Panel (NPUAP) and has been validated many times over.
Surgical Hand Washing
By Josfeena Bashir
Lecturer, BGSBU, Jammu
Introduction
During the 19th century, surgical hand preparation consisted of washing the hands with antimicrobial soap and warm water, frequently with the use of a brush.
Definition
Hand washing is important in every setting, including hospital. It is an effective infection control measures, as it prevent spread of micro organisms. For routine client care, the CDC recommends a vigorous hand washing under a stream of water for at least 10 seconds using soap.
Purpose
To remove transient and resident bacteria from fingers, hand and forearms.
To prevent the risk of transmission of infection to patients.
To reduce the risk of transmission of infection organisms to oneself.
To prevent cross infection among clients.
Equipments/ Articles Used For Hand Washing
Soap in a soap dish
Bacteriocidal or antimicrobial soap.
Surgical scrub brush
Running water
Towel/ sterile towels
Surgical hand washingSteps of procedure
Done mask, hair cover and booties, if required
Perform 5 to 10 minute surgical scrub using counted brush stroke method.
Remove rings, chipped nail polish and watch.
Contd….
Wet hands and arm from elbows to fingerprints under flowing water (use sink with side or foot pedal).
Place soap, preferably antimicrobial/ bacteriostatic, on hands and rub vigorously for 15 to 30 seconds; use scrub brush gently
Contd….
Using circular motion, scrub all skin areas, joints, fingernails, between finger and so forth (on all sides and 2 inches above elbows); slide ring, if present, up and down while rubbing fingers.
Continue scrub for 5 to 10 min or per agency policy.
Contd…
Rinse hands from fingers to elbow under flow of water.
Repeat soaping, rubbing and rinsing until hands and arms are clean.
Pat hands dry with sterile towel, moving from fingers to wrist.
Introduction to the Visual Infusion Phlebitis (VIP) scoreivteam
The Visual Infusion Phlebitis score is a standardised approach to monitoring peripheral IV catheter sites.
The fact that it encourages site observation means that it also has an impact on other peripheral IV catheter problems such as dislodgement, infiltration and infection.
The innovation of this tool is the recognition of the visual nature of peripheral IV problems and the subsequent benefits of a visual tool to identify these issues early.
As health care workers we have a duty of care to monitor the condition of a patients IV site.
Failure to monitor IV sites is seen as failure in duty of care.
The VIP score is internationally acknowledged as a proven standardised tool for the monitoring of peripheral IV catheter sites.
As part of my course, I have prepared power point presentation on lumbar puncture. Books which i have referred are Sister Nancy and Poter and Perry Fundamental of nursing. I hope this ppt will be be some help to the prospect Nursing learners.
This presentation is about Iv injection which is used by all health professionals to the patients. This presentation includes definition, purpose, types, equipment with procedure and role of nurse all are included.. this is very helpful demonstration for health care settings.
This is a powerpoint presentation I gave to junior nursing students reviewing injections and injection technique in preparation for medical-surgical clinical.
College websites, in particular, often feature stale stock photography, which is a pity in such a photogenic campus. A series of training workshops were run in early 2016 to give amateur staff photographers a grounding in both technical skills and creative composition. The project team worked with the Marketing Office to produce a short pack that covers the basics of photography and also tips on how to showcase NUI Galway events creatively. This also includes guidelines (correct dimensions for College webpage banners, for example) on how to process imagery for use on the web and for print.
Orchestration, resource scheduling…What does that mean? Is this only relevant for data centers with thousands of nodes? Should I care about Mesos, Kubernetes, Swarm, when all I have is a handful of virtual machines? The motto of public cloud IAAS is "pay for what you use," so in theory, if I deploy my apps there, I'm already getting the best "resource utilization" aka "bang for my buck," right? In this talk, we will answer those questions, and a few more. We will define orchestration, scheduling, and others, and show what it's like to use a scheduler to run containerized applications there.
Make sure you have the right amount of the right medicine in the syringe.
Wash your hands well with soap and water. Dry them.
Carefully find the spot where you will give the injection.
Clean the skin at that spot with an alcohol wipe. Let it dry.
Take the cap off the needle.
Hold the muscle around the spot with your thumb and index finger.
With a quick firm thrust, put the needle into the muscle straight up and down, at a 90 degree angle.
Push the medicine into the muscle.
Pull the needle straight out.
Press the spot with the cotton ball.
IM injections is an important skill needed for nurses to front-line in their job. this power-point gives all needed information for the students to learn about intramuscular administration of drugs.
Intramuscular injection, often abbreviated IM, is the injection of a substance into a muscle. In medicine, it is one of several methods for parenteral administration of medications. Intramuscular injection may be preferred because muscles have larger and more numerous blood vessels than subcutaneous tissue, leading to faster absorption than subcutaneous or intradermal injections. Medication administered via intramuscular injection is not subject to the first-pass metabolism effect which affects oral medications.
Participants will be able to define why we use IM route? sites for IM injections and their complications and should be able to implement evidence based practice in IM Injections.
Another presentation I working on Fiverr. Please send me your RAW material if you want to create a great presentation by me. Visit my fiverr account on www.fiverr.com/dennynugroho.
Palestine last event orientationfvgnh .pptxRaedMohamed3
An EFL lesson about the current events in Palestine. It is intended to be for intermediate students who wish to increase their listening skills through a short lesson in power point.
Read| The latest issue of The Challenger is here! We are thrilled to announce that our school paper has qualified for the NATIONAL SCHOOLS PRESS CONFERENCE (NSPC) 2024. Thank you for your unwavering support and trust. Dive into the stories that made us stand out!
How to Create Map Views in the Odoo 17 ERPCeline George
The map views are useful for providing a geographical representation of data. They allow users to visualize and analyze the data in a more intuitive manner.
2024.06.01 Introducing a competency framework for languag learning materials ...Sandy Millin
http://sandymillin.wordpress.com/iateflwebinar2024
Published classroom materials form the basis of syllabuses, drive teacher professional development, and have a potentially huge influence on learners, teachers and education systems. All teachers also create their own materials, whether a few sentences on a blackboard, a highly-structured fully-realised online course, or anything in between. Despite this, the knowledge and skills needed to create effective language learning materials are rarely part of teacher training, and are mostly learnt by trial and error.
Knowledge and skills frameworks, generally called competency frameworks, for ELT teachers, trainers and managers have existed for a few years now. However, until I created one for my MA dissertation, there wasn’t one drawing together what we need to know and do to be able to effectively produce language learning materials.
This webinar will introduce you to my framework, highlighting the key competencies I identified from my research. It will also show how anybody involved in language teaching (any language, not just English!), teacher training, managing schools or developing language learning materials can benefit from using the framework.
Synthetic Fiber Construction in lab .pptxPavel ( NSTU)
Synthetic fiber production is a fascinating and complex field that blends chemistry, engineering, and environmental science. By understanding these aspects, students can gain a comprehensive view of synthetic fiber production, its impact on society and the environment, and the potential for future innovations. Synthetic fibers play a crucial role in modern society, impacting various aspects of daily life, industry, and the environment. ynthetic fibers are integral to modern life, offering a range of benefits from cost-effectiveness and versatility to innovative applications and performance characteristics. While they pose environmental challenges, ongoing research and development aim to create more sustainable and eco-friendly alternatives. Understanding the importance of synthetic fibers helps in appreciating their role in the economy, industry, and daily life, while also emphasizing the need for sustainable practices and innovation.
Welcome to TechSoup New Member Orientation and Q&A (May 2024).pdfTechSoup
In this webinar you will learn how your organization can access TechSoup's wide variety of product discount and donation programs. From hardware to software, we'll give you a tour of the tools available to help your nonprofit with productivity, collaboration, financial management, donor tracking, security, and more.
We all have good and bad thoughts from time to time and situation to situation. We are bombarded daily with spiraling thoughts(both negative and positive) creating all-consuming feel , making us difficult to manage with associated suffering. Good thoughts are like our Mob Signal (Positive thought) amidst noise(negative thought) in the atmosphere. Negative thoughts like noise outweigh positive thoughts. These thoughts often create unwanted confusion, trouble, stress and frustration in our mind as well as chaos in our physical world. Negative thoughts are also known as “distorted thinking”.
The French Revolution, which began in 1789, was a period of radical social and political upheaval in France. It marked the decline of absolute monarchies, the rise of secular and democratic republics, and the eventual rise of Napoleon Bonaparte. This revolutionary period is crucial in understanding the transition from feudalism to modernity in Europe.
For more information, visit-www.vavaclasses.com
How to Split Bills in the Odoo 17 POS ModuleCeline George
Bills have a main role in point of sale procedure. It will help to track sales, handling payments and giving receipts to customers. Bill splitting also has an important role in POS. For example, If some friends come together for dinner and if they want to divide the bill then it is possible by POS bill splitting. This slide will show how to split bills in odoo 17 POS.
4. SITES OF THE THIGH
Vastus lateralis muscle preferred
Rectus femoris muscle rarely used except
for infants & self-administered injections
5. Vastas Lateralis
Safe, rapid absorption
Can be used for infants, children
& adults
Needle length usually 1 inch or less
Location:
one handbreadth above the knee
one handbreadth below the greater
medial lateral portion of the thigh
6. Vastas Lateralis
Look at the thigh that will get the shot. In your mind,
divide the thigh (the area between the knee and the
hip) into three equal parts. The middle third is where
the shot will go.
This muscle is called the vastus lateralis. It runs along
the top of the thigh (the front) and a little to the
outside. Put your thumb in the middle of the top of
the thigh, and your fingers along the side. The muscle
you feel between them is the vastus lateralis
9. Vastis Lateralis
The infant’s diaper must be undone to ensure the
injection site is completely exposed and the
anatomical markers easily identified.
Position the leg so that the hip and knee are flexed
and the vastus lateralis is relaxed
Draw an imaginary line between the 2 markers down
the front of the thigh. The correct site for IM
vaccination is lateral to the midpoint of this line, in
the outer (anterolateral) aspect
Do not inject into the anterior aspect of the thigh
where neurovascular structures can be damaged
11. Deltoid (DEL-toyd) Muscle (Upper
arm muscle) Site
Used for immunizations, nonirritating
medications
Risk of injury to the brachial artery &
radial nerve
Limit volume of medication based upon
size of muscle - 0.5 - 2 ml / cc
12. Deltoid – Locating the Site
The person getting the shot can be sitting, standing or
lying down
It is essential to expose the arm completely from the top
of the shoulder to the elbow when locating the deltoid
site. Roll up the sleeve or remove the shirt if needed.
Place fingers on the patient’s shoulder
Feel for the bone that goes across the top of the upper
arm This bone is called the acromion process
The bottom of it will form the base of the triangle
Place index & middle finger on landmark, creating an
inverted triangle
The point of the triangle is directly below the middle of
the base at about the level of the armpit.
You will give the shot in the center of an upside down
triangle, 1 to 2 inches (2.5 to 5 cm) below the bottom of
the acromion process
16. Ventrogluteal (ven-trow-GLUE-
tee-ull) Muscle (Hip):
The hip is an area with good bone
landmarks and very little danger of
hitting blood vessels or nerves. It is a
good place for a shot for adults and
children over 7 months old. The
person getting the shot should be
lying on his or her side.
17. Ventrogluteal Site
First you must determine which hand you will use to
locate the IM injection site by the position the patient is
in, for example if the patient is on their right side you
would use your right hand to find the landmarks.
So using the example, a person is lying on their right
side so you would take your right hand and place it on
their greater trochanter, depending on the length of your
fingers you would then place your index finger on the
anterior superior iliac spine or point your finger in that
direction with the thumb pointed at the groin, all other
fingers should be pointed at the patient's head.
Once your hand is in position move your middle finger
back along the iliac crest towards the buttock as far as
you are able to go. This forms the triangle with the index
and middle finger and the center of that triangle is the
injection site for a ventrogluteal injection.
18. Ventrogluteal Site
To find the correct place to give a shot in the hip to another
person:
Place the heel of your hand on the hip bone at the top of
the thigh. Your wrist will be in line with the person's
thigh.
Point your thumb at the groin, fingers point to the
person’s head.
Form a “V” with your fingers by opening a space
between your pointer finger and the other three fingers.
Your little finger and ring finger will feel the edge of a
bone along the fingertips.
The place to give the shot is in the middle of the V-
shaped triangle.
19. Ventrogluteal Site
The volume of drug that can go the ventrogluteal
route is 1.0 - 4.0 ml for well developed muscles, but a
child under 2 years old should receive no more than 1
ml in the ventrogluteal site.
The gauge of needle can be 21-25, with a length of
1.5 inches for the average sized adult; the needle
would be much shorter for skinny individuals and
children. Larger patients may require a needle that is
larger than 1.5 inches to make sure the needle makes
it through the adipose tissue (fat).
Be sure that the angle of all ventrogluteal injections is
90 degrees.
24. Ventrogluteal Site
The child’s nappy must be undone to ensure the injection site is
completely exposed and the anatomical markers easily identified
by sight and palpation. Anatomical markers are the anterior
superior iliac spine (ASIS), the greater trochanter of the femur and
the iliac crest (see Figure 1.4.7).
Place the child in a prone position (face-down) on parent/carer’s
lap or on the clinic table/bed with arms tucked against the child’s
chest. Allow the child’s legs to dangle towards the floor (see Figure
1.4.8).
The knee and hip should be turned inwards to encourage muscle
relaxation at the injection site.
The injection site should be that which is closest to the
immunization service provider.
Place the palm over the greater trochanter (the uppermost bony
prominence of the thigh bone) with the thumb pointing towards
the umbilicus. The index finger points to the anterior superior iliac
spine, and the middle finger is spread so that it aims at the iliac
crest, thus creating a ‘V’ outlining the ventrogluteal triangular
area. The injection site is at the centre of this area
25. Dorsogluteal
Dorsogluteal (door-so-GLUE-tee-ull) Muscle (rear-
end): The upper rear end area is the area where
most people have gotten shots. Expose one entire
cheek of the rear-end. With an alcohol wipe draw a
line from the top of the crack between the cheeks to
the side of the body. Starting in the middle of the
same side, draw another line across the first one with
the alcohol wipe. Start from about 3 inches above the
first line to about half way down the middle of the
cheek. You should have drawn a cross. In the upper
outer square you will feel a curved bone. The shot will
go in the upper outer square below the curved bone.
Read more:
http://www.drugs.com/cg/how-to-give-an-intramuscular-inj
26. IM Injections
Spread the skin to ensure firmness
90°angle
Insert needle quickly, dart-like fashion
ALWAYS aspirate prior to injection
Remove needle quickly in the same
direction as insertion
ACTIVATE NEEDLE SAFETY
27. References
www.health.gov.au The Australian
Immunization Handbook. 3/26/2008 Images
downloaded august 36, 2011
academic.cuesta.edu/desmith/iminject.pdf
Lippincott’s Nursing Procedures, 5th
Ed. Williams
& Wilkins 2009
http://www.drugs.com/cg/how-to-give-an-
intramuscular-injection.htmal