1. Simulation Storyboard &
Student Activity
Doreen A Gendreau
Western Governor’s University
NMT1-722.1.3-02, 06
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2. Simulation for
Intramuscular
• The Simulation takes place in a
Injection
simple Nursing Skills Lab
• There is a SIM Bot that
supports IV insertions and
blood draws as well as Proper
Injections (He is able to
communicate and give data
programmed )
• The Lab is set up in 3 sections
• The utility and supply section
• The patient room simulation
that contains a bed and the SIM
man and the computer
programmer)
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3. Collection of supplies & • The student is required to collect the
appropriate equipment from the
Identification of patient supply room (He is required to scan
each product – the correct supplies
will show a green light)
• The student is required to knock prior
to entering the room (SIM man says
come in- no knock SIM man says
“excuse me”)
• The student introduces himself
• The student identifies the patient with
two patient identifiers (SIM man
Verifies his name and date of birth-
student has patient MAR in hand and
checks it against this data)
• The student explains the procedure
and obtains consent from the patient.
• The student washes his hands and
prepares the appropriate equipment
3

4. Proper procedure
& Correct Site • The student checks the MAR
Identification & Cleansing against the prefilled syringe
• The student dons gloves
• The student identifies the
deltoid landmark (The SIM
man will respond-This is the
correct site for the Deltoid IM)
• The student then takes the
ETOH pad and uses
concentric circles to clean the
site (there is an applied
invisible film that will show
up when illuminated by black
light-proper cleansing will
remove the film)
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5. The Correct • The student grasps the
Injection
deltoid to firm up the
muscle
• The student removes the
cover from the syringe
• The student holds the
syringe with the thumb
and forefinger of the
dominant hand
• The student darts the
syringe in quickly at a
proper 90 degree angle
(the SIM man will say
“ouch” if the degree is
incorrect)
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6. The correct • The student removes
Injection his non dominant hand
from the muscle, and
aspirates the plunger (if
incorrect placement-
syringe med color will
change and become
blue if in a vein, and
red if in an artery-if it is
in the muscle properly,
the syringe fluid color
will remain the same)
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7. Simulation • If no color change-the
Injection IM student will push
plunger while
stabilizing the barrel
• The colored fluid will
be seen through the
plastic opening of the
deltoid muscle
demonstrating the
filling of the correct
muscle
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8. Post procedure • The student will
remove the needle
quickly & dispose of
needle in sharps box
• The student will
massage the area of
injection
• The student will assess
site for any bleeding
(Band-aid if small drop)
• .
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9. • The student will assess
Post Procedue tolerance of procedure from
patient (SIM man will provide
positive feedback if ALL steps
were followed correctly and in
proper sequence-if not-it will
identify areas requiring
improvement)
• The student will clean up and
through trash away
• The student will remove
gloves
• The student will wash his
hands
• The student will document
administration in the MAR
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10. Assessment & • The student will inquire
Documentation if SIM man needs
anything else (response
will be no if all steps are
followed)
• The student will return
within the hour to check
patients response to
medication
• The student will
document efficacy of
intervention in the MAR
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