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Mental Heath Unit Reflective Report

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During the first few weeks of working on the Mental Heath Unit at Victoria Hospital, I was exposed to many new and different situations in regards to patient care. One situation in particular that stuck out to me occurred during my first week when I was working with a patient who was diagnosed with schizophrenia as well as paranoia. During this particular interaction, this gentleman required his intramuscular (IM) depot injection of Invega Sustenna, also known as Paliperidone, which assists in managing the symptoms associated with his schizophrenia. For confidentiality reasons, this patient will be referred to as Steve for the remainder of this reflection. I met Steve when my co-caring nurse was completing her morning assessment of him. During …show more content…
I had to prepare myself because I have only preformed a few IM injections within my past clinical rotation, each of which were given into the vastus lateralis muscle. Therefore, I knew that I had to brush up on my knowledge pertaining to this type of injection. As it is crucial to preform any injection according to best practice as well as London Health Sciences Centre’s standards of practice, I researched the appropriate technique to be used. I also talked with my clinical instructor and co-caring nurse as to the proper way of preforming an IM injection. After completing this research as well as the passing of few hours, it was finally time to administer Steve’s injection. I ensured to provide a health teaching, landmark, z-track, and aspirate, amongst other things, thus reflecting during the situation on best practice regarding preforming an injection. In regards to land marking, Shaw (2015) states that in order to reduce the risk of damaging blood vessels, one must ensure they are knowledgeable regarding selecting an appropriate injection site. I also talked to Steve during this process to keep him calm because although he wanted the injection, he still could have been nervous during this time. Additionally, I reflected further after completing the injection as the injection site was bleeding more than I expected it to, but once I saw that the …show more content…
In addition to using other resources, I must look over my second year notes that depict how to preform this type of injection into various sites around the body. I must also take any chances I get to preform an IM injection because I not only will be able to practice this skill, but I will develop my confidence and familiarity related to it, and thereby further advance my competence (Reynolds & Saxton, 2015). Therefore, by taking my thoughts generated from this reflection and applying them to practice, I believe that I will be able to improve upon my practice of giving IM

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