Resource Unit General Objectives: Specific Objectives

Specifically, the BSN-2B Group 1B students will be able to: 1.) Recall effectively the past existing knowledge on Musculoskeletal System Anatomy and Physiology, especially with the 5 major muscle areas unto which Intramuscular injections may be administered, through a preconditioning activity entitled “Match the Muscle”. Mechanics: The class will be divided into 2 groups. Each group is provided with 5 muscle names with descriptions, and pictures of 5 muscles are equally posted on each group's partition of the board. They are to correctly match the muscle names with descriptions to the pictures being posted. The first group to finish and to provide the correct alignment of concepts wins. Muscle Names and Descriptions After 1 hour of student-clinical instructor interaction, the BSN-2B Group 1B students will be able to acquire sufficient knowledge, appropriate skills, and positive attitude towards the concept of Administering Intramuscular Medications.

Content

Methodology
• Activity-Based Learning: Cooperative Learning (Gaming)

Time Allotment
• 10 minutes

Resources • Pens • Bond Papers • Board • Scotch Tape • Scissors
• Computer • Printer • Clinical Instructor • Students

Evaluation •After 10 minutes of student-clinical
instructor interaction, the BSN 2BGroup 1B students were able to effectively recall their past existing knowledge on Musculoskeletal Anatomy and Physiology, especially with the 5 major muscle areas unto which IM injections may be administered, through a preconditioning activity entitled “Match the Muscle”.

• Deltoid Muscle
-No more than 2 ml of medication may be injected on this muscle (even lesser with children) -Medication should not be irritating and should be quickly absorbed

• Dorsogluteal Muscle
-Common injection site for adults because it is relatively free from nerves and major

and is also remote from the rectum.blood vessels. • Rectus Femoris Muscle -Rarely used except for infants and selfadministered injections • Vastus Lateralis Muscle -Preferred site for IM injections in infants -A good site for healthy and ambulatory adults because there are few underlying major blood vessels and nerves -Muscle mass in this area tends to be inadequate in the elderly or the very ill. thus may be contraindicated • Ventrogluteal Muscle -A large muscle mass that is free from major nerves and adipose tissue. thus may minimize the risk for infection Illustrations to Match see: Appendix A .

• Recommended for patients who are uncooperative or can’t take medication orally and for drugs that are altered by digestive juices. where the rich blood supply allows for rapid and full absorption. •Traditional Oral Essay Lecture • 10 minutes •Pens •White Cartolina •Board •Scotch Tape •Clinical Instructor •Students •After 10 minutes of student-clinical instructor interaction. the BSN 2BGroup 1B students were able to correctly state the indications for an Intramuscular injection. through an Oral Essay Questioning. the BSN 2B-Group 1B students were able to properly explain the concept of Administering an Intramuscular Injection. • The Intramuscular (IM) route is a common route for parenteral injections. through Factual Questioning. preoperative sedatives.) Explain properly the concept of Administering Intramuscular Medications. Many antibiotics.2. past the dermis and subcutaneous tissue and into the very deepest layers of the muscle. so it is important to place needle correctly to avoid damage to the said structures. • Formal Discussion • 10 minutes • Pens • White Cartolina • Board • Scotch Tape • Clinical Instructor • Students •After 10 minutes of student-clinical instructor interaction. • It is a method used to administer medications into the deep muscle mass. 3. • The common sites of IM injections are muscles that contain large blood vessels and nerves. . and narcotics are administered intramuscularly.) State correctly the indications for an Intramuscular injection.

4. 5. . The students will be provided with a handout on the steps to follow in administering intramuscular medications.) Assist client into position for comfort and easy visibility of • DemonstrationReturn Demonstration • 30 minutes • Medication Administration Record/ Electronic medication ticket Pen • Appropriate size of syringe and needle for type of injection and viscosity of solution • Disposable gloves • Alcohol swab • Distilled water • Medication tray • Hand-outs • Clinical Instructor • Students •After 30 minutes of student-clinical instructor interaction. 6.) Prepare medication adhering to the five rights of medication administration. 8. This would serve as a practice for the final return demonstration which would consequently follow. 2.) Demonstrate proper techniques according to the procedure for administering Intramuscular injections. Steps 1.I. 3. 7. After the C.) Select injection site appropriate for client's age. the BSN 2BGroup 1B students were able to return demonstrate the proper techniques according to the procedure for administering Intramuscular injections.) Explain procedure and purpose of medication to client.4.) Perform hand hygiene.) Don gloves.'s demonstration.) Identify client by checking identification bracelet and by addressing client by name.) Verify allergies listed on medication record or electronic medication record. the students are asked to demonstrate the procedure with a partner.

)Remove needle cap.) If blood does return when .) Place thumb and index finger of non dominant hand over injection site (taking care not to touch cleaned area) to form a V.)Pull skin taut by at insertion by using the following sequence: a. b. 10. 12. 13.) Move thumb and first finger of Non-dominant hand from skin to support barrel of syringe. spreading fingers about 3 inches apart. 14. 11.) Talk to client and warn of impending needlestick. 9.injection site.) Pull thumb and index finger in opposing direction.) Quickly insert needle at a 90 degree angle with dominant hand (as if throwing a dart). 15.) Pull back on plunger and aspirate for blood return in syringe. place fingers on the barrel.) Cleanse site with alcohol swab. 16.

20.) Massage and clean insertion are with second alcohol wipe (if contraindicated for drug. do not recap.) If no blood returns. apply pressure to the insertion site and repeat injection steps. apply firm pressure instead). 23.) Remove gloves.) Place needle on tray. 21. encourage client to talk or take deep breaths. 24.) Document administration on Medication record. . 18.) Discard equipment appropriately. push plunger slowly and smoothly. 22. 17. 19.) Perform hand hygiene.) Remove needle at same angle It was inserted.aspirating pull the needle out.

Appendix A Illustrations for the game “Match the Muscle” DORSOGLUTEAL MUSCLE VASTUS LATERALIS MUSCLE DELTOID MUSCLE VENTROGLUTEAL MUSCLE RECTUS FEMORIS MUSCLE .

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