Administering Injection

This return demonstration was the most difficult for me as a first-year nursing student. I assumed that
this demonstration would be moved to the second year because it involves delivering injections and
requires face-to-face instruction so that we can execute it correctly, And it’s really better if our clinical
instructor will see our way we inject if its proper or not. There are some things we should keep in mind,
such as removing the bubbles to prevent air embolism, there are also different angles in administering
different types of injection such as intradermal, subcutaneous and intramascular. I also understand that
intradermal injections are simple and only require the placement of a needle on the skin; however,
subcutaneous and intramascular injections are more complex and require the supervision of a clinical
instructor, and since we are in online class, our clinical instructor simply suggested that we inject it into
an eggplant. And going back to the demo, I was unsure whether I would practice the skin test or
intradermal injection because I was concerned about what would happen if something went wrong on
my patient. However, I later realized that I needed to face my fear and practice on my patient, which I
did successfully on my first attempt. I also learned that parenteral medication administration refers to
any method of delivery other than oral, but is most commonly associated with injecting straight into the
body, bypassing the skin and mucous membranes and this is critical to master because we will be doing
it frequently when we become registered nurses.

Intravenous Infusion

This return demonstration is one of the most nerve wracking for me. I remember I was not sure If I will
do the demo on that day since I was very anxious because it needs to calculate first before proceeding in
doing the procedure . But later on I decided to do the demo its really hard if you missed one. And
thankfully I calculate it correctly and finish the return demonstration successfully. I learned than
Intravenous infusion is the infusion of fluid directly into the venous circulation of a patient, usually via a
cannula. There are various indications for the administration of fluid, such as replacement of
electrolytes, restoration of blood volume or maintenance in the surgery-staved patient. It is also
important because  delivers fluids, medications, or vitamins directly into the veins of the body. It is the
fastest way to deliver blood products, vitamins, medications, or other necessary fluids directly into a
person's circulatory system.

Surgical Handwashing

Surgical handwashing, in my opinion, is significantly more difficult than the prior handwashing
demonstration. It requires a pre-scrub before starting with surgical handwashing, as well as a correct
method of drying hands and forearms with a towel.In my return demonstration of this, I was really
nervous since it is complex. I practice a lot and understand the proper way of stroking the brush. It
should be 20 circular strokes when washing digits, palm, back and heel of palm and also the between
thumb and finger . And in washing the wrist to forearms, it needs to divide in to three inch increment
and start washing in 20 circular strokes also. I also learned that surgical Hand washing should be
performed prior to all surgical procedures. Hands, subungual areas, and forearms are all thoroughly
washed and disinfected. The agent employed must have broad range microbiological activity, act
quickly, and last several hours on the skin. It is used to clean the nails, hands, and forearms of debris and
transitory bacteria. Reduce the number of resident microbes to a bare minimum, and Microorganisms'
rapid rebound growth is inhibited.

Close gloving technique

Close gloving is more difficult than open gloving because our hands must stay inside the sleeves and not
touch the cuffs, but in open gloving, our hands must glide all the way through the sleeves past the cuffs.
I was also nervous and worried during my return demonstration because I have sweating hands. I was
worried that the sterile gloves would become trapped in my hands again, as they had in my previous
open gloving presentation. So I spent a lot of time practicing how to wear it properly. I also put in mind
the importance of palm to palm and thumb to thumb as it helps to do the technique better. And,
happily, I was able to successfully complete this return demonstration. Lastly, I learned that using the
close gloving technique eliminates potential hazards in the glove procedure, such as the risk of
contamination from glove cuffs rolling on the skin, because the skin surface is not exposed and the gown
cuffs can be anchored securely by the gloves without the risk of contamination that exists when using
the open gloving technique. It is particularly vital because it protects the person's hand while contacting
the skin of a patient with sores, open wounds, scrapes, or scratches, as well as when handling objects
tainted with blood or body fluids.