English for Nursing 2

Topic 11

GIVING AN INJECTION

Instructional objectives
The students are expected to be able:

• to act out a conversation and practice of giving an injection to patients, and

• to write a nursing documentation after giving an injection

Reading
Direction. Read the nursing note below and get some useful informations regarding giving an injection.
Then, answer the following questions.

NURSING NOTE
Drugs administered by the intramuscular (IM) route are deposited into vascular muscle
tissue, which allows for rapid absorption into the circulation (Dougherty and Lister, 2015;
Ogston-Tuck, 2014).

Complications of poorly performed IM injection include:

Pain, bleeding, abscess formation, cellulitis, muscle fibrosis, injuries to nerves and blood
vessels (Small, 2004), and inadvertent intravenous (IV) access.

How to reduce pain caused by injection technique

1. Use the correct technique.
2. Rotate injection site to prevent indurations or abscesses.
3. Explain the benefits of the injection to the patient.
4. Position the patient so the muscles are relaxed.
5. Insert and remove the needle smoothly and quickly.
6. Hold the syringe steady during the procedure.
7. Inject medication slowly but smoothly.

Questions:
1. What do IM and IV stand for?
2. Why do nurses inject drugs into patient’s vascular muscle tissue?
3. What complications may occur due to poorly performed IM injection?
4. How to reduce patient’s pain caused by injection technique?
Answer
 1. intramuscular (IM) intravenous (IV)
2. Because which allows for rapid absorption into the circulation
3. Pain, bleeding, abscess formation, cellulitis, muscle fibrosis, injuries to
nerves and blood vessels,and inadvertent intravenous (IV) access.
4. How to reduce pain caused by injection technique :
Use the correct technique.
. Rotate injection site to prevent indurations or abscesses. Explain the benefits of the
injection to the patient.
4. Position the patient so the muscles are relaxed.
5. Insert and remove the needle smoothly and quickly.
6. Hold the syringe steady during the procedure.
7. Inject medication slowly but smoothly.
Related Vocabularies
Direction. The followings are the vocabularies related to giving injection. Practice the pronunciation.
Complete the blanks of some words with the proper pronunciation.
A. Related Equipment

Syringe Ampule Cotton

/səˈrinj/ /èampul/ /ˈkätn/

Jar Band Aid Scissor

/jär/ /bənd əid/ /ˈsizər/

B. Verbs
1. Inject /inˈjekt/ : menyuntik
2. Lower /ˈlō(ə)r/ : menurunkan
3. Feel /fēl/ : merasakan
4. Roll /rōl/ : menggulung
5. Clench / klen(t)/ : mengepalkan
C. Nouns
1. Couch /kouCH/ : tempat tidur
2. Sleeve /Slēv/ : lengan baju
3. Buttock /bədək/ : bokong
4. Vein /vān/ : pembuluh darah
5. Fist /fist/ : kepalan tangan
6. Jab /jab/ : tusukan

D. Adjective
1. Stiff /stif/ : kaku

Useful Expressions
Direction. Study the following useful expressions when giving an injection and practice them. Complete
some blanks with an expression of the related step.
A. Greeting
• Hi, Paul. How are you doing today?
• Good morning, Sir.

B. Self-Introduction
• My name is Nancy. I am a midwife from Harper College.
• I am Shanti. I will take care of you today.

C. Explaining what you are going to do

• I am here to .... • I am here to give you an injection.
• I am going to give an injection into
• I am going to .... your buttock.
• It is time for me to give an
• It is time for me to .... injection into your upper arm.
• I need to .... • ................................................
• I just want to .... • ................................................

D. Giving instructions
• (V1) ............ • Sit down.
• Lie face down, please.
• Give me your right arm, please.
• Would/Could/Can you ...............? • Would you roll your sleeve up?
• Could you lower your pants down,
please?
• .................................................
 • Giving cautionary
• This will give you a little pain.
• You may feel a bit uncomfortable.
• You’ll feel a jab.
• Don’t move while I am doing the injection.
• Don’t be stiff.

Listening Exercise
Direction. Listen and complete the conversation below.
Nurse Patient Nurse
Nurse: Do you still feel sore in your stomach?
: Yes, Nurse. It’s still painful around here. : Okay, I need to give you an injection. (1) Would you like face
down
Fine.
Lower your pants, please.
(2) I’m going to give you an injection and You’ll feel a bit uncomfortable.
Okay, done.
: Thank you, Nurse.
: You’re welcome.
Communication Exercise
Direction. Choose a pair and write a complete conversation on giving injection. You can use the useful
expressions above. Then, practice and present your communication practice.
Nurse: Assalamualaikum, good morning mom ira, I'm the nurse Azzahfa who will take care of you this
morning.
Patient : Waalaikumsalam, good morning nurse
Nurse : how are you doing today, is it getting better?

Patient : thank God, nurse

Nurse : Well, this morning I will give you a neurobion vitamin injection, which is injected in the mother's arm,
which is usually called an intramuscular injection, its function is to maintain nerve health, use 2×/week, 3
ml. Are you ready?
Patient : yes nurse
Nurse : it feels a little uncomfortable for mom. Ok, done ma'am
Patient : Thank you nurse.
Nurse : your welcome

Nursing Documentation
Direction. Write a nursing documentation after giving an injection to a patient. You can refer to the
questions below for jotting down what you have to write.

1. Mention the patient’s identity.

2. What is injected?
3. How many miligram (mg)?
4. How many times (per day/per week)?
5. What for?
6. Mention the nurse’s name.
7. Mention the day, date, and time of the injection.