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Reflection on Insulin Administration in Patient

   

Added on  2020-05-11

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Running head: REFLECTION ON INSULIN ADMINISTRATION IN PATIENT REFLECTION ON INSULIN ADMINISTRATION IN PATIENT Name of the StudentName of the universityAuthor’s note

1REFLECTION ON INSULIN ADMINISTRATION IN PATIENT REFLECTION ON INSULIN ADMINISTRATION IN PATIENTDescriptionDuring my nursing placement in a hospital, I got the task of administering subcutaneous(SC) insulin injection to Oliver Hunter, a 55 year old who underwent a surgery for umbilicalhernia two days ago. I identified the indications for subcutaneous (SC) insulin injection byreviewing the medication chart for patient. Before administrating the medication, I had to collectobjective data of patient by means of vital sign assessments. His heart rate was 88 beats perminutes, BP 125/78, temperature 36.4. respiratory rate 18/min and blood glucose level 10.2ml/mol. Vital sign assessment is essential before and after medication administration accordingto safe medication practice to ensure that patient is receiving correct medication for the correctcause (Holland et al., 2013). By doing the vital sign assessment, I became clear why SC insulininjection was important for patient. The injection was necessary for him because he had type 1diabetes, a condition in which body cannot make enough insulin and amount of sugar in bloodcannot be controlled. Insulin injection helps to perform the function of normal insulin andcontrols the blood sugar level Steineck et al., 2015)(. However, I faced issue during theadministration of the medication because the patients underwent an umbilical hernia surgey and Iwas not sure about the appropriate location to give the injection. FeelingAs I have never administered insulin injection before in real setting, I was a bit nervousand doubtful regarding how the whole process will be conducted. However, I tried to recall allmy nursing education regarding safe medication administration safety. These six rights includedright patients, right medication, right dose, right time, right route and right documentation

2REFLECTION ON INSULIN ADMINISTRATION IN PATIENT (Adhikari et al., 2014). By recalling these rights, I gained some confidence as I knew that if Ifollow all these stages carefully, I can safely administer the injection to patient without causingany harm. I will evaluate my action in complying to the six rights in the evaluation section.During the medication administration stage, I was a bit nervous about the site of application ofthe insulin, however some critical thinking helped me to solve the dilemma. However, as atrainee nurse, I was confident regarding the appropriate equipments needed to inject patient and Ifollowed all the 5 moments of hand hygiene too.At first I washed my hand with soap and water before administering the injection andtouching the patient.. First I performed an air shot of about 2 to 3 times to remove the air bubblesfrom the needle. I was not getting a steady stream so I repeated the procedure until I got a steadyflow (King, 2010). At first I pinched the skin of the thigh and put the needle in at 45 degree angleto the skin. The person whom I was attending had thick tissues. In such a case I had to inject theinsulin straight up and down at 90 degree angle (Heni et al., 2014). I pushed the plunger to injectthe dose at a relatively slower pace. I kept the patient in the semi fowler position. I disinfectedthe area with alcohol. I took the needle and injected all the way to the skin. I kept the syringe inplace for about 5 minutes after the injection (Heni et al., 2014). During the process I found a bitof blood oozing out, which I wiped off with sterile cotton. After finishing the task I made it surethat I dispose off the needles. I cleared of the trays with disinfectants to maintain the cleanliness(Ellingson et al., 2014). After the application, this is how I accomplished the task in 15 minutesunder the supervision of my supervisor.

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