SINHGAD COLLEGE OF NURSING NARHE, PUNE.

CLINICAL TEACHING
ON
INTRAVENOUS INJECTION

SUBMITTED TO, SUBMITTED BY,

Mrs. Swati Gorad Ms. Nilopher Hasham Shaikh
Clinical Instructor F.Y. M.Sc. Nursing
SCON, Pune. SCON, Pune.

SUBMITTED ON:-
GENERAL OBJECTIVE:-
At the end of this clinical teaching students will be able to gain in depth knowledge about intravenous injection and will be
able to apply the same in their clinical practices.

SPECIFIC OBJECTIVES:-
Student will be able to_
a) define intravenous injection.
b) state purposes of intravenous injection.
c) explain types of access for intravenous injection.
d) discuss advantages and disadvantages of intravenous injection.
e) describe the scientific principles of intravenous injection.
f) enlist articles needed for intravenous injection.
g) demonstrate procedure for intravenous injection.
h) list down the complication for intravenous injection.
SR. SPECIFIC TIME CONTENT TEACHER/LEARNER AV EVALUATION
NO. OBJECTIVE DURATION ACTIVITY AIDS
INTRAVENOUS INJECTION

INTRODUCTION:- Teacher introduces the

1. introduction 2 min Students
 Injection is the forcing of a fluid into a topic intravenous understood the
cavity, a blood vessel or body tissue injection. introduction of
through a hollow tube or needle. intravenous
 When a person needs a potentially life injection.
saving medication very quickly, when
taking a medication by mouth would
be impractical or ineffective.
A healthcare professional may
administer an IV injection.

DEFINITION:-
2. Define 3 min “An intravenous injection is defined as giving Teacher define the topic White Students
intravenous intravenous injection. board understood the
of something such as drugs into vein through
injection. a syringe.” definition of
OR intravenous
“Intravenous injection is defined as an injection..
injection made into the vein when rapid
absorption is called for, when fluid cannot be
taken by mouth or when the substance to be
administered is too irritating to be injected
into skin or muscle.”

Teacher state the Flip Students

3. state purposes 5 min PURPOSES:- purposes of intravenous card understood the
of intravenous  To get a rapid and systemic effect of injection. purposes of
injection. the drug. intravenous
 To provide the needed effect even the injection.
patient is unconscious.
 Assures that the total dosage will be
administered.
 Provides the only means of
administration for medications that
given be orally.
 To restore the blood volume.
 To give nourishment, when it cannot
be taken by mouth.

Teacher explain types of Students

TYPES OF ACCESS FOR access for intravenous understood
4. explain types PERIPHERAL LINES. types of access
6 min injection.
of access for  Central lines for intravenous
intravenous  Tunnelled lines injection.
injection.  Implantable ports
 Peripherally inserted central catheters
 Midline catheter
 ADVANTAGES:- Teacher discuss the
5. discuss  Bioavailability 100 % advantages and Students
advantages 5 min  Desired blood concentration achieved disadvantages of understood the
and  Large quantities can be administered intravenous injection. advantages and
disadvantages disadvantages of
 Used mainly in emergency situation
of intravenous intravenous
 Gastric manipulation avoided
injection. injection.

DISADVANTAGES:-
 Complication like irritation, cellulitis
 Less safe
 Technical assistance required
 Danger of injection
 Expensive
 Less convenient
 Painful

6. describe the
SCIENTIFIC PRINCIPLES OF Teacher describe the Students
scientific Chart
15 min BLOOD COLLECTION scientific principles of understood the
principles of intravenous injection. scientific
intravenous principles of
injection. 1.ANATOMY AND PHYISIOLOGY
intravenous
injection.
-The skin contains numerous nerves be
careful during selection of the site to avoid
injury to these areas.

-The knowledge of the anatomy and

physiology of the body is essential for the
safe administration of the injection.
-If carelessly given, injection are means of
introducing into the body.

2. MICROBIOLOGY:-

-Wash hands thoroughly before and after the

procedure to avoid cross infection.

-Articles required for intravenous infection

should be sterile and it should be sterilized by
autoclaving.

3. BIOCHEMISTRY:-

-Drugs that change the chemical composition

of the blood will endanger the life of the
patient if not used cautiously.

-Once a drug is injected it is irretrievable.

4. PHARMACOLOGICAL:-

-Nurse must know about the antidote and

bioavailability of the injectable drug.

5. PSYCHOLOGY:-

-Explain the procedure thoroughly to the

patient to win the confidence and get the co-
operation.

-Proper positioning will help to relax the

patient while intravenous injection.
 -Maintain privacy if required.

A TRAY CONTAINING:-

enlist articles 1)Syringes 5 ml, 10 ml. Teacher enlist the articles Students enlist
7. needed for 2 min 2)Injectable fluid/ medication as prescribed of intravenous infusion. Objec the articles
intravenous by doctor. t needed for
injection. 3)Disposable gloves. intravenous
4)Dry cotton balls. injection.
5)Paper bag.
5)Kidney tray.
6)Sterile water.
7)Doctor order sheet.

PROCEDURE OFINTRAVENOUS
INJECTION:- Students
Teacher demonstrate the understood the
demonstrate 17 min Nursing action before procedure:- procedure of intravenous procedure of
8. procedure for injection. intravenous
intravenous 1.Check physician’s order indicating type of injection.
injection. solution/ medication, amount to be
administered etc.
RATIONALE:- Ensure that the right
procedure is done for right patient.

2.Identify the patient.

3.Prepration:- It include

a) Preparation of self:-
-Perform hand hygiene.
-Put on gloves.

b) Preparation of articles:-
-Arrange all the articles in clean tray.
-Take needles and syringes as required.

c) Preparation of patient:-
-Inform the patient and explain all procedure
to patient.
-Provide proper position to patient i.e. sitting
or lying position.
-Explain the patient that movement of the
extremity should be minimal.

c) Preparation of environment:-
-Provide calm environment.
-Maintain adequate lighting in room.

Nursing action during procedure:-

4. Select appropriate syringe and needle and

check whether they are in good working
order.
RATIONALE:- To check the working
condition.

5. Recheck the order, medicine card with the

label of the medicine, expiry date, etc.
RATIONALE:- To avoid medication error.

6. Mix well with appropriate solvent and take

out the required amount of solution in the
syringe.
RATIONALE:- To dilute the medication.

7. Apply a tourniquet on the upper arm. ask

the patient to clench and unclench the hand.
RATIONALE:-It will make the vein more
prominent.

8. Pull the skin taut and Place the needle in

line with vein at a 15 to 45 degree angle.
Insert the needle a bit below the point where
the needle will pierce the vein.
RATIONALE:- The vein may roll away so it is
important to taut and stabilize vein.

9. When the back flow of blood occurs into

the syringe release the tourniquet and inject
the medicine very slowly.
RATIONALE:-

10. Pressure with swab at the puncture site

after the needle is withdrawn.
RATIONALE:- To prevent bleeding.

11.Apply band aid/adhesive tape on the

puncture site.

12. Maintain medication chart.

 13. Ask the patient to take rest at least 15 to
30 minutes so that you can observe him for
any reaction.
RATIONALE:- If any reaction will happen
then immediately report to the physician.

18.Dispose the needle and syringe in

appropriate containers.
RATIONALE:- To avoid spread of possible
blood borne diseases.

21.Replace the tray with the reusable articles

in proper place.

COMPLICATIONS:-

1. Bleeding
list down the Teacher list down the Students
10. 2. Infection
complication 5 min complications of understood the
3. Hematoma
for intravenous injection. complications of
4.Hypersensitivity reaction of medication
intravenous intravenous
injection. injection.

ASSIGNMENT:-
How to prevent the complications of
intravenous injection?

SUMMERY:-

In this CT, we have seen_

a) define intravenous injection.

b) state purposes of intravenous
injection.
c) state purposes of intravenous
injection.
d) explain types of access for
intravenous injection.
e) discuss advantages and
disadvantages of intravenous
injection.
f) describe the scientific principles of
intravenous injection.
g) enlist articles needed for intravenous
injection.
h) demonstrate procedure for
intravenous injection.
i) list down the complication for
intravenous injection.
CONCLUSION:-
This topic helps student to improve
their practical skill as well as knowledge
regarding intravenous injection and helps to
apply this skills in clinical practice.

BIBLIOGRAPHY:-
1.Sr. Nancy
Principles and practice of nursing
6th edition
Page no:- 210-211.
2. Annamma Jacob,
clinical nursing procedures the art of nursing
practice,
2nd edition,
Page no:- 350-353.
3.Ross and Wilson (2003)
“Anatomy and Physiology”
9th edition
Published by Churchill living stone
Philadelphia
Page No:- 78-80.
REFERENCES:-

1. https://en.wikipedia.org/wiki/
Intravenous therapy
2. https://www.slideshare.net/
mahesh0926/iv-injection-
133188009
3. https://www.slideshare.net/
aparnaclakshmi/intravenous-
injection