i know that several people will disagree with this, but anyway.......
when you have the opportunity, start all the ivs/give all the injections you can to patients who are unaware, either too confused or too comatose to realize what you are doing.
some will say that it is wrong to "practice" on a patient because they are unaware, but i'm not advocating giving unnecessary
injections/ivs to these people, just the ones that are medically indicated. i don't consider that "practicing."
the reasoning behind this is simple: part of your difficulty in doing these tasks the first few times is going to be what the patient's perception of your skill level is.you will have more confidence in yourself and be less nervous if your patient isn't aware.(not to mention that your patient will be a whole lot
less nervous at having an inexperienced person give them a shot
if you are giving an injection to someone who is aware, act confident! it will go a long way to making the patient at ease, and the more relaxed the patient is, the less they will tense up and the less it will hurt.
my very first injection was an insulin shot. i gave it during school to a little old lady who was very confused. i almost passed out when i saw the needle go through her skin, but i made it through (by the way, most who are on the receiving end will tell you that insulin shots don't hurt much, if at all).
my first iv was on the same rotation, but a young kid (maybe 18) who had undergone a splenectomy. he was doped up on pain meds and didn't even seem to notice (and, amazingly, i got
the iv......then came a loooonnnngg drought before i got my second one). which brings up two more points: it is also helpful if you can start ivs at first on young people with good veins (talk about pointing out the obvious!) if you ever do a rotation in a trauma unit, this is a good time to look for ivs to do.
the other point is that you will learn more from missing the first few ivs you did than you will from "getting" them. pay attention to what went wrong. i really didn't learn anything on how to start an iv on the first one that was successful, but i still learn tricks on how to improve my skills when i miss ivs today.
my first im injection was actually actually a couple of years into my nursing career, believe it or not. in school, my paitient all had iv pain meds. i worked in icu for the first few years i was out of school, and the first im injection i had to give was to a trauma patient who needed his pneumovax/hib shots due to having a splenectomy (i had to ask someone from the trauma er to help me!) that was it for several years until i started working in an er, where im rocephin seems to be the drug of choice for just about whatever ails you. all i can say, is i still
hate to give an im shot, esp of an antibiotic. know your landmarks well, and be sure to pull the skin taunt and give the injection quickly -- "stab" quickly with the needle and inject quickly as well. some ims hurt (antibiotics, phenergan), some don't (usually vaccines -- i didn't even feel the last vaccine i got). personally, i am always truthful about how much a drug is going to burn on the front end. i hate to see a nurse lie and say "it's only going to hurt a little bit" when giving a painful injection. and, when giving those abx, reconstitute with lidocaine if your facility policy allows (mine didn't).
by the way, i'm assuming you are a student....your profile didn't really specify