Quote from Hello Student Nurse
I gave a heparin injection sub Q to my patient during clinical last week. My instructor said I did it wrong because I showed go "really slow". I wasn't going really fast but just how you administer any sub Q injection. What's the reason for going "slow" with a heparin sub Q injection?
PS: A big reason to my stress/anxiety is my clinical instructor. She's a smart one but definitely the ****** teacher who lives "by the books" and uses negative reinforcement (and not constructive criticism). Constantly on egg shells with this instructor and believe me, I'm definitely adjusting MYSELF to fit to her needs so I can pass this damn class. *sigh*
Your post states that the instructor said you did it wrong because you gave it slow, then you said "I wasn't going really fast" indicating she pointed out you had gone too fast. So, I am unclear what she reprimanded you for. Some people are so insecure that the only way the feel better is to put other people down or make them feel inferior.......and some people are just bullies
Heparin burns on administration. The purpose of going slow is to avoid tissue injury that causes the bruising to the abdomen. The gentler you are the less the bruising (in theory at least).
USE THESE TECHNIQUES to inject low-dose heparin.
1) Don't inject heparin within 2 inches (5 cm) of the umbilicus, to avoid the large umbilical veins.
2) Don't inject into a muscle, which could result in hematoma, pain, and irritation.
3) Don't aspirate, which could cause bleeding into the tissues.
4) Don't rub the injection site, which could cause bruising.
1) Assess your patient for conditions that may contraindicate the use of subcutaneous heparin, such as kidney or liver disease, blood dyscrasias, or bleeding tendencies.
2) Wash your hands.
3) Select a pre filled cartridge containing the appropriate dose. Put on clean gloves.
4) Select an area on your patient's lower abdominal fat pad, 2 inches beyond the umbilicus and between the right and left iliac crests. If the patient needs multiple injections, administer each one in a different site.
5) Clean the area with alcohol, using a circular motion and moving from the center outward about 2 inches. Allow the site to air dry.
Now....holding the syringe in your dominant hand, uncap the needle. With the thumb and forefinger of your other hand, gently grasp the area you've prepared to make a fold.
Then...Holding the skin fold, insert the needle at a 90-degree angle into the subcutaneous tissue; then slowly press the plunger to inject the heparin.
Quickly pull the needle straight out and release the skin. Without recapping the needle, discard the syringe in the appropriate container. DO NOT RUB SITE.... Remove your gloves and wash your hands.
Document the injection as required by your facility and sign and date the entry.
As far as having issue with your instructor, Looking at your posts she is making your life a living hell
. We can't control other people behavior but we can control our reaction to that behavior. I tell my Kids that when faced with a difficult teacher....Remember that although seemingly catastrophic :smackingfat the time......this moment is but a mere blip on the radar screen and to ask themselves.....In a hundred years is this moment really going to matter?
Take a deep breath, count to 10......Put on your best smile and in your nicest voice say....
please teach me teacher. You only have to get past this point and you need to pass to get rid of this person and remember......this too shall pass