I am doing my summer clinical on an orthopedic unit. I am supposed to construct a teaching plan for a topic (ie, out of a list that we have been given) related to ortho issues/concerns. Then, I am eventually required to actually teach this plan to a patient who is being discharged.
A lot of these patients have had hip or knee replacements, and consequently get sent home on Lovenox in order to prevent clots/DVTs. So I am thinking about doing my teaching plan based on teaching about Lovenox, since that is one of our options. The facility has their own teaching materials (brochures and the like) that they normally use; however, so far we have not been clearly told whether or not we'll be expected to use the facility's materials in our teaching plan, or whether we'll be expected to construct our own materials.
Either way will be okay with me, but I do have a few questions about things that I should tell my patient, and I was wondering if you guys have any thoughts or websites you could recommend:
1. Since Lovenox is given via injection, will this patient be sent home with a sharps box? If so, how should the patient be instructed to dispose of the sharps box? The facility may have their own normal instructions about this, but I don't know what those instructions are and/or if we'll be going on those instructions. So I'm trying to at least get an idea of how patients at home (ex. diabetics, or any
type of pt who does self-injections, etc.) would typically
dispose of a sharps box.
2. After the patient does the daily injection, should he/she be instructed to apply a band-aid alone to the site? Or would it be better to apply a 2x2 gauze and tape? What about cotton balls? My guess is that a gauze and tape along with pressure
for at least a minute would be best. But again, I don't know if the facility normally supplies the patient with these materials, or if they are expected to acquire them at a drugstore, or what.
3. If the patient is going to self-administer the shot, what site(s) are acceptable to use? I have heard my family doctor, for example, say that he only tells patients to use the thigh for self-admin. of sub-q's. But I have heard of diabetics giving themselves insulin shots in the abdomen. And I know heparin - if not Lovenox - is best absorbed in the abdomen. So...abdomen it is, then?
I know that these questions may seem quite elementary, but I'm running into vague and conflicting information in my books about these matters. And, my instructor still hasn't told us whether or not we'll be going with our facility's normal instructions/material for patients or if we'll be doing everything entirely from scratch.
Any input/assistance is welcome. Thanks for your time!