I had an argument with a friend about this. At a government hospital the chief nurse had called upon the caregiving students and have them try to do IV insertions on a patient for the sake of 'experience'. I questioned why they are allowed to do this when it is not part of their job, and I said they should not not do IV insertions because they are incompetent and they do not cover this in their training. I also asked what's the point of the certification if just about anyone can do IV therapy?
Members of my family, caregivers and not, disagree with me, saying that I am trying to belittle caregivers, and that I am denying them the freedom to learn.
And now my friend is afraid to go back to the hospital because the chief nurse and other nurses might chew her out because I made such a big deal out of it.
I know that in the Philippines, ethical and legal aspects are not so observed in the clinical areas, but when the patient is poor, cannot afford private health care, and seeking our help, should we still deny him/her a dignified health service, even though it is not the best possible? I believe IVT is not something caregivers should meddle on, with or without nurse supervision.
I really pity the patients who are taken advantage the most.
I think the main purpose of having to do the IM/ID injections to each other is not so that you can feel the pain, but rather so that you'd get it the first time, 'cuz if you don't your parter would punch you for making mistakes...
funny thing, one of my classmates did an intradermal on her parter, and she so got nervous, so instead of just a little wheal, she injected .5 of the sterile water on her partner...ouch!
No, sorry.. an intradermal and an IM injection will always be painful no matter what (and may even be more painful for certain medications with certain viscosities) and this can be done on a dummy simulator if the only purpose is to be able to do it the right way on a live patient the first time around and locating the proper sites.
It is only with the IV injection that there should be minimal pain. Only the initial puncture on the skin should be felt and therefore any pain felt afterwards would mean that you are not in the vein anymore.
lawrence01
2,860 Posts
No, sorry.. an intradermal and an IM injection will always be painful no matter what (and may even be more painful for certain medications with certain viscosities) and this can be done on a dummy simulator if the only purpose is to be able to do it the right way on a live patient the first time around and locating the proper sites.
It is only with the IV injection that there should be minimal pain. Only the initial puncture on the skin should be felt and therefore any pain felt afterwards would mean that you are not in the vein anymore.