Lesson-Plan PCI Parenteral
Lesson-Plan PCI Parenteral
Lesson-Plan PCI Parenteral
Learning Content:
The learning content for parenteral administration should provide a thorough understanding of the
topic, covering both the theoretical aspects and the practical skills required to perform these
procedures safely and effectively. Here’s an outline of the key content areas:
1. Introduction to Parenteral Administration
Definition and Purpose:
o What is parenteral administration?
o Situations when parenteral routes are preferred over enteral routes.
Types of Parenteral Routes:
o Overview of different routes: Intramuscular (IM), Subcutaneous (SC), and
Intradermal (ID).
Advantages and Disadvantages:
o Benefits of parenteral administration (e.g., rapid action, bypassing the digestive
system).
o Potential risks and complications (e.g., infection, pain, adverse reactions).
2. Anatomy and Physiology Related to Parenteral Routes
Muscle, Skin, and Vein Anatomy:
o Understanding the structure of muscles, skin layers, and veins related to IM, SC, and
ID injections.
Site Selection:
o Identifying appropriate sites for injections (e.g., deltoid muscle for IM, abdomen for
SC, etc.).
o Factors influencing site selection (e.g., patient age, medication type, volume to be
injected).
3. Aseptic Technique and Infection Control
Principles of Aseptic Technique:
o Importance of asepsis in preventing infections.
o Steps to maintain sterility during the preparation and administration of injections.
Hand Hygiene:
o Proper handwashing techniques before and after procedures.
Use of Personal Protective Equipment (PPE):
o Gloves, masks, and other protective gear required during parenteral administration.
Handling and Disposal of Sharps:
o Safe practices for handling needles and syringes.
o Proper disposal of sharps to prevent needle-stick injuries.
4. Injection Techniques
Intramuscular (IM) Injections:
o Step-by-step guide to performing IM injections.
o Needle selection: length and gauge appropriate for muscle depth.
o Techniques for minimizing pain (e.g., Z-track method).
Subcutaneous (SC) Injections:
o Procedures for SC injections, including needle selection and angle of insertion.
o Common medications administered via SC route (e.g., insulin, heparin).
Intradermal (ID) Injections:
o Procedure for ID injections, commonly used for allergy testing and TB screening.
o Proper needle insertion angle and formation of a wheal.
5. Patient Assessment and Preparation
Patient Identification:
o Verifying patient identity and ensuring correct medication administration.
Allergy History:
o Assessing for allergies to medications, latex, or other substances.
Patient Education:
o Explaining the procedure to the patient, addressing concerns, and providing aftercare
instructions.
6. Monitoring and Managing Complications
Identifying signs and symptoms of allergic reactions or anaphylaxis.
Immediate actions to take in case of severe reactions.
Monitoring for signs of infection, hematoma, or nerve damage at the injection site.
7. Accurate Documentation:
Recording details of the procedure, including medication, dosage, route, site, and patient
response.
Learning Outcomes:
At the end of the discussion, the students will be able to:
Students will be able to identify and differentiate between various parenteral routes such as
intramuscular (IM), subcutaneous (SC), and intradermal (ID).
Students will understand the indications, contraindications, and advantages of each
parenteral route.
Students will be able to demonstrate proper aseptic techniques to prevent contamination
and infection during parenteral drug administration.
Students will competently perform injections via various routes (IM, SC, ID), demonstrating
correct needle selection, site selection, and administration technique.
Students will be able to identify potential complications of parenteral administration, such as
allergic reactions, hematoma, or infection, and implement appropriate interventions.
Students will apply critical thinking skills to assess the patient’s condition and determine the
most appropriate route and method for parenteral administration.
Students will accurately document all aspects of parenteral administration in the patient's
medical record, including the type of medication, dosage, route, and any patient responses.
Methodology:
1. Lecture-Based Instruction
Use PowerPoint presentations, videos, and PR to explain the different routes of parenteral
administration (IM, SC, ID).
2. Demonstration
Instructors perform live demonstrations of each type of injection (IM, SC, ID) using
anatomical models or mannequins.
Highlight key steps, such as site selection, needle insertion angle, and patient
communication.
Provide video demonstrations as supplemental resources that students can review at
their own pace.
3. Skills Checklists
Students must demonstrate proficiency in all steps, from preparation to documentation.
Resources:
1.Textbooks like Fundamentals of Nursing
2. Online Learning Platforms like Medscape
3. Powerpoint Presentation
4. Injection Training Pads – designed for practicing various injection
5. Video Demonstrations – Youtube channels such as RegisteredNurseRN
6. Mentor Support
Assessment:
1. Quizzes and Tests:
Objective: Assess understanding of key concepts, including types of injections, site
selection, and complications.
2. Oral Recitation:
Objective: Assess the depth of understanding and ability to articulate knowledge about
parenteral administration.
3. Skills Checklist:
Objective: Ensure that students can perform each step of the parenteral administration
process correctly.
References:
Kozier & Erbs Fundamentals of Nursing Concepts, Process and Practices 10th edition