Intramuscular Injection

An intramuscular injection is an injection attached directly into the central area of a specific muscle. In this way, the birth vesselssupplying that muscle look at the injected music via thecardiovascular system. Purpose intramuscular injection is used for the delivery of certain drugs not recommended for early(a) bridle-paths of administration, for spokesperson intravenous, oral, or subcutaneous. The intramuscular route offers a faster rate of absorption than the subcutaneous route, and muscle thread can often hold a larger volume of fluid without discomfort.In contrast, medicine injected into muscle tissues is cloaked less rapidly and takes effect more belatedly that medical specialty that is injected intravenously. This is favorable for some medications. Precautions Careful favor in deciding which injectable route is to be used for the prescribed medication is essential. The intramuscular route should not be used in cases where muscle size and condition is not adequat e to deem adapted uptake of the drug.Intramuscular injection should be avoided if opposite routes of administration, especi exclusivelyy oral, can be used to provide a comparable level of absorption and effect in any given individuals situation and condition. Intramuscular injections should not be given at a place where there is any indication ofpain. commentary Intramuscular (IM) injections are given directly into the central area of selected muscles. There are a military issue of sites on the human body that are suitable for IM injections however, there are three sites that are nigh unremarkably used in this procedure.Deltoid muscle The deltoid muscle located later anyy on the upper berth arm can be used for intramuscular injections. Originating from the Acromion process of the scapula and inserting approximately trio of the way down the humerus, the deltoid muscle can be used pronto for IM injections if there is sufficient muscle masses to justify use of this site. The deltoids close proximity to the radial nerve and radial arteria means that careful consideration and palpation of the muscle is required to find a safe site for penetration of the goad.There are various methods for defining the boundaries of this muscle. Vastus lateralis muscle The vastus lateralis muscle forms part of the quadriceps muscle root of the upper leg and can be found on the anteriolateral aspect of the thigh. This muscle is more normally used as the site for IM injections as it is generally thick and well formed in individuals of all ages and is not located close to any major arteries or nerves. It is also readily accessed. The middle troika of the muscle is used to define the injection site.This third can be determined by visually dividing the length of the muscle that originates on the greater trochanter of the femur and inserts on the upper border of the patella and tibial tuberosity through the patella ligament into thirds. Palpation of the muscle is required to determine if sufficient body and mass is present to undertake the procedure. Gluteus medius muscle The gluteus medius muscle, which is also known as the ventrogluteal site, is the third commonly used site for IM injections. The correct area for injection can be determined in the pursual manner.Place the heel of the hand of the greater trochanter of the femur with dactyls pointing towards the patients head. The left hand is used for the right hip and depravity versa. While keeping the palm of the hand over the greater trochanter and placing the index finger on the prior superior iliac spine, stretch the middle finger dorsally palpating for the iliac crest and then budge lightly below this point. The triangle formed by the iliac crest, the third finger and index finger forms the area suitable for intramuscular injection.Determining which site is most appropriate will depend upon the patients muscle meanness at each site, the type and nature of medication you wish to administer, and of course the patients preferred site for injections. cooking Beforeadministering medication, a health care practitioner verify the medication order for accuracy and gear up the medication from the vial or ampule. * First, ensure you have identified the patient and assist them into a get which is comfortable and practical for access to the njection site you have chosen. * Locate the correct area for injection employ the above guidelines or those taught during medical training. Clean the site with an alcohol swab or other cleanup spot agent. * Prepare the spray by removing the needle cover, inverting the syringe, and expelling any excess air. Approximately 0. 10. 2 ml of air should be left in the syringe so that the air in the egest of the syringe chamber, when thesyringe and needleare pointing down, forces the entire amount of medication to be delivered.This also prevents medication residue from existence left in the needle, where it can leak into the subcutaneous and d ermal layers when the syringe and needle are removed from the muscle. * When ready to inject, spread the skin using the fingers of the non-dominant hand. Holding the syringe with the thumb and indicant of the dominant hand, pierce the skin and enter the muscle. This process should be done quickly with sufficient run so as to lessen the discomfort of the patient.If there is little muscle mass, particularly in infants or the elderly, then you may need to pinch the muscle to provide more volume of tissue in which to inject. * Aspirate at the injection site (while syringe and needle are within the muscle) by dimension the barrel of the syringe with the non-dominant hand and pulling back on the syringe plunger with the dominant hand. Ifbloodappears in the syringe, it is an indication that a blood vessel may have been punctured. The needle and syringe should be immediately withdrawn and a new injection prepared.If no blood is aspirated, continue by slowly injecting the medication at a constant rate until all medication has been delivered. * Withdraw the needle and syringe quickly to minimize discomfort. The site may be briefly massaged, depending on the medication given. Some medication manufacturers advise against massaging the site after injection, as it reduces the effect and intention of the medication by dispersing it too readily or over too large an area. Manufacturers recommendations should be checked. * Discard the used syringe and needle inviolable as soon as possible in an appropriate disposal receptacle. Check the site at least once more a short time after the injection to ensure that no bleeding, swelling or any other signs of reaction to the medication are present. Monitor the patient for other signs of side effects, especially if it is the first time the patient is receiving the medication. * Document all injections given and any other relevant information. Aftercare Monitor for signs of localized redness, swelling, bleeding, or inflammation at inj ection site. Observe the patient for at least 15 minutes pursuit the injection for signs of reaction to the drug. ComplicationsMost complications of intramuscular injections are a publication of the drug injected and not the procedure. However, it is possible that localized trauma of the injection site may result as part of the process. Minor discomfort and pain is common for a short period following the injection, still usually resolves within a few hours. Results The optimal outcome is a situation in which the medication is safely and effectively delivered to the patient via intramuscular injection without signs of complications or discomfort. Safety for the health care supplier is also paramount. Health care team rolesThe health care provider is obliged to undertake the following when administering an intramuscular injection * Inform and educate the patient on the need and effect of the medication being delivered. * Ensure the correct identification and verification procedure s are followed. * Provide privacy for the patient during the procedure. * Understand the guess behind selecting appropriate injection sites. * Demonstrate correct technique when undertaking the procedure. * Monitor for complications. * Document all relevant information and ensure safe disposal of equipment.

HIPPA Tutorial Summary Essay

HIPAA stands for health Insurance Portability and Accountability Act. HIPAA solitude rule was passed by congress in August of 2002. According to reason wellness education screen (2014), The HIPAA privacy influence provides federal protections for individually identifi open wellness breeding held by covered entities and their championship associates and gives longanimouss an array of rights with respect to that knowledge. At the same time, the Privacy Rule is balanced so that it permits the disclosure of health entropy inviteed for patient care and separate important purposes. The Security Rule specifies a successiveness of administrative, technical, and physical safeguards for covered entities and their business associates to expenditure to assure the confidentiality, availability, and integrity of electronic protected health information (Understanding health culture Privacy, 2014). The HIPAA, wellness Insurance Portability and Accountability Act, tutorials are a memento that there is unremitting need for progress on the part of health care professionals and individuals. There is a strong need among health care professionals to know the guidelines, rules and regulations to stay within the laws set onward by the federal government.What did you delay from the HIPAA tutorial?The HIPAA tutorial was very educational and informative. I learned many things from this tutorial however, I represent the online information the most fascinating. Personally, I started in healthcare soon before we had EMRs (electronic medical records) or as HIPPA calls them, EHRs (electronic health records). A majority of us feel that our health information is in the flesh(predicate) as well as private and should be protected. The federal government put in get the wellness Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy Rule to ensure you have rights over your avow personalisedhealth information, no matter what form it is in (Understanding Hea lth schooling Privacy, 2014). The government as well created the HIPAA Security Rule to require specific protections to safeguard your electronic health information (Understanding Health instruction Privacy, 2014). A few possible procedures that can be built in to EHR/EMR systems may include chafe control tools like PIN numbers and passwords, to help limit get at to your information to authorized individuals (Understanding Health Information Privacy, 2014).Encrypting your stored information. That means your health information cannot be understood or read except by those using a system that can decrypt it with a key (Understanding Health Information Privacy, 2014).An canvass trail feature of speech, which records who accessed your information, when and what changes were made (Understanding Health Information Privacy, 2014).There is so much new technology and much modern advances in technology to come. With just about everything being based on computers comes with a only new s et of procedures and policies to keep individuals personal health information private. Federal law requires hospitals, doctor offices, doctors, and other health care providers/professionals to notify you of a breach (Understanding Health Information Privacy, 2014). The law in addition requires the health care providers/professionals to notify the Secretary of Health and Human Services (Understanding Health Information Privacy, 2014). The Understanding Health Information Privacy (2014) If a breach affects more than 500 residents of a state or jurisdiction, the health care provider must also notify prominent media outlets serving the state or jurisdiction. This demand helps patients know if some(prenominal)thing has gone erroneous with the protection of their information and helps keep providers accountable for HER/EMR protection (Understanding Health Information Privacy, 2014).Also, I did not know before the tutorial explained it that there are several layers of protection each com puter system has. The different types ofprotection systems have are fire wall, virus maculation, cryptography, and intrusion spying systems (Understanding Health Information Privacy, 2014). Firewalls get rid and/or locate viruses (Understanding Health Information Privacy, 2014). Virus detection blocks distrustful traffic from entering the computer system (Understanding Health Information Privacy, 2014). Cryptography preserves confidentiality (Understanding Health Information Privacy, 2014). Intrusion detection systems look for patterns of misuse (Understanding Health Information Privacy, 2014).The tutorial provided imperative information on integrity, confidentiality, and availability of all e-PHIs created. Integrity is based on an individuals value and trust (Understanding Health Information Privacy, 2014). Confidentiality is shielding information from unofficial disclosure (Understanding Health Information Privacy, 2014). accessibility is appropriate authorized people having ac cess to individuals personal health (medical) information that is required (Understanding Health Information Privacy, 2014). All of the knowledge I have learned from the HIPPA tutorial I will be able to use not only in my future health care career but also as a patient myself.Why is this information important?Privacy allows us to make our avouch decisions free from compulsion (Understanding Health Information Privacy, 2014). Privacy is valuable because it facilitates and/or promotes other essential value including ideals of personhood such as (Understanding Health Information Privacy, 2014) Personal autonomy (the ability to make personal decisions) (Understanding Health Information Privacy, 2014). Individuality (Understanding Health Information Privacy, 2014). Respect and Dignity and worth as human beings (Understanding Health InformationPrivacy, 2014).Informational privacy is seen as enhancing individual autonomy by allowing individuals control over whom may access different parts of their personal information (Pritts, 2010). It also allows people to maintain their dignity, to keep some characteristic of their life or behavior to themselves (merely because it would be embarrassing for other people to know about it) (Pritts, 2010). Pritts (2010), Privacy also allows people to protect their assets or to avoid sharing information with others who would use it against them, such as discrimination by employers, educators, or insurers. An individuals health/medical records can include some of the most intimate details about a persons life. They document a patients physical and mental health, and can include information on social behaviors, personal relationships and financial status (Pritts, 2010).I learned a huge amount of important information from the HIPAA tutorial. Case in point the HIPAA law was passed in August of 2002 and it requires a covered entity to secure patient records containing individually distinctive health information so that the confidentiali ty of the information is protected (HIPAA Security Basics Health Care Workforce, 2004-2010) (Hippa Health, 2010). another(prenominal) item I learned was the six steps to comply and document each process (Hippa Health, 2010). passim the tutorial it discussed an assortment of information about risk assessments, viruses, and denial of services, hackers, and breaches and consequences of HIPAA Security policy (Hippa Health, 2010).How will you use this information in the future?The information I learned from the HIPAA tutorial will help not only me but other health care professionals to understand how important complying with the rules and regulations has to be in localise to provide the best protection for patient information. Understanding the regulations implemented in HIPAA will help health care professionals make the right decisions when releasing, sharing and discussing patients health care information. Every person is entitled to privacy in their lives and it is no different when it comes to health care.ConclusionUnderstanding and having the general knowledge of the rules and regulations implemented in HIPAA will further assist health care professionals to make the correct decisions when releasing, sharing, and discussing patients personal health care information. The privacy of health information as well as personal information continues to be a challenging issue. As a majority of health information is computerized, individuals communicate reside about their privacy over their personal health information. To help alleviate public concerns, According to Understanding Health Information Privacy (2014) Federal rules governing the use and disclosure of health information were published under the Health Insurance Portability and Accountability Act (known as the HIPAA Privacy Rule).ReferencesUnderstanding Health Information Privacy. (2014). Retrieved from http//www.hhs.gov/ocr/privacy/hipaa/understanding/index.htmlPritts, J. L. (2010). The Importance and Value of Protecting the Privacy of Health Information The Roles of the HIPAA Privacy Rule and the Common Rule in Health Research . Retrieved from http//www.iom.edu//media/Files/Activity%20Files/Research/HIPAAandResearch/PrittsPrivacyFinalDraftweb.ashxHIPPA HEALTH. (2010). Retrieved from https//www.courses.learnsomething.com/scripts2/content.asp?a=9F7B983E559541A692699E4D6709D56D&ph=0A2241E0A9004D7EB6AD1293A5A86346&r=BeginFlashCourse&screenw=1280&screenh=800

Athens vs. Sparta Reflection Essay Essay

As all civilizations do, Athens and Sparta have provided umpteen things for the new world. And as everything else, both have their strengths and weaknesses. Athens focused more on education and the liberal arts epoch Sparta revolved around military strength and battle. Because Sparta had such a massively influential military, we use tactical maneuver and strategies derived from them even today. They invented the Phalanx a military formation of standing closely packed and moving front slowly to break enemy lines. Spartans withal conceived the idea of militaristic schools.They were also the first to enforce conscription. The Spartans would also train their women to fight for themselves so they would be prepared to defend their homes and lives if there was ever an invasion. They also had many more rights than in the separate city-states. They could own property, talk to other men aside from their husbands, and be physically educated. Women were not useless. This ideal planted the seed for our way of society today. Athens, on the other hand, dedicated itself to the arts and architecture. Which we do see traces of in the works of the modern world.The Athenians also practiced the first notion of democracy. Although, sole(prenominal) men could vote. Women, children, nor slaves had that privilege. They were not citizens. Girls were educated (cleaning, cooking, and sewing) until the age of 15, when they were married off to an older man. Before Athens, Greece had no vast architecture only what was necessary. They developed the idea of having large, ornate building built from mud, clay, terra-cotta, marble, and eventually stone. Many of which understood stand today. The Athenians used a system of terra-cotta tubing underground to distribute water throughout the city.This light-emitting diode to a boost in the economy and the workings of plumbing today. They used trial by gore and produced some of the best philosophers of both their and our time. Despite being r ivals, both Athens and Sparta (and the rest of the city-states in antiquated Greece) came together for the Olympics. They put aside their differences for that short time and honed their dislike for each other into beating them at the games. The tradition of the Olympics has carried on for about 2700 years from ancient Greece. In conclusion, both were colossally important.They both have their pros and cons. Theyre so enormously different but both prospered because of totally different reasons. Sparta strong, fierce, striving for absolute saint in their citizens and warfare. And then Athens philosophical, educated, and artistic. Their economy was largely different. As was their government, gender roles, social structure, education, and many other things. If they had put aside their differences and worked together, they would have been able to achieve far more than they did separately.

Admission Essay with 4 sections Example | Topics and Well Written Essays - 2500 words

approach with 4 sections - Essay ExampleIn todays telephone circuit environment trends are changing quite dramatically and it is not possible to rely on experience only. Only schoolmaster information can service of process a person grow in potential in the realm of business and this is the main reason why I make turn over opted for masters in business administration. This class allow help me cultivate newer ideas about management and bequeath also aid the experience that I have accumulated over the years in supply chain management, project management, and manufacturing. Practical experience is precise important in any field but I have realized that latest professional education of high standards can help me more in perfecting my management skills.I also believe that there is no age limit for acquiring education, especially in a todays fast moving world. Trends are changing at a remarkable pace and newer techniques are changing the business environment on a regular basis. It is important to keep up with the latest trends and so at the age of 52 I have decided to enter into an MBA program. Age should not be a barrier for gaining knowl saltation especially if it can positively impact a person. I deliberate that every learned human being can also contribute to the society. Education guides us in our social relationships and this positively impacts the society.I have chosen to pursue a masters degree in business administration as it will help me in my professional life. Job trade has become competitive and it is important to enhance our skills in order to gain a competitive edge over others. An MBA degree will put me above my competition as I have a vast amount of experience in management already. Learning the latest management techniques will help me improve my skills to a great extent and therefore I see my age as a positive point.My choice of Cheung Kong Graduate School of Business was not random. I was looking for an institution that will provide me with a high quality of education and at the

The origin and justification of judicial review Essay

The origin and justification of legal review - Essay Example legion(predicate) people did not believe in giving the judiciary such powers and authority.Since the institution of the American constitution, the judicial system was given the mandate to oversight the activities of the earth government. The statutes and states constitutions could not, under the observation of the judicial system, go against the positive law of the land. This supreme law is the American constitution. However, one issue that the framers of the American constitution did not leave a solution for is whether the federal courts had all oversight power over the congress and the executive. Upholding congressional acts in the early years of the republic somehow confirmed the existence of judicial review. However, it was still unclear, until 1803, whether the judiciary had any power to similarly strike down the acts.In 1803, the chief justice John Marshall command an act of congress unconstitutional. In his arg ument, the duty of the Supreme Court and the judicial system is largely to foretell the law. According ti him, therefore, a statutory, congressional of even executive act that is against this law must be deemed unconstitutional and the constitution must prevail. In another instance, the judicial review was applied once more than before the civil war. The Supreme Court, in 1857, ruled the Missouri Compromise of 1820 unconstitutional. It is also at rough the same time that several statutory acts were struck down by the Supreme Court. In addition, concerns were raised(a) after the Civil War on the Fourteenth Amendment which gave the federal government unnecessary powers over the state governments. This being an executive was again struck down. This further confirmed the stability of the judiciary and its impartiality in applying the power bestowed on it. This exercise of power has however not been without political opposition. By the end of the ordinal century, the Supreme Court w as repeatedly

Autobiography Essay Example | Topics and Well Written Essays - 500 words - 3

Autobiography - Essay ExampleIt was an event that shifted my life ceaselessly because I learned to be more responsible.From the start, I had made it clear I wanted to join forces Shanghai politics. When I announced to my parents that I had joined the forces, they were puzzled, e fussyly my mother. My mother told me I risked my life, and I may not live to my dream of being Shanghais mayor.Seeing no alternatives, I retired from the army and continued with my quest to join the Shanghai politics. I worked for the community, for instance, one day I mobilized the topical anaesthetic nation to collect garbage.Towards the end of 2013, I became a member of the universitys students governing body. I was elected the special needs secretary. Involvement with the students governing body opened my eyes more, and it was a huge turning demonstrate for me.Since joining the students governing body, I have worked and occupied various senior positions in an acting capacity. In January this year, I was the acting president for the governing body, since the incumbent president was impeached on allegations of nepotism.Since I was a policy-making student in the university, I applied for an internship in the office of the prime minister. As the head of communication theory in the Prime ministers office pointed out to me during the interview, I was chosen because he entangle I would do my duties diligently.It proved to be a wise idea, because three weeks into the internship, the Prime Minister fired me for being a whistle blower in a corruption case in the court. I filed a grievance in the Supreme Court, but I saw it as time wastage.My interest in the universitys politics has helped me gain fame in China. I took advantage of this situation to help the local communities in advocating their rights. Recently, my father and I participated on a demonstration to advocate the removal of the Prime Minister from office.As I write all political activities I have been

Assignment 3 Essay Example | Topics and Well Written Essays - 250 words - 2

Assignment 3 - turn up ExampleScientists describe dark energy as a imprint of energy in blank shell that accelerates the expansion of the universe. Evidence of dark energy is through the supernovae, large-scale structure theory, observational Hubble constant data, late-time corporate Sachs-Wolfe effect and the measurement of the cosmic microwave background (Sarkar, pg33).The proponents of the top down scenario proposed that the structure forms through the break dance of a huge gas cloud and as the cloud collapses the gas forms a rapidly rotating discus which is the galaxy (Sarkar, pg55). The bottom-up scenario, on the other hand, involves the merging of smaller objects to form large ones, which mean that galaxies form by the coalescence of smaller structures to form one huge structure.The age of the earth and formation of the dissimilar specular objects is the point of contention among the scientists for many centuries. However, there are features and theories which strongly s uggest that the earth is at least a million years oldOne of the theories tested is the calculation of the rate at which the salt is delivered to the ocean. The level of salt in river water is small and since most rivers flow into oceans measuring the evaporative concentration of the salts reveals that the age of the earth is more than a million years. The thickness of total sedimentary immortalise divided by the average sedimentation rates also yields the same conclusion that the earth is more than a million years