Clexane Reflection

Personal Professional Reflective Account
A clinical skill I have chosen to reflect on is the administration of a subcutaneous injection. I shall reflect using the Gibbs Reflective Cycle. I have chosen this this as within my   first clinical placement this was a widely used method of drug administration. I became involved in the process of subcutaneous injections mainly enoxaparin sodium- clexane. I had observed my mentor a couple of times administering the drug. The patient is made aware of the risks and benefits of the medication that they will receive so that they can make an informed choice whether they wish to receive that particular drug or not (Nursing and Midwifery Council (NMC) 2008).
Initially I felt nervous as it was my first time to administer an injection and at the same time I was thinking about how the patient felt. On my mind I was trying to think about my performance and the standard procedure for clexane administration. I kept asking myself that   was I doing the correct   thing. What was the patient thinking even after consenting to treatment. I was thinking about this though I remained calm, confident and professional as I had done my research.

I was pleased that I followed the NICE guidelines, which recommend checking the correct medication should be administered to the correct patient, correct dosage, correct route, and correct time. After checking the prescriber’s signature and start date I gained consent from the patient to administer the   injection. After choosing the correct injection site I cleaned the

site thoroughly for 30 seconds with a 70 per cent isopropyl alcohol swab and allowed it to dry for at least 30 seconds before administering the injection (Lister and Sarpal 2004). This was to reduce the number of pathogens introduced into the skin by the needle at the time of insertion. I gently pinched the skin up into a fold. This was to elevate the subcutaneous tissue and lift the adipose tissue...