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Thyroid status examination – OSCE Guide

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Posted by Sacha Wynter and Dr Lewis Potter | Clinical procedures |

Subcutaneous (SC) injections pierce the epidermisand dermis of the skin to deliver medication to the subcutaneous layer. It is a common route of delivery for medications such as insulin and low molecular weight heparin (LMWH). This guide discusses how to perform subcutaneous injection in an artificial OSCE setting and should not be used as a guide to administering injections to actual patients without first consulting your local medical school orhospital guidelines and undertaking the necessary training. Check out the subcutaneous(SC) injection OSCE mark scheme here.

Subcutaneous (SC) injections Check out the subcutaneous(SC) injection OSCE mark scheme here.
Gather equipment
The 7 rights
Insertion of the needle
Completing the procedure
Interactive mark scheme
Mark Scheme (PDF)

Introduce yourself

Wash hands

Confirm the patient’s details

Explain the procedure

Check the patient’s understanding of the medication being given and explain the indication for the medication.

Gain consent to proceed

Check for allergies

Check if the patient has a preferred injection site and if the patient is receiving regular subcutaneousinjections, ensure that the injection sites are rotated.

Equipmenttray The medication to beadministered Patient’s prescription Syringe – Injecting needle – Drawing up needle Blunt filter needle Gauze or cotton swab Sharps container Non-sterile gloves The 7 Rights

Return to the patient. Before proceeding, check the 7 rights of medication administration

1. Right person – check the patient’s wristband against the name on the prescription. Where possible aim to use two identifiers (e.g. from the patient and the wristband)

1. Right person –

2. Right drug – check the labelled drug against the prescription – ensure expiry date is appropriate

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, clip, or other similar device and allowed to hang freely from that point. It gets its name from its resemblance to the tail of a .

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if plaited. Unbraided ponytails worn above each ear are sometimes called dog-ears .

Contents

Detail from an 18th-century engraving showing a girl (left) with a ponytail

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and to the 20th century rarely were seen outside of the boudoir with their hair in such an informal style as a ponytail.

Today, both women and girls commonly wear their hair in ponytails in informal and office settings or when exercising; they are likely to choose more elaborate styles (such as braids and those involving accessories) for formal occasions. It is a practical choice as it keeps hair out of the eyes. It will keep the hair off the neck as well. The ponytail is also popular with school-aged girls, partly because flowing hair is often associated with youth and because of its simplicity; a young girl is likely to be able to retie her own hair after a sports class, for example. A ponytail can also be a fashion statement; sometimes meaning sporty, other times a low pony tail sends signals of a chic personality.

's white-haired ponytail on a black background.

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in the second half of the 18th century, most men wore their hair long and tied back with a ribbon into what we would now describe as a ponytail, [1] although it was sometimes gathered into a silk bag rather than allowed to hang freely. At that time, it was commonly known by the Womens Easy Print Dress Tom Tailor Denim Outlet Real For Sale 2018 Sale Latest Discount Visit UJ51ALt5
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