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Building Success on Strong Foundations - PNA

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Psychiatric Nurses Associati<strong>on</strong> <strong>PNA</strong> - <str<strong>on</strong>g>Building</str<strong>on</strong>g> <str<strong>on</strong>g>Success</str<strong>on</strong>g> <strong>on</strong> Str<strong>on</strong>g Foundati<strong>on</strong>sAdministering Depot Injecti<strong>on</strong>s:Best Practice GuidelineSchool of Nursing, Dublin City University,Glasnevin, Dublin 9, Ireland.Angela CocomanSchool of Nursing, Dublin City University,Glasnevin, Dublin 9,Ireland.Ph<strong>on</strong>e: 00 353 1 7007809E-mail: angela.cocman@dcu.ie.John MurrayCommunity Mental Health Nurse, Brook House,Cork Road, Waterford,Ireland.Ph<strong>on</strong>e: 00 353 1 7007809E-mail: murrayjt@eircom.netThis initiative involved a review of practice in the areaof Intramuscular Injecti<strong>on</strong>s (I.M.) an everyday activityfor nurses. The authors addressed the administrati<strong>on</strong>of neuroleptic depot injecti<strong>on</strong>s within the adult mentalhealth envir<strong>on</strong>ment and examined the evidence baseforthis practice and found that despite been a verycomm<strong>on</strong>place nursing activity there is a dearth ofresearch-based guidelines for nurses in this area.The published papers and nursing texts <strong>on</strong> injecti<strong>on</strong>sites and techniques were evaluated toassess their quality and relevance and their overallbenefit to improving clinical practice. Much of theliterature was in the form of opini<strong>on</strong> pieces without asound research/evidence base. There was howeverenough c<strong>on</strong>sensual evidence to form an evidencedbased clinical guideline for the administrati<strong>on</strong> ofintramuscular injecti<strong>on</strong>s.Reference:Cocoman, A & Murray, J (2008) Intramuscularinjecti<strong>on</strong>s: A review of best practice for mental healthnurses. Journal of Psychiatric and Mental healthNursing, 15: 5 pp 424-434Planning Client Care in the Addicti<strong>on</strong> Services,Dublin Mid-Leinster – A Nursing Resp<strong>on</strong>seAddicti<strong>on</strong> Services, HSE Dublin Mid-LeinsterMembers of the Care Plan Committee:Stephanie Mal<strong>on</strong>ey, Staff Nurse; Maura Maye, Staff Nurse; Rose Sheppard,CNM II; Julie Ward, Staff Nurse.Rose SheppardBridge House, Cherry Orchard Hospital, Ballyfermot,Dublin 10.Ph<strong>on</strong>e: 01-6206486 / 086-3806658Email: nursemanager.bri@hse.ieAimTo review current Care Plans to create a genericsystem of nursing documentati<strong>on</strong> for the Nursingdepartment.Launched Feb ’08, following five m<strong>on</strong>ths of use.Questi<strong>on</strong>naires re likes and dislikes of the care planswere circulated to nurses and a documentati<strong>on</strong> auditwas carried out.ResultsThirteen questi<strong>on</strong>naires were distributed and sixreturned (46.15%) outlining how nurses liked that thecare plans were short, clear and easy to use, however,some nurses found them l<strong>on</strong>g and repetitious. Thedocumentati<strong>on</strong> audit showed an overall improvementin how nurses document patient care.MethodRoy’s Adaptati<strong>on</strong> Model was chosen and adapted toaddress the biological and psychosocial needs ofclients.16

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