Building Success on Strong Foundations - PNA

Psychiatric Nurses Association PNA - <strong>Building</strong> <strong>Success</strong> on Strong FoundationsAdministering Depot Injections:Best Practice GuidelineSchool of Nursing, Dublin City University,Glasnevin, Dublin 9, Ireland.Angela CocomanSchool of Nursing, Dublin City University,Glasnevin, Dublin 9,Ireland.Phone: 00 353 1 7007809E-mail: angela.cocman@dcu.ie.John MurrayCommunity Mental Health Nurse, Brook House,Cork Road, Waterford,Ireland.Phone: 00 353 1 7007809E-mail: murrayjt@eircom.netThis initiative involved a review of practice in the areaof Intramuscular Injections (I.M.) an everyday activityfor nurses. The authors addressed the administrationof neuroleptic depot injections within the adult mentalhealth environment and examined the evidence baseforthis practice and found that despite been a verycommonplace nursing activity there is a dearth ofresearch-based guidelines for nurses in this area.The published papers and nursing texts on injectionsites and techniques were evaluated toassess their quality and relevance and their overallbenefit to improving clinical practice. Much of theliterature was in the form of opinion pieces without asound research/evidence base. There was howeverenough consensual evidence to form an evidencedbased clinical guideline for the administration ofintramuscular injections.Reference:Cocoman, A & Murray, J (2008) Intramuscularinjections: A review of best practice for mental healthnurses. Journal of Psychiatric and Mental healthNursing, 15: 5 pp 424-434Planning Client Care in the Addiction Services,Dublin Mid-Leinster – A Nursing ResponseAddiction Services, HSE Dublin Mid-LeinsterMembers of the Care Plan Committee:Stephanie Maloney, Staff Nurse; Maura Maye, Staff Nurse; Rose Sheppard,CNM II; Julie Ward, Staff Nurse.Rose SheppardBridge House, Cherry Orchard Hospital, Ballyfermot,Dublin 10.Phone: 01-6206486 / 086-3806658Email: nursemanager.bri@hse.ieAimTo review current Care Plans to create a genericsystem of nursing documentation for the Nursingdepartment.Launched Feb ’08, following five months of use.Questionnaires re likes and dislikes of the care planswere circulated to nurses and a documentation auditwas carried out.ResultsThirteen questionnaires 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 long and repetitious. Thedocumentation audit showed an overall improvementin how nurses document patient care.MethodRoy’s Adaptation Model was chosen and adapted toaddress the biological and psychosocial needs ofclients.16