Antissepsia na administração de injetáveis: necessidade ou ritualismo? / Antisepsia en la administración de inyectables: necesidad o ritualismo? / Antisepsis in administering injections: need or ritual?

A necessidade da antissepsia prévia da pele para administração de injetáveis por via intradérmica, subcutânea ou intramuscular representa um procedimento polêmico. Este trabalho de atualização tem como objetivo descrever estudos que envolveram a temática, a fim de que o leitor tenha subsídios teóricos para apoiar sua prática clínica. Diante das colocações, vários questionamentos são realizados, cabendo a cada serviço de saúde estabelecer sua rotina quanto à necessidade ou não de antissepsia da pele anterior à administração de injetáveis.

The need for skin antisepsis prior to administration of intradermal, subcutaneous or intramuscular injections is a polemic topic. This update study aims to describe work on the issue, with a view to giving readers theoretical support for their clinical practice. Several queries emerged from review of the articles, and it remains to each health service to set its routine for whether or not prior skin antisepsis is needed when administering injections.

La necesidad de antisepsia previa de la piel para la administración de inyectables por vía intradérmica, subcutánea o intramuscular representa un procedimiento polémico. Este trabajo de actualización tiene como objetivo describir estudios envolviendo el tema, a fin de que el lector tenga respaldo teórico para su práctica clínica. Varios cuestionamientos surgieran a partir de las colocaciones, y cabe a cada servicio de salud establecer su necesidad o no de antisepsia de la piel anterior a la administración de inyectables.

Comparison of bacteriostatic normal saline and lidocaine used as intradermal anesthesia for the placement of intravenous lines.

Pain with intravenous (IV) insertion is a common fear for preoperative patients. As perianesthesia nurses, we take the necessary measures to minimize the discomfort and anxiety of our patients. Several research studies have found the use of bacteriostatic normal saline (BNS) to produce a less painful, yet equally effective, safer, and less expensive alternative method for intradermal anesthesia. The purpose of this study was to determine whether a difference existed in pain with intradermal injection and pain with venipuncture when intradermal anesthesia was used. Using an experimental design, 221 participants were randomly assigned by lottery convenience sampling into three groups: lidocaine, BNS, and no local anesthesia. Patients were asked to quantify their pain/discomfort level after the intradermal injection and IV insertion using a modified visual analog scale. Significant findings (P = < .05) indicated that BNS was less painful on injection, and both BNS and lidocaine were effective as local anesthetics for IV insertion. This study helped perianesthesia nurses and patients in determining which method of IV insertion is more effective and reasonably acceptable to ensure patient comfort, satisfaction, and positive outcomes.

Intradermal injections: traditional bevel up versus bevel down.

This study used qualitative and quantitative methods to examine differences regarding correct placement of injectate, leaking or bleeding, time to administer injection, and comfort of person administering, and receiving an intradermal injection. Each (N = 98) administered and received two injections. Subjects evaluated their comfort on a Likert scale. After second injection, each reported which was better. Most of the time (82%), a wheal was produced. Leaking or bleeding occurred a fourth of the time. Subjects rated the first injection better (p < 0.05) with no preference regarding technique. Subjects administering injections reported bevel up more comfortable (p < 0.01). Bevel up was significantly faster.

Best practice in vaccine administration.

Good practice is essential for nurses working in the field of vaccine administration to ensure that patients receive the best care possible. This article discusses the results of a survey of 500 practice nurses to assess knowledge of best practice in vaccine administration. As a result, a task force of expert nurses and doctors was convened to develop guidance on best practice in this area.

Las acciones de enfermería otorgadas frente al dolor de los recién nacidos de término sanos o con problemas de adaptación sometidos a punciones / Nursing actions in front of pain of healthy newborns or newborns with adaptability problems submitted to puncture

El presente estudio descriptivo tiene como propósito conocer las acciones de enfermería (asistenciales, afectivas y de indicación a la madre), frente al dolor de los recién nacidos sanos o con problemas de adaptación a la vida extrauterina, sometidos a punciones en dos unidades de puericultura. Las acciones se dividieron en : antes, durante y después de las punciones de tipo venosa e intradérmica. Las que se relacionaron con las características sociodemográficas de las enfermeras. Los resultados obtenidos señalan que: En la mayoría (>0=77.7 por ciento) de las punciones, se realizaron más acciones relacionados con la preparación del ambiente físico y la técnica de punción que con respecto a las acciones de tipo afectiva y de indicación a la madre (<0=46.3 por ciento) y ( 36 por ciento) respectivamente. Con relación a las diferencias de las acciones de enfermería entre los tipos de punción, en general, se realizaron más acciones (17,2 por ciento) de tipo afectiva en la punción venosa

Administering and interpreting the PPD tuberculin skin test.

Early detection and treatment are of paramount importance in our efforts to bring tuberculosis (TB) under control. In this context, screening high-risk populations for active TB and TB infection is crucial. Most individuals who become infected with Mycobacterium tuberculosis do not develop overt disease.

The role of the plastic surgery nurse collagen specialist.

Injectable collagen is an extremely effective treatment for the correction of facial soft tissue deformities due to minor contour irregularities. A specially trained nurse can be an integral part of the collagen treatment program in a plastic surgery office. The nurse must be motivated to inject collagen, must have the support of the supervising plastic surgeon, and must have confidence in his or her ability to make appropriate aesthetic judgements.