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This critical review will look at the skill of administering antipsychotic depot intramuscular injections. This skill was practised while I was on my psychiatric placement in a community setting. The setting will not be named for confidentiality reasons as set out by An Bord Altranais. According to An Bord Altranais (2008), under no circumstances may a student nurse disclose a health care facility’s identity in an assignment. Clinics were run twice a week in this particular community setting for patients with mental health problems such as schizophrenia and bipolar affective disorder to receive their depot intramuscular injections. This skill was chosen as the author was practising administering intramuscular injections almost on a daily basis but there is confusion around what is the best practice for administering depot intramuscular injections in the mental health setting.
Antipsychotic depot injections are used to treat psychotic illnesses. They were developed to prevent non-compliance with oral treatment and reduce relaspe of symptoms like hearing voices/difficulty controlling thoughts (Royal College of Psychiatrists 2013). The British National Formulary (2013) states:
Depot antipsychotics are administered by deep intramuscular injection at intervals of 1–4 weeks. In general not more than 2–3 mL of oily injection should be administered at any one site; correct injection technique (including the use of Z-track technique) and rotation of injection sites are essential (p. 237).
The patient was identified and the procedure was explained preliminary to administering the injection, to ensure the patient fully understood the procedure and to gain consent from them. The possible side effects of the medication were outlined aswell. ...

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...g gentle pressure. Finally the procedure was documented and the site was assessed for any abnormal reactions to the injection.
In conclusion, the author’s practice of administering depot intramuscular injections was good considering what the evidence outlined. From evaluating my practice, I should have assisted the patient into the prone position to help reduce the pain they experienced. In light of current best evidence regarding injection sites, this is an area that needs to be looked at in the mental health setting that the author attended. Although the ventrogluteal site has been endorsed, many nurses are not embracing the latest research findings due to their lack of familiarity with locating the site correctly and safely. Therefore, training sessions on administration into the ventrogluteal site should be organised for qualified nurses’ within their services.

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