Dien’s
English 2 for D-III Program Nursing students
Vocabulary
Syringe: (n) alat suntik
Inject : (v) menyuntik
Injection : (n) suntikan
Buttock : (n) pantat
Vein : (n) vena
Clench : (v) mencengkram
Fist : (n) kepalan tangan
Roll : (n) gulungan, (v) menggulung
Sleeve : (n) lengan baju
Jab : (n) tusukan dgn jarum
(v) menusuk dgn jarum
Vocabulary
Administer (v) : melakukan/melaksanakan
Vial (n) : botol kecil
Ampoule (n) : ampul
Draw back (v) : menarik ke belakang
Insert (v) : mmasukkan, mensisipkan
Invert (v) : membalikkan
Tap (v) : mengetuk dgn pelan
Mark (n) : tanda
Site (n) : lokasi
USEFUL
EXPRESSIONS A. EXPLAINING THE PROCEDURES
It’s time for me to To give injection
… To give you injection
I just want to ……… To give injection onto
I am going to your buttock / upper
……… arm
I would like to To inject your
…….. buttock
I need to …………..
USEFUL
EXPRESSIONS B. GIVING INSTRUCTIONS
Would you …., Sit down
please Lie down on your face
Lie with face
Please, downwards
……………… Lie on your tummy
Roll up your sleeve
Now I want you to Give your right hand
……..……… Lower your pants
down
USEFUL
EXPRESSIONS
C. CAUTIONARY EXPRESSIONS
This will give ……….. A little pain
You may feel ………. A bit hurt
You’ll feel …………... A little bit
uncomfortable
Don’t worry. It just
gives a little pain. A jab
Don’t move while I’m doing the injection.
Don’t be stiff. Flex your buttock, please.
A client suspected with gallstone is having a colic in the upper
right abdomen. The doctor orders the nurse to give painkilling
injection and antibiotic
Nurse : Do you still feel sore in your stomach?
Client : Yes, nurse. It’s still painful around here
(pointing in the upper right abdomen).
Nurse : OK. I need to give you an injection.
Would you lie down with face
downwards. Now, lower your pants
down, please. I’m going to give
injection into your buttock. You’ll feel
a little bit uncomfortable. ……….……
OK. Done.
Client : Thanks, nurse.
Nurse : You’re welcome.
PARTS of SYRINGE
PLUNGER
BARREL
NEEDLE
INSULIN SYRINGE
Definition
The word "syringe" is a small
device which is :
used to transfer small
amounts of liquids or gases to
or from inaccessible areas.
used with a needle for
injection.
PREPARATION
► PATIENT
Position
Explanation about the injection process
► INSTRUMENTS/EQUIPMENT
Syringe
Drug/medicine
Cotton balls
Tourniquet
Alcohol
Kidney basin
TECHNIQUES of DRUG
ADMINISTRATION
A drug may be administered by
mouth (orally) or through the skin
(parenterally). Parenteral methods
include: injection into a vein
(intravenously); into a muscle
(intramuscularly); under the skin
(subcutaneously).
Administering injection
The injection techniques based on the sites of
injection are:
Subcutaneous (SC): injection into tissues just
below the dermis of the skin/hypodermic
Intramuscular (IM): injection into muscle body
Intravenous (IV): injection into a vein
Intradermal (ID): injection into the dermis just
under the epidermis
Sites used for intramuscular (IM) injection
Upper arm
Upper buttock Lateral mid thigh
Angles of insertion for IM and SC Injection
IM Injection (900)
SC Injection (450)
Skin
Subcutaneous
tissue
Muscle
SECTIONS of SKIN
PROCEDURE OF IM AND SC INJECTION
IN THE ADULTS
1. Ascertain that the prescription is correct
2. Gain informed consent
3. Wash hands
4. Prepare needed equipment and supplies:
vial/ampoule, disposable syringe, hand gloves,
cotton balls, alcohol or solvent (e.g. normal saline or
sterile water) and sterile swab,
5. Give explanation about the injection process and
the cautionary expression
6. Tap the top of the ampoule to ensure all of the
solution is in the ampoule
7. Draw up the required amount of solution
A
8. Take the plunger of the syringe back, invert
the syringe and examine it for air
9. Tap the syringe gently to let the air up to the
top of the syringe, push the plunger to
exclude the air from the syringe and needle
10. Expose the site of injection
11. Apply the hand glove
12. Inject at the correct site and angle
13. Remove the needle smoothly and press
the injection site gently with the cotton ball
14. Dispose of the equipment correctly
B
TRANSLATE THESE SENTENCES!
1. Pak, sekarang saya mau menyuntik Bapak.
2. Telungkuplah di kasur.
3. Buka sedikit celanamu.
4. Sedikit sakit, ya pak.
5. Bagus. Sudah selesai.
Arrange these jumbled words
into a good sentence
1. injection – Nurse, – this – scares – me!
2. arm – have – I – injection – my – got – never
– in – before
3. to – allergic – I’m – Nurse, – penicillin
4. feel – getting – in – sore – injection – my – I
– buttock – after
5. It – be – to get – this – Will – nurse – painful
– injection?
TASK 1 – PAIR WORK
Practice the following nurse’s instructions in pairs.
Case: A doctor orders you to give an antibiotic injection
to a newly hospitalized patient diagnosed with
appendicitis.
Nurse gives:
- Short explanation
- Instruction to lie down with face downwards
- Instruction to lower pants/trousers/shorts/skirt down
- Cautionary expressions when the client is ready
TASK 2 – PAIR WORK
Act out and practice the conversation
above in front of the class.
Other participants should give feedbacks
on both dialogue and nursing practice.
