Patricia Lines
24 Oct 2024 · Coroner Rebecca Sutton · Durham and Darlington
The coroner's concerns
1. lack of skin cleaning before injection
“The nurse who administered the injection gave evidence that she did not clean the skin prior to administering the injection. She did not do so because she was following both her training (she quoted from an NHS e-learning module on administering intramuscular injections) and national guidance in the form of a document titled”
2. use of alcohol wipes for skin cleaning
“It is not necessary to disinfect the skin. Studies have shown that cleaning the skin with isopropyl alcohol reduces the bacterial count, but there is evidence that disinfecting makes no difference to the incidence of bacterial complications of injections”
3. potential risk reduction from skin cleaning not implemented
“I note that the Green Book states that cleaning the skin with alcohol reduces the bacterial count. Common sense would seem to suggest that reducing the bacterial count would reduce the risk of bacteria being inadvertently introduced into the deeper tissues during an injection”