I am a first year student, the nursing skill I will use in this reflective narrative is administering IM injection and the reflective model I will use is Gibbs cycle. The name of the service user in this engagement has been changed to protect their privacy, in line with Nursing & Midwifery Council Code 5 (2018) which states that as a nurse or midwife you have a duty to confidentiality towards all those who are receiving care. Say no to plagiarism. Get a tailor-made essay on “Why violent video games should not be banned”?Get the original essayIM injection may be a long-acting or short-acting antipsychotic injection (LAAI) indicated for the maintenance and treatment of schizophrenia, mania and other psychoses (Sussex NHS Partnership, 2018). The incident I will reflect on occurred in an acute inpatient mental health ward that I was assigned to, as a student nurse for my 1B placement, Kevin (pseudonym) was admitted under section 3 of the mental health program. suffering from paranoia and acute psychosis. My mentor asked me to administer the IM injection because Kevin has been refusing to take his medication for a few days and is now a danger to himself and other patients on the unit and has been prescribed a IM injection of Lorazepam. I felt confident and competent about the IM injection. task because I did a lot of depot injections during my 1A placement at the Aylesbury depot clinic and will be able to practice one of my skills, I was also worried because I have never administered a IM injection in a department. A control and restraint team was present due to Kevin's history of violence, although we expected them to be compliant because at that time Kevin was settled and was with his family. As my mentor and I approached Kevin, he became increasingly agitated and paranoid, he jumped up to try to attack the staff, he was restrained, moved to the de-escalation room and I forcibly injected him with lorazepam IM, during restraint. suffered a broken wrist and a large bump to the head which required calling the doctor on duty. His family was in the service during all this commotion, and it caused them a lot of distress. My first feeling was shock and surprise at this development, as this is the first time I have given someone a controlled IM injection. and restraint or even being involved in this kind of nursing activity, I was afraid of making a mistake and giving the injection in the wrong place, I was also afraid of hurting myself by mistake or hurting my colleague by needle prick due to the chaos of restraint. I felt helpless and afraid that the patient or staff might be harmed by the control and restraint. I was also afraid that the patient might attack my mentor or me in retaliation, as my mentor and I were the only department staff involved during the restraint. At the end of the activity we had a team debrief, although I was reassured that it is in the patient's best interest to receive medication, I still had doubts about how the situation was handled by the team, which I expressed to my mentor later. I understand that the process of taking control of a patient reluctant to take medication can be chaotic, messy, random and sometimes dangerous, but in this case the experience had a negative impact on me due to the level of violence that was used and who was concerned about.