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anesthetic

I have been a hygienist for almost 29 years and recently re-certified in giving local anesthetic. It was a hybrid class and limited time in clinic where we only got to do one each of the injections. I have such anxiety at giving injections and feeling unsure about which patients I need to eliminate or limit epinephrine on. I don’t want to do something wrong. I’m about to give it back to the doctor but he will be retiring soon and I’m afraid the next doctor won’t want me. I want to continue my hygiene career and be the best I can be.



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3 Answers

Agreed. Keep doing it. The more you do it the more confident you will get. When I first took the class…after several years of doing hygiene and going back to get certified….I was scared to death to do it. I really have found it to be an amazing skill to offer our patients. I practiced on some of the very sweet, willing girls in our office until I got more comfortable. I also kept a cheat-sheet…its probably still floating around the office somewhere—-that I kept all the little tid bits from class I wasn’t sure I would remember off hand. Who can have epi, how much, which needles are rec for which injections, contraindications, etc. That way I could peek before bringing patients back, or while in the chair. Take advantage of having a supportive dds and ask for help, guidance, tricks and tips before he retires. Keep giving them…it will be worth it! It’s all technqiue and it’s all practice. Build confidence and be amazing!

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My advice to you is to keep giving local anesthetic. I felt more and more comfortable the more I gave it. When I was in college I watched a lot of youtube video’s on different injections to help with locations and techniques. I think this helped a lot. I still refer to some videos for injections I don’t perform a lot. As with anesthetics, we give anesthetic to children that have no epi in them, such as Carbocaine. Lidocaine with epi is a safe anesthetic for most people and multiple carps are safe. I would limit the amount of carps that have epi for people with compromised health such as those with history of Hep C. Hopefully in your class you received or purchased a book that you can refer to that lists the safe amounts of carps for different anesthetics. I couldn’t find a specific link for you but if you Google “Malamed local anesthetic safe amounts” you should find several articles from the text book I used in school. Hope this helps.

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I agree with Warner. Doing more will help with your comfort level and research on max safe dose and Eli contraindications will help. Take a deep breath and ask for advice or help when needed. 🙂

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