I am a first year student, the nursing skill I will use in this reflective write-up is administering intramuscular injection and the reflective model I will use is the Gibbs cycle. The name of the service user in this post has been changed to protect their confidentiality, in accordance with Nursing & Midwifery Council Code 5 (2018) which states that as a nurse or midwife, you have a duty of confidentiality to all those who are receiving treatment. Say no to plagiarism. Get a tailor-made essay on "Why Violent Video Games Shouldn't Be Banned"? Get an original essay IM injection may be a long- or short-acting antipsychotic injection (LAAI) indicated for the maintenance and treatment of schizophrenia, mania and other psychoses (Sussex partnership NHS, 2018). The incident I will reflect on occurred in an acute mental health ward where I was assigned, as a student nurse for my placement 1B, Kevin (pseudonym) was admitted into mental health section 3 suffers from paranoia and psychosis acute. My mentor asked me to give him intramuscular injection because Kevin has been refusing medications for a few days and is now a danger to himself and other patients in the ward and he has been prescribed Lorazepam intramuscular injection. I felt confident and competent about the intramuscular injection task because I have done many depot injections during my 1A placement at Aylesbury depot clinic and will I be able to fulfill one of my skills, I was also worried because I had never administered injections of IM in a ward environment. A control and restraint team was present due to Kevin's history of violence, although we expected obedience, 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, jumped up and attempted to attack staff, was held in restraints, moved to the de-escalation room, and I forcibly injected lorazepam IM, during the restraint he suffered a wrist fracture and a large blow to the head which required the intervention of the doctor on duty. His family were on the ward while all this commotion was going on, and it caused them a lot of distress. My initial feeling was of shock and surprise at how the situation was unfolding, as this is the first time I have given someone an IM injection under control and restraint or even been involved in this type of nursing activity, I was afraid of making mistakes and injecting in the wrong place, I was also afraid of mistakenly giving myself or my colleague a needle stick due to the chaotic restraint situation. I felt helpless and was afraid that the patient or staff might be injured due to the control and restraint. I also feared that the patient might single me or my mentor out for punishment because my mentor and I were the only ward staff involved during the restraint. At the end of the activity, we had a debrief from the team, although I was reassured that it is in the patient's best interest to be treated, I still had doubts about the way the situation was handled by the team, which I expressed it to my mentor later. I understand that the process of gaining control over a drug-resistant patient could 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 was concerned that organizational politics.