Dear ,there's couple of mistake done ... First you need to use Z tract technique , 2nd you don't aspirate , and #rd absolutely Not massage after injections are done.
Absolutely right! And do not massage injection site otherwise medication will regurgitate back into subcutaneous tissue, that's not what we want from IM injection.
As an instructor..aspiration is necessary as a safety precaution. I am teaching students. Aspiration is not necessary in the field, and my students understand that. This technique is for safety until they know they are injecting in the proper area.
@@evelynsommerville In my nursing program they explicitly teach us not to aspirate for IM in the deltoid area. Have been giving vaccinations to the public- we also are taught not to aspirate there.
Best to keep the needle covered with the safety clasp until you inject. Waving the exposed needle around is not advisable. Also, best to withdraw with one needle, and use a new needle to inject (puncturing the vial’s rubber membrane will dull the needle; an unused new needle is sharper, thus less painful).
At last correct technique which includes aspiration. and for anyone saying not needed, it costs about 2 secs and can prevent injection into a blood vessel, rare but why take the risk with sloppy technique. I would insist on aspiration and refuse jab if not given.
It has been deemed unnecessary because the US is driven by pharma companies that advice the health regulators. This means that to make vaccines more attractive it is deemed unnecessary. But vaccines are different then medications and are often less severe in harmful effect then a powerful drugm, it says on the individual package. But like the cuvishot you see the mess it can make when the vaccine flows into the bloodstream to the heart or brain, body reacts strongly and you get miocarditic, fatigue, brainfog and a weakened immune system. Because the body effectively thinks it is under siege by a alien substance. Which is why young men for example that have a very strong response, risked heart attack more.
I do Intramuscular injections on myself for Testosterone. I’m still a little too scared to do it into my arm, but seeing a doctor do it that quick and easy is relieving. I take like 10 minutes just preparing myself to take it 😭
Hello, I have a problem and I want help. I have a twenty-year-old son who was disappointed in love with crumbs, and he is going through a very miserable condition. I hope to find someone to help him by asking him for friendship so that he can recover from this depression. Please help
1. Injection vial cleaning technique is wrong. Just a single wipe in one direction with swab is sufficient. Not as in this video backwards and forwards several times. 0.46 in the video. Introducing potential infectious material from outside the vial cap across the injection draw site. 2. Z track prevents back seepage of medication and blood. 3. Depending on the medication administration instructions. Some do not recommend massage after. Otherwise very good video.
1. Aspiration is no longer recommended, neither is pinching the skin 2. Use of the z track method is recommended 3. Massaging the area increases the likelihood of solution entering the cutaneous layers instead of staying in the muscle 4. Use a blunt fill needle to draw up solution so as not to dull the injection needle. 5. You can engage the safety mechanism of the needle instead of recapping
Aspiration should still be done with medicines like antipsych, it says on the individual medicine, if not can be a fatal mistake. its not recommended for vaccines but this is more a cause of the small volume and less harmful substance and making adult and kids go take vaccines without pain
One critique is that the assistant did not explain drawing back on the needle to prevent injection in the veins? If she did get blood she would have to withdraw the injection.
Aspiration= good. Poor technique squeezing and too high injection site - placement is not into the bulk of deltoid muscle. Dangling bracelet = poor infection control practice.
ok now I am confused. This is much easy but goes against what I was taught about IM injections. First, are IM not supposed to be above 1ml? Second, are you not supposed to use two needles for drawing and injecting. Lastly, are you not supposed to remove the needle and put on the cotton at th esame time?
This video is very bad and I wouldn’t use any of it. High risk of skin reaction and infection if you do what she said lol First of all you should never pinch skin for intramuscular injection because you increase the distance between muscle and needle and there is very high risk that you will end up with subcutaneous injection or inject in vein. Is it bad? Not so much but high risk of skin reaction and inflammation if 1ml or so goes under skin.. also need to swap drawing and put on injecting needle..
The deltoid muscle ca be injected 1-2ml for client from 3-18 year old above that age you can give also max 3ml in one single shot. you need really good reasons to give 3ml. The safe dose is 1ml then up to 2ml.
@@baconz1376 The way she pinched skin for IM already shows that she has no clue lol Also I don't think you can shoot 1ml+ for people. 1ml is max, also it is good dosage for "larger people". For women and teenagers 1ml can easily be too much. EVen huge bodybuilders avoid more than 1 ml in delt
This Nurse WAS "safe" as per what I was taught. I especially liked she tried to keep the slant of the needle UP. I'd be happy for her to inject me with any "Non-experientals."
As someone that made hundreds of injections I wouldn't recommend using this as a guidance as you should ideally swap between drawing and injecting needles and not "pinch" skin/muscle before injecting.
@@user-vx8te1id8r yes if you are giving injection to someone you can use "z-track method" and stretch a bit of skin without "pinching", that will reduce potential bleeding. But if you follow guidance in this video and "pinch" the skin, there is high risk that injection will miss the muscle and go into into subcutaneous layer, in most cases this is fine as you can inject under skin too, but it can give nasty lump for a week or so etc.. This is becuase when you pinch you elevate the skin further away from the muscle, so needle can simply become too short to reach muscle.. Pinching is only good if you want to inject into subcutaneous layer under skin
Yeah I'm not a medical professional but I've had to inject myself for many years. Both IM and IV. There was definitely a steep learning curve where I would inject subQ by accident. I definitely thought the same things as I watched the video and totally agree with your statements
Can someone explain what happens if there is blood when aspirating and what are the next steps from that? & why does the bevel have to be facing up? Thank you
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Dear ,there's couple of mistake done ... First you need to use Z tract technique , 2nd you don't aspirate , and #rd absolutely Not massage after injections are done.
Aspiration is no longer recommended for IM injections, neither is the pinching technique. Z-Track technique is the preferred method.
Absolutely right!
And do not massage injection site otherwise medication will regurgitate back into subcutaneous tissue, that's not what we want from IM injection.
As an instructor..aspiration is necessary as a safety precaution. I am teaching students. Aspiration is not necessary in the field, and my students understand that. This technique is for safety until they know they are injecting in the proper area.
Z track is only used for meds irritating to the subcut tissue.
Aspiration is necessary if you hit a vein it can cause heart problems.
@@evelynsommerville In my nursing program they explicitly teach us not to aspirate for IM in the deltoid area. Have been giving vaccinations to the public- we also are taught not to aspirate there.
Best to keep the needle covered with the safety clasp until you inject.
Waving the exposed needle around is not advisable.
Also, best to withdraw with one needle, and use a new needle to inject (puncturing the vial’s rubber membrane will dull the needle; an unused new needle is sharper, thus less painful).
She was demonstrating, that’s why . Okay?!
No need for rubbing site after injection
In every video different point some are too high some are too low i don't know what is the correct site
Smooth and easy he was shitting himself😂😂
انت الدكتوره الاطفال والكبار لقاح القزاز
At last correct technique which includes aspiration. and for anyone saying not needed, it costs about 2 secs and can prevent injection into a blood vessel, rare but why take the risk with sloppy technique. I would insist on aspiration and refuse jab if not given.
It has been deemed unnecessary because the US is driven by pharma companies that advice the health regulators. This means that to make vaccines more attractive it is deemed unnecessary. But vaccines are different then medications and are often less severe in harmful effect then a powerful drugm, it says on the individual package. But like the cuvishot you see the mess it can make when the vaccine flows into the bloodstream to the heart or brain, body reacts strongly and you get miocarditic, fatigue, brainfog and a weakened immune system. Because the body effectively thinks it is under siege by a alien substance. Which is why young men for example that have a very strong response, risked heart attack more.
Wrong way ma'm, no massage is recommended,no aspiration and no holding muscles is required. Instead Z track method is recommended for IM
bull
I'm being tought that aspiration is needed at uni atm, but the rest, agreed
No aspiration? But if there is a blood, you’re fucked up you know that right? How would you know without aspiration?
I do Intramuscular injections on myself for Testosterone. I’m still a little too scared to do it into my arm, but seeing a doctor do it that quick and easy is relieving. I take like 10 minutes just preparing myself to take it 😭
Hello ... u have hormone problems ?
Nurses always pursue lifelong learning. The z track method was part of the EBP, therefore that's what CDC now recommends. =)
Mam after I'm injection why do you rub the sight ? It is correct.
Is this a half inch needle? I need to know how far in you go so you can get it in the muscle without hitting the axillary nerve
Question: You used the same needle to draw and inject? Explain?
if it was properly applied it shouldn't bleed too much.
Hello, I have a problem and I want help. I have a twenty-year-old son who was disappointed in love with crumbs, and he is going through a very miserable condition. I hope to find someone to help him by asking him for friendship so that he can recover from this depression. Please help
1. Injection vial cleaning technique is wrong. Just a single wipe in one direction with swab is sufficient. Not as in this video backwards and forwards several times. 0.46 in the video. Introducing potential infectious material from outside the vial cap across the injection draw site.
2. Z track prevents back seepage of medication and blood.
3. Depending on the medication administration instructions. Some do not recommend massage after.
Otherwise very good video.
are you using same stringe to withdrow injection and do injection ...its not the right way
Thanks teaches
Plp
There's nothing wrong with aspirating peace of mind.
Why she give massage after injection? Me ,if you give me massage after that I have allergy
Thank you
it has to be cover with cotton after 😢
Thank you both, the doctor and the instructor😊❣️
What! You just said Awwesome ? 😱
1. Aspiration is no longer recommended, neither is pinching the skin
2. Use of the z track method is recommended
3. Massaging the area increases the likelihood of solution entering the cutaneous layers instead of staying in the muscle
4. Use a blunt fill needle to draw up solution so as not to dull the injection needle.
5. You can engage the safety mechanism of the needle instead of recapping
Aspiration should still be done with medicines like antipsych, it says on the individual medicine, if not can be a fatal mistake. its not recommended for vaccines but this is more a cause of the small volume and less harmful substance and making adult and kids go take vaccines without pain
love them
Why was the needle in his arm for so long
Very gut
Vere good vedo life vedos
I was thought IM you don't do massage
One critique is that the assistant did not explain drawing back on the needle to prevent injection in the veins? If she did get blood she would have to withdraw the injection.
She did. She said to aspirate at 1:56
(To aspirate is to draw back on the needle)
Why did you go in "nice and quick" and not a little slower?
Also, what's the significance of "bevel up"?
Am a Kenyan nurse,please repeat how have done those fingers to get the position of injecting
I use 2 finger breaths below the shoulder bone ( acromion process) to make sure we are in the deltoid muscle.
I use one finger length from the deltoid site to the back of the arm for subcut injection.
She's awesome
انت دكتوره حلقات مو صحيح
Aspiration= good. Poor technique squeezing and too high injection site - placement is not into the bulk of deltoid muscle. Dangling bracelet = poor infection control practice.
the way he swayed after saying "awesome, didnt even feel it" sorry but if he would have got queezy and fell over i would chuckle.
رائع
This was one of the better demo’s I’ve seen.
Thank you Dr ! Good explanation.
Awesome 😂
I am scared seeing
Nice video...good explanation! Regards and blessings from Pamama City🤗🇵🇦
Bless him injecting crap into his body
Should we give inj diclo in deltoid area
Stop saying what😂❤💉🤔😷
Aspiration and message is no recommended
Oh my Gosh!!! You aren't supposed to pinch the subcutaneous skin nor massage after!!!!!! She's done this wrong !
Exactly
Good thanks for sharing
In another videos say at its not should massaje after injection and not klipp det area because the injection become subcutan and not intramuscular.
its not advised to aspirate, rub injection site, nor pinching the area (it could be kept taut)
ok now I am confused. This is much easy but goes against what I was taught about IM injections. First, are IM not supposed to be above 1ml? Second, are you not supposed to use two needles for drawing and injecting. Lastly, are you not supposed to remove the needle and put on the cotton at th esame time?
This video is very bad and I wouldn’t use any of it. High risk of skin reaction and infection if you do what she said lol
First of all you should never pinch skin for intramuscular injection because you increase the distance between muscle and needle and there is very high risk that you will end up with subcutaneous injection or inject in vein. Is it bad? Not so much but high risk of skin reaction and inflammation if 1ml or so goes under skin.. also need to swap drawing and put on injecting needle..
The deltoid muscle ca be injected 1-2ml for client from 3-18 year old above that age you can give also max 3ml in one single shot. you need really good reasons to give 3ml. The safe dose is 1ml then up to 2ml.
@@baconz1376 The way she pinched skin for IM already shows that she has no clue lol
Also I don't think you can shoot 1ml+ for people. 1ml is max, also it is good dosage for "larger people". For women and teenagers 1ml can easily be too much. EVen huge bodybuilders avoid more than 1 ml in delt
New school nurse vs old school nurse that’s what is going on here
For adult men 1 ml is fine, it depend on the muscle size, because of the pressure to around tissue
This is a great guide
Thanks alot for sharing your awesome knowledge
she was so wrong with her technique. Sterilises an area then jabs well away from target site, and way too high, idiot nurse!!!
Para que serve este medicamento?
Super mam..........💞💞💞❤️❤️💜💜
This Nurse WAS "safe" as per what I was taught. I especially liked she tried to keep the slant of the needle UP. I'd be happy for her to inject me with any "Non-experientals."
As someone that made hundreds of injections I wouldn't recommend using this as a guidance as you should ideally swap between drawing and injecting needles and not "pinch" skin/muscle before injecting.
would you recommend stretching the skin?
@@user-vx8te1id8r yes if you are giving injection to someone you can use "z-track method" and stretch a bit of skin without "pinching", that will reduce potential bleeding. But if you follow guidance in this video and "pinch" the skin, there is high risk that injection will miss the muscle and go into into subcutaneous layer, in most cases this is fine as you can inject under skin too, but it can give nasty lump for a week or so etc.. This is becuase when you pinch you elevate the skin further away from the muscle, so needle can simply become too short to reach muscle.. Pinching is only good if you want to inject into subcutaneous layer under skin
Yeah I'm not a medical professional but I've had to inject myself for many years. Both IM and IV. There was definitely a steep learning curve where I would inject subQ by accident. I definitely thought the same things as I watched the video and totally agree with your statements
The way yu have injected is good
Good technique, aspiration is essential prior to depressing the plunger
U never use the same needle to draw and inject
This depends on company policy
You are using same needle to withdraw the medication and to injection
Yes
Changing the needle is not necessary unless med is reconstituted or irritating to subcut.
@@medicalassistants-atthehea1040 this is how my instructor taught me as well 👍thank u
I saw the same. Its not right either massage
Every one should follow yur procedure
Thank you
احسنتي
But mam no pain na
Please reply me
Can someone explain what happens if there is blood when aspirating and what are the next steps from that? & why does the bevel have to be facing up? Thank you