Intramuscular Injection Demonstration | Nursing Skills Demo
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- เผยแพร่เมื่อ 14 มิ.ย. 2022
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This video illustrates an IM injection for deltoid muscle.
Note that vaccines and other medications can be administered through the deltoid muscle. I will give you some tips through this video.
It is important to check your client’s details such as their medication, time, dose, and the route to be used. Different research works are subject to change the protocols for insertion thus, it is necessary to be up to date with the current changes.
Assemble all the supplies and conduct hand sanitation. Usually, I wear gloves before giving any injection in as much as the CDC may state it is optional unless the patient has an open lesion and contact of body fluids is likely to happen.
Use the acromion process landmark to locate the deltoid muscle. Move your fingers about two widths below the landmark. The patient’s adipose tissue determines the choice of needle length. Note that the needle gauge is determined by the type of medication you plan to give to the patient.
The Z-track technique is recommended rather than pinching the patient’s skin. Pull the patient’s skin to the side using one hand. Use a 90 degree angle to insert the needle to the patient’s skin. At the rate of 10 seconds per mL gently depress the plunger.
Remove the needle carefully and engage the safety precautions then dispose of the needle appropriately in the sharps container. Gauzing helps to cover the injection site.
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I'm a retired old nurse (class of 1977!) and it's been a long time since I've worked in the field. But in my day I have probably, in the process of doing an IM, aspirated blood 3 or 4 times and then had to stop and go get a new syringe and try again. That was the procedure back in that day. So even though in all those years it was rare that I aspirated blood, I wonder what would have happened when I injected the medication into a little blood vessel inadvertently? The dorsogluteal was one of my favorite sites to use, so it's hard for me to see that one go away. The ventrogluteal is so much more awkward to reach, I always thought. So, this is very interesting for me to see, and I'm curious but other Old-Timers think. Thank you for this video.
I can tell you what happens when you draw blood with testosterone if you'd like.....
I'm old school and I was taught to aspirate, & I still do. I am not buying that it is more dangerous to aspirate. That makes no sense to me. I have hit a blood vessel before & aspirated blood. It's kinda rare, but it happens and I wonder if some vaccine injuries weren't due to injecting into a vein. Just a thought... 🤷
@@laurae.4285 I agree. I also asperate I just took my shot in my leg and aspirated then started pushing and got the taste in my mouth pulled back again and blood shot in so I pulled out and got a shit ton of blood leak out. I always aspirate if not and you inject into a vein it won't kill you but it will suck. Chest gets tight and makes you want to cough
I’m with you! I just had an injection and I requested the person to please aspirate. 🤷🏼♀️
I agree aspiration should be done but now isn't even taught and is said to be not needed which I hate. I know in school we were taught and they aspirated blood on me. The teacher instructed the student to stop and pull the needle out and to use the other arm.
Thanks for getting skills videos on here too. Theory is obviously a good chunk that everyone banks on, but applying the skills in practice is where I and maybe others have felt intimidated. Yes it's easier to nail skills on the job, but you still need the grasp on them to pass school 😅 So thank you.
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Mhhhhhh!!
They don't aspirate anymore. Thanks a lot. I hope some instructors watch this video. May God continue to bless you guys. You are amazing 👏
Medical newb here, what exactly is aspirating?
@@stravwatson1952 pulling back on the plunger after pushing the needle into the muscle to see if you get blood return. You should not be getting blood return
Most expected video thanks mike u r the special human in the planet for nursing students and nurses . God bless u .
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lol I love how she turned right around and showed us whats up
This live demo helped heaps! Please do more videos like this
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We do not aspirate anymore when it pertains to the deltoid, however it is still required to aspirate for IM injections in large muscles, this due to the large vessels found in those areas. IM Injections on the vastus lateralis needs to be administered in the lateral side and not in the middle of the muscle thigh as said in the video, the femoral artery runs pretty much in the middle of the thigh. This is of absolute importance especially when administering Epinephrine IM with an Epi pen as this will not allow to aspirate, An accidental release of epinephrine into a vessel would cause a cardiac event.
So the chance of inadvertent intravenous injection is so much lower for the deltoid that it's not worth taking a second to aspirate? Can a case be made for aspiration, as is practice in Germany and Denmark? What's the rush exactly?
@John Harrold I actually agree with you on aspirating even when the injection is meant to go on the deltoid area. It only takes 2 seconds and could prevent complications. I was focusing on the vastus lateralis because the video demonstration is inaccurate and possibly dangerous.
I’m with you on this John. 🤷🏼♀️
@@baba-sm1fm actually, you’ll need to aspirate for at least 10 seconds for it to be accurate. A common mistake which could give inaccurate information about whether or not you hit a blood vessel, according to literature, is not aspirating for long enough. So if you are going to aspirate, take your time
@@von_Fairhair 10 seconds make no sense, if you are in an artery blood will fill instantly, if not you are as good as you can be to go
Thank you so much Mike.
Hi. In choosing a site, the patient is right handed but her left arm has a tattoo that covers the area quite extensively where the injection goes. Does it matter whether you inject into a tattoo or choose the other arm (which will be her dominant arm though ). ? Thx
Thanks
Hip only do not do it in your thigh or shoulder or any other muscle that you use often. I did my thigh and 4 days out and it still feels like someone hit me with a bat on my leg. I usually get it in my hip butt area and don't feel a thing but this time i tried my thigh. Very bad decision.
Just passed my Nclex, thanks mike !
Congrats!!!! Sooo exciting! Will you please do me a HUGE favor & copy/paste this on our Wall of Fame?! Your review will help me out BIG time
🙏🏽😊www.trustpilot.com/review/simplenursing.com.
My pleasure 😇
Thank you Mike!
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Thanks a lot :)
LOVE THIS THIS IS WHAT WE NEED 😇😇😇😇
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Awesome
I love this VIDEO
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Where is vitamin D3 injection given?
Is ventrogluteal site or Dorsogluteal better?
Thanks
Can we give antibiotics through 1ml syringe
Thank you
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Weird, at my hospital, purple/pink means 20G and green means 18G. Blue is 22G
That was a great video, but did she use the Z-track technique?
no :/
Great educational video!
Probably this video covers regular technique and the Z-track technique will come in another video.
She did, that's why she said to hold it "taut".
@@landriaKaye i think some people wanted it explained in detail or perhaps a “this is the z-track technique..”
@@landriaKaye Holding it "taut" is not the z-track technique
5:22
Great explanations. But would have been better if actually anatomy shown instead of showing through loose scrubs.
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Hi got 60%in your demo test of 40 questions
Where I am? Also peer score was 32%
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i didn't see the Z track technique
Bc it isn't used anymore
Isn’t the 18g green and 20g pink?
Yes
Yeah
I’m actually too fat to feel my ventrogluteal muscle. I kinda just guess where it is and go for it when injecting myself
Where was the Z track? did I miss something?
Z track is not recommended anymore
she did a z tract by pulling the skin on both ends, u should not stretch the skin while injecting, once the needle is in then take it off., which she did right
but are u not suppose to leave the needle for another 10 seconds after administering the medication?