How To Do An IM (Intramuscular) Injection | Nursing Clinical Skills
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- เผยแพร่เมื่อ 4 ต.ค. 2024
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In this video “How To Do An IM (Intramuscular) Injection” you will learn about:
►the steps in the administration of intramuscular medications
►the angle to position the syringe while administering an intramuscular injection
►the landmark to administer an intramuscular injection in the deltoid muscle
►5 tips for the safe administration of an intramuscular medication
►the steps of the Z-track method for intramuscular injections
►the role of aspirating blood during an intramuscular injection and evaluate whether this practice is currently in use
► This video is part of the Lecturio course “Fundamentals of Nursing: Clinical Skills”
► WATCH the complete course on lectur.io/njection
► THE PROF: Samantha Rhea MSN, RN has been a nurse since 2008 and a nursing faculty teacher since 2012. She has been recognized for clinical excellence as an interventional cardiology nurse and also led a Joint Commission Accredited Stroke Center. Ms. Rhea is an award-winning expert in clinical teaching and continues to maintain a current clinical practice and teaches at a University nursing program.
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► This video is part of the Lecturio course “Fundamentals of Nursing: Clinical Skills”
► WATCH the complete course on lectur.io/njection
I used this video to safely give myself an intramuscular injection. Best video on the subject on TH-cam. 10/10
At this rate we'll be performing our own self eye laser surgeries
u use a 1 inch or 1/2 needle
I appreciate your professional skills and kindness sharing the video with kindness and respect
Thanks! Glad it was helpful!
I appreciate for all of your videos in this Chanel and promise to follow your instructions.
As a nurse, yes we hardly use the z track method. I appreciate the real world nurse teaching here!
So how do know where to inject? I see some nurses place 3 fingers below the acromion process and then inject. How do you do yours?
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Aspiration isn't necessary in the deltoid, there are no major blood vessels in that location, so aspiration in that area just causes more discomfort for the patient
What is aspiration
pulling back on the plunger to make sure u aren’t in a blood vessel
Your point 8 ASPIRATION- please mention this clearly...you are not talking about ths at all - its only mentioned as point 8 on the piece of paper..not very clear!
1 y. ago still useful , thanks a lot.
Z technique
Aspiration to check vessels
Clear explanation. Thanks.
Glad you thought so! Thanks!
Lily Rose said:
As a registered nurse we were trained to aspirate when giving IM injection the rationale behind is to ensure that the needle hits the muscle not a blood vessel no matter how small.The only way of knowing this is through aspiration....so i do not understand why they refuse to aspirate.
It is not recommended to aspirate for IM injections now.
I think it is specific to the deltoid. ACIP states not aspirate when giving vaccines into the deltoid.
Because they need protection from vaccine injection injuries. Simply amazing.@@theleefamilylife5485
Outdated practice Lily Rose
@@chocolatefoo The recent book The Needles Secret by Marc Girardot presents evidence to dispute the safety of not aspirating in the deltoid. Dr. John Campbell just did a very interesting interview with the author.
Great video and good explination.
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When you use a circular motion to clean and go from in to out and back again isn't that bringing "dirt" back into the innermost part of the circle? Thsts what I see happening.
You're correct that using a circular motion to clean, especially when you move from the center out and then back in, can potentially spread dirt or contaminants from the outer edges back towards the center. However, the effectiveness of cleaning in a circular motion depends on various factors, including the type of surface, the cleaning method, and the cleaning agent being used.
In some cases, circular motions can be effective for removing dirt and stains, especially on relatively smooth surfaces. The circular motion helps agitate and lift particles, making it easier to wipe or rinse them away.
Aren't you going to do z track method???
that's what I think about
I don’t think it’s a really great video. I was wondering the same thing. I also noticed she didn’t wipe the area properly she brought back the germs to the center. And for teaching she should’ve put the used needle in the sharps container right away. I liked the deltoid injection thou
This is a great video you explained it so well
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Awesome teaching. God bless you
Tnx mama for giving perfect and showing demotration it's was helpful for understanding well me also study nursing so its so good for gaining perfect knowledge ❤
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Been having these for 8 years yesterday the nurse was being advised (trained ) on how to administrator the b12 in all of the of the 8years of having these this is only the 2nd time I have felt really bad pain in the muscle first time it was given by a doctor subsequent ones have all been by nurses and I often thought they were not putting it in the muscle as I felt no sensation not even the prick of the needle ,the one done yesterday had me gasping as the pain shot right up my neck The supervisor told me to move my arm to loosen the muscle ? today my arm still feels as though It's been bruised inside and during the night had to massage it just feel she put the needle too high up into my shoulder and hope this will not interfere with effect of the vitamin or anything else.
Ye she probably hit a nerve. And did it to high up. It will heal eventually.
Where’s the sharps bin ?
Hi, Thank you for the information. I would like to ask, Why is not recommended to aspirate when giving the vaccination?
The CDC wishes to provide protection to Pfyzer for the number of injuries reported.
To much information. Give just in some short words shorts instruction😢 Why no aspirations?
Hi @LilaBukvic! Thanks for your feedback! We aim to provide detailed info for thorough learning, but we appreciate your suggestion for brevity. Regarding aspiration, current guidelines often recommend against it for most IM injections. 😊 Don’t forget to subscribe for more helpful tips! 🌟
Thank you
Thank you.
You're welcome!
Now to do this to myself o__O with a 25g 1.5" needle. ooohwwwweee.
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Awesome
Thank you very much for the video with kindness and respect
Our pleasure!
We are need anther mouthed of I.m indaction such as thigh
I'll pass that long to our content team for future ideas!
Nice
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What about aspiration? Always aspirate to be sure there is no inadvertent intravascular administration of substances. Recent Danish studies have added aspiration to protocol. Particularly in vaccine administration studies show that there is an crease in clothing side effects after IV administration of substance (mouse studies) Please reference Dr. John Campbell,, PhD in Nursing
Nope
we touched on this in the video, but it is often not recommended!
you dont aspirate IM, what the fuck you gonna pull back, a nerve? lmao
Agreed! Additionally, when cleaning the area she DID go circularly from the inside out, then washed over the inside again with the "now dirty" alcohol. Then, no aspiration and then no massage afterwards. Did things change since I graduated?
Yes withdrawal is important to check
Has anyone tried this not being a nurse or doctor, is it easy to do
It's not a hard thing to do, it just requires you to be confident about it and making sure the person you're applying it to is calm and doesn't make something stupid during the injection.
Tell the person not to move even if somehow they manage to feel pain, it seems obvious but I think it's worth mentioning, one time my dad suddenly moved his arm away from my hands and ruining a an entire flu vaccine because he overreacted.
What is aspiration
5:22 no aspiration, this is up-to-date
you forgot to z-track before giving the injection.
How about Intradermal and subcutaneous? Thanks
Thank you so much for posting the subcutaneous injection 💖 I really appreciate it because it will serve as my guide. I'm grateful that i subscribe the right TH-cam channel 🙌
we have subcutaneous injection tutorials in this playlist as well!
Update: I'm really grateful for your videos because i got 97% in our return demonstration about intramuscular injection 🙌Thank you professors! Stay safe and God bless!
too low for my comfort
OMG No aspiration. Danger danger. This is completely amateurish.
Appalling. No aspiration. Dangerous. Unacceptable.
It is not recommended to aspirate IM injections anymore, so nothing she did was appalling, dangerous or unacceptable. Shame on you.
She explains why aspiration is not recommended for IM injections nowadays. See from 9:34
The Centers for Disease Control and Prevention (CDC) no longer recommends aspiration before intramuscular (IM) injections. Aspiration, which involves pulling back on the plunger, was previously standard practice but is no longer recommended for several reasons:
The injection site doesn't contain large blood vessels that could be a risk of intravascular injection
Aspiration can be painful
There's no scientific evidence to support aspiration
Auto-disable syringes, which usually don't allow aspiration, don't seem to increase adverse events
Get with the times you old fart. It's not recommended to aspirate anymore. Shame on you for commenting without proper knowledge
no aspiration...FAIL!
i saw a lot of mistakes in your videos.
I appreciate your professional skills and kindness sharing the video with kindness and respect
I appreciate that!