Intramuscular Injection Demonstration | Nursing Skills Demo

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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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Nurse Mike!!! I have to let you know I just took my NCLEX and passed in 85 questions!! I told my friends all through nursing school your videos are what got me through and helped me more than I could describe! Thank you so much for your content!!!!

katherinebarton
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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.

Deba
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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 👏

juliochery
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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.

unknowndeoxys
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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.

baba-smfm
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Just took my nclex and passed on 85 questions ! Your videos helped in school a lot !! Thanks

hanz
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lol I love how she turned right around and showed us whats up

ashleycampos
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Most expected video thanks mike u r the special human in the planet for nursing students and nurses . God bless u .

chitudevi
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This live demo helped heaps! Please do more videos like this

moniquef
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You didn’t show us the triangle for the gluteal spot that’s what I needed to know

disneywithlindsay
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Kenalog has done wonders for my bilaterial sub acromial impingement.
I've had terrible numbness in my arms for quite some time and can't sleep.
From what I've researched, it's probably one or a mix of, radiculopathy, thoracic outlet syndrome, cubital and carpel tunnel.
Yet, a posterior injection under my acromian this past Monday has completely removed this numbness/pain from my arms.
Any guess as to why? Or any way you can point me in the right direction to research this further?
Was going to make an appointment with a neurologist for nerve conduction and EMG, just want to make sense of it before hand.

swiss
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Thanks alot I use your videos when I have something new to do

Aminah-sr
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Where is vitamin D3 injection given?
Is ventrogluteal site or Dorsogluteal better?
Thanks

chibaniriadh
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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

TessHere
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Weird, at my hospital, purple/pink means 20G and green means 18G. Blue is 22G

mujjuman
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Can we give antibiotics through 1ml syringe

knowledgeispower
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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.

foxybrown
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I’m actually too fat to feel my ventrogluteal muscle. I kinda just guess where it is and go for it when injecting myself

mujjuman
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Great explanations. But would have been better if actually anatomy shown instead of showing through loose scrubs.

antoniafrazier
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That was a great video, but did she use the Z-track technique?

BryanHawkins