Giving injections!

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    I love being a nurse. There are a couple things I don't like however. Probably one of the jobs I most dislike is giving IM injections. I get nervous, and sweat, and second and third-guess my placement.
    I am not so bad in the arm but when I have to get into the bottom, well that's the worst. I know how to find the right spot, but its like I blank out when I get there and completely don't trust myself.
    The IM's we give are mostly rhogam, depo, and I've given IM pred (I think, some type of steroid in any case). I haven't yet given a depo but I am nervous because I know that hurts a lot d/t the viscosity.
    Don't even get me started on giving the babies their injections. I did that once and I don't know which of us suffered more, the baby or me.
    Suggestions anyone? I thought of doing a flu shot clinic but I couldn't find any that weren't already hired up and working five days a week limits my free time anyway.
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  4. 0
    Wow! I thought I was the only one that felt this way! I have been working as a new LPN in a group home for about a month. And I have not yet had to give an IM. But I will. There is an individual who, when having seizures gets an IM Ativan! When having siezures, that gonna make it easy !
    And I've been warned that drawing it up is very difficult!
    I couldn't imagine giving one to a baby!
    Thanls for your post!
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    It's one of those things that gets easier the more often you do it.

    However, in my region, we don't use any of the gluteal muscles anymore, vastus lateralis is the muscle of choice.

    Yes, your leg may hurt, but there's no chance of hitting the sciatic nerve.
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    Quote from Fiona59
    It's one of those things that gets easier the more often you do it.

    However, in my region, we don't use any of the gluteal muscles anymore, vastus lateralis is the muscle of choice.

    Yes, your leg may hurt, but there's no chance of hitting the sciatic nerve.
    huh...maybe I will try that. I never really think much about the legs. Just on the top of the thigh, right? Thats where the babies get them.
  7. 0
    Quote from Herk's mom
    Wow! I thought I was the only one that felt this way! I have been working as a new LPN in a group home for about a month. And I have not yet had to give an IM. But I will. There is an individual who, when having seizures gets an IM Ativan! When having siezures, that gonna make it easy !
    And I've been warned that drawing it up is very difficult!
    I couldn't imagine giving one to a baby!
    Thanls for your post!
    Drawing up Ativan is no different than drawing up any other med. Read your facility's policy on diluting it appropriately.

    Know your landmarks, enlist a 2nd person to help hold if necessary, and do your best to keep that big-*** needle out of view of the patient unless they specifically say they want to watch. (many patients don't)

    Like most things, this gets easier with practice.
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    I also dislike pricking the skin, but it is a part of our job, all the best
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    I gotta say that i don't mind giving injections whether its sc or im. We did get lots of practice in clinicals though. We spent two mornings doing nothing but giving nursing home residents flu vaccines. I also had a clinical in the er one evening and all I did was give IM injections. It seemed that there was one ordered for almost every patient that night.

    Susan
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    Don't worry, you will feel much better in the future, all the best to you.
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    what really bothers me, and freaks me out is having to go in and give these little old frail, cachetic, woman their flu shots. Ahh! I feel like I'm going to punch the needle right thru them and out through the other side! I seriously get sick to my stomach just thinking about it. Oh well. Can't get out of it though!
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    LMAO i love this. I used to feel this way. The first IM injection I EVER gave, was in my mommy's butt! LMAO

    BUT, whoever mentioned drawing Ativan up, yes, it's like drawing up pancake syrup! What I do, God only know's I'll get in trouble for this one way or another, but our residents get cocktails. I dilute the Ativan with some Haldol or the Cogention. Much easier to draw up that way.

    Just keep going, don't give up. I work a behavior facility. I give injections to sometimes, the same residents 3 and 4 times a day. Eventually it'll become second nature. Just go for it and don't second guess yourself. That's the worst thing you could do.


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