[shcampbell]

Hi all
I am posting fromthe uk. We have recently started using child immunisations fromamerica and wanted to draw on your experience. We would only ever give immunisations im and I have noticed these are subcut and advised to be given in the upper arm. I have only done it once this new way and it stung them like mad. Any tips fromthose that have been doing it like this for years would be greatly appreciated by me and im sure lots of kids!!!Position you find is best for the parent to hold them and any techniques. Thanks a million SC

[USA987]

Hi there! Just wanted to let you know to check out our pediatric board and they may be able to answer some of your questions.

Welcome to the boards!!

[Jessy_RN]

Hello and welcome to the family of allnurses. Best wishes to you.

[teeituptom]

when you mentiones jab help, I thought you were referring to boxing, I used to be a boxer in my early years

[moonchild20002000]

Hello,

I give immunizations IM with the exception of Varicella and MMR. Those are given SC. I have heard many complaints about the MMR "burning" after administeration.

I use the thigh for infants and younger children. I will generallly lay the child down on the exam table and have the parents hold the upper body. I will use one arm to hold the legs while I inject with the other.
The postion I use really depends on the size of the child and how much they resist.
I use the deltoid in older children,I have not used it for a child under age four.
Hope this helps!

[DonnaRN]

Hi shcampbell,

I work in a pediatric office giving immunizations multiple times a day and do them much the same as moonchild described. We give Varicella and MMR SQ, and we also give IPV (polio) SQ as well.

Like moonchild, for smaller children and infants I use the thigh(s), stabilizing knees with one hand, and, when necessary straddling their crossed legs between my knees. (Those 4 y.o's can really fight! ) Mom or dad usually hold hands/arms/upper body for me.

For the older kids, say around age 11-12, I use the deltoid IM or upper arm SQ most of the time depending on the child and how much they're fighting. Amazingly, I had to hold down a 17 y.o. like one of my little ones she was struggling so hard!

Best of luck to you!

Donna

[shcampbell]

Originally Posted by DonnaRN

Hi shcampbell,

I work in a pediatric office giving immunizations multiple times a day and do them much the same as moonchild described. We give Varicella and MMR SQ, and we also give IPV (polio) SQ as well.

Like moonchild, for smaller children and infants I use the thigh(s), stabilizing knees with one hand, and, when necessary straddling their crossed legs between my knees. (Those 4 y.o's can really fight! ) Mom or dad usually hold hands/arms/upper body for me.

For the older kids, say around age 11-12, I use the deltoid IM or upper arm SQ most of the time depending on the child and how much they're fighting. Amazingly, I had to hold down a 17 y.o. like one of my little ones she was struggling so hard!

Best of luck to you!

Donna

Hi Donna
thanks for the reply. Nice to have some feedback from someone who has been using these jabs for so long They do seem to sting!!!poor things!
Thanks again
Sharon

[shcampbell]

Originally Posted by moonchild20002000

Hello,

I give immunizations IM with the exception of Varicella and MMR. Those are given SC. I have heard many complaints about the MMR "burning" after administeration.

I use the thigh for infants and younger children. I will generallly lay the child down on the exam table and have the parents hold the upper body. I will use one arm to hold the legs while I inject with the other.
The postion I use really depends on the size of the child and how much they resist.
I use the deltoid in older children,I have not used it for a child under age four.
Hope this helps!

Hi Moonchild
just to say thanks for replying to my question. Your answer was a great help and I really appreciated your time.It was good to know it was the jab itself that stings other than my injection technique!!
thanks Sharon