IM Injection, Hitting Bone? - page 2

So I was giving my mother an IM injection for the Flu Vaccine at the hospital, I did the injection and went the whole needle inside and felt that I hit a bone or something. I did aspirate and received no blood return and went... Read More

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    I did it once on a skinny teenager. She didn't even flinch. I was a new grad and was absolutely horrified. I tugged a little to retrieve the needle from the bone and then aspirated and gave the injection. She was completely unfazed and didn't notice anything. I, on the other hand, have been extremely careful about giving scrawny folks injections after that. Be sure that your needle length is appropriate for the size of the person you are injecting.

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  2. 0
    I have personally had it happen to me. Got a shot once in the hip/butt area, and it hit bone (yes, I am pretty skinny!). And it did hurt. Little soreness afterward, but not much more than any other shot.
  3. 1
    Quote from pagandeva2000
    It's happened to me on occasion. Nothing happened. What I have done since having it happen a few times is to really look at the arm and decide whether or not to administer the IM with a 25 gauge needle instead of a 22 or 23. I've had some really emaciated patients that can only handle a 25 gauge IM.
    Gauge does not equal length. I typically use a 1" needle for an IM injection in the arm. Little or elderly people a 5/8".
    Dolce likes this.
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    In nursing school we were instructed to use 1-1 and a half inch needles IM, depending on the patient's chubbiness. But now on the floor, some nurses actually use five-eigths needles on skinny adolescents for deltoid injections. My colleagues also insert 1 and a half inch needles only half way when administering IM. I question this.
  5. 0
    Flu shots are given IM, most times you can get away with a 5/8" in the deltoid on someone who is fairly lean, and yeh I've hit bone a couple of times, just pulled back a smidge before injecting, no problems but I HATED the feeling
  6. 0
    Thanks folks for the reply...

    The problem was that I did not pull back when I hit the bone...all I did was aspirate and then inject the medication. My mother didn't twitch or anything...

    I'm scared it might have a negative effect on her...
  7. 1
    Quote from CHATSDALE
    if there is limited underlying adipose tissue pull up a pinch..flu vaccines are usually given sub q
    hitting the bone can cause some site pain
    Quote from cherrybreeze
    Flu vaccines aren't given subq....or am I missing something? I've never known of a vaccine that wasn't IM.
    I believe what CHATSDALE is referring to is that if you have a very low body fat client, they also tend to be low muscle. You see this type a lot in the elderly (deltiod) or in low birthweight infants (Vastus Lateralis). The technique is to grab some muscle and draw it together, and up just a little, so that the tip of your needle is dwelling inside a "pocket of muscle" that you aggregated, rather than hitting bone.
    Straydandelion likes this.
  8. 0
    Quote from etep1209
    Thanks folks for the reply...

    The problem was that I did not pull back when I hit the bone...all I did was aspirate and then inject the medication. My mother didn't twitch or anything...

    I'm scared it might have a negative effect on her...
    Don't worry, I'm sure she'll be just fine!
  9. 0
    Quote from woknblues
    I believe what CHATSDALE is referring to is that if you have a very low body fat client, they also tend to be low muscle. You see this type a lot in the elderly (deltiod) or in low birthweight infants (Vastus Lateralis). The technique is to grab some muscle and draw it together, and up just a little, so that the tip of your needle is dwelling inside a "pocket of muscle" that you aggregated, rather than hitting bone.
    I understand that. What CHATSDALE said was that flu vaccines are given subq, and they are not. This doesn't explain that statement.
  10. 0
    Quote from cherrybreeze
    I understand that. What CHATSDALE said was that flu vaccines are given subq, and they are not. This doesn't explain that statement.
    Hmm. Good point.


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