Today, when all my injection lab skills were tested, I went to give my IM, VG, 23 gau, 1",1.2cc saline shot and guess what?? I was trying to remember everything...including the Z-track with my non-dominent hand that wuld also hold the syringe stead while I injected all the "saline" because they required us to retract it from the end of the shot, and not pull out, then retract. We have to do each other, which sets up another dynamic.
Anyway, I had it all correct....figuring and dosing the med, doing it all sterile, greeting, site, Z-track..........but after i Z-tracted i went to do it, and got stopped butt-cold by the instructor because I didn't wipe with a alcohol swap.
There I was, reduced to a failure in 0.01 seconds.
Z-tract is a always right to do for IM and it's logical.