injection technique

[ZAROZINIA]

I am gathering research together on injection technique, cannulation, and venepuncture. Anyone have any up to date research?

Iam mostly interested in the best way to administer an intramuscular injection , how quickly or slowly to do it is a point being debated on our ward at the moment. It is generally thought that inserting the needle slowly gives the patient less pain, as a quick insertion might cause muscle spasm.What is your experience?

[deespoohbear]

I use the dart techinque also. I don't usually pinch the skin unless the pt is really thin, or frail. Then after aspirating, I inject the medicine. The rate of injection depends on the type of med I am giving. I always tell the pt when I am actually injecting, because most people don't like to be suprised. If someone is standing, and I am giving an IM injection, I have them turn their feet in towards each other and place their weight on the side I am not injecting. Helps draw their attention to something else. :eek: I have also been on the receiving end of injections, and I prefer the quick route.

[kaycee]

Have any of you while aspirating had a blood return with an IM injection?

I have given tons of IM's over the years(and I prefer the quick dart method also),and it actually happened once. I was so shocked, I pulled it out. It was a little old lady with not a lot of meat on her bones.

It's never happened again.

Anybody else?

[kids]

Kaycee-

Also have aspirated blood once, also on a tiny elderly person, I had a similar reacyion, something like oh crap! and pulled the needle out.

Used to work in a facility that had a policy of aspirating insulin, and got blood back a couple of times, then worked in a facility where the Medical director said not to aspitate insulin as blood return didn't mean it was in a vessel-claimed that most IDDM's had clusters of deep capilaries d/t repeated insulin injections.

Have never really figure out whats right when it comes to giving sub Q- every facility seems to change the rules on some stuff so much that you can't remeber the 'right way' to do things.

-nancy