med error.. - page 2

on the medex it said to administer pneumovax 0.5cc IM to deltoid. Not specifying WHICH deltoid it is. So I just gave it to one of the deltoids. My mom works at this SNF as a LPN too. I told her I... Read More

  1. by   sharona97
    Quote from SAHMU4IA
    .....AND FURTHER MORE.... :spin: the Dr's order should simply say "drug", 0.5 ml, one time only, IM. As long as it's IM,it's the nurse's and/or pt's choice as to which area.(butt or delt).
    Not all drugs can be given in Deltoid. If the insert reuirese a gluteal injection, I'll ask which side would you prefer. Quantity of drug also may dictate if the deltoid is inappropriate to use.
  2. by   SAHMU4IA
    but is that to be written in the Order? I thought it was our biz to know WHICH site.. Maybe it's just my Doc's thank dont specify.
  3. by   cholli
    Quote from Fiona59
    Most dialysis grafts I've worked with have been in the forearm, no where near the deltoid.
    I hope I am misreading your quote- even though the dialysis shunt is in the foream, we still treat it like a lifeline and NEVER do any injections, b/p etc on that arm.
    I'm sure you know that- just clarifying.
  4. by   sharona97
    Quote from SAHMU4IA
    but is that to be written in the Order? I thought it was our biz to know WHICH site.. Maybe it's just my Doc's thank dont specify.
    I believe 2cc is the max to gve in the deltoid for adults if the insert recommends deltoid. It's an individual thing, for instance I'd never give penicillian in the deltoid. Only the gluteal( or vastus laterus if I had too.
    The usual amount is 0.5 - 2ml in adults. In children 0.5 to0.1ml at the IM site. In adults, divided doses are rec for amounts>3ml.
    Anybody? Please correct me if I'm wrong..
  5. by   SAHMU4IA
    Quote from cholli
    I hope I am misreading your quote- even though the dialysis shunt is in the foream, we still treat it like a lifeline and NEVER do any injections, b/p etc on that arm.
    I'm sure you know that- just clarifying.
    I never do ANYTHING on an arm with a fistula.
  6. by   pedsnursebs
    Bless your heart! I understand your worries about this situation, but trust me...you're OK! As a pediatric nurse, I have given babies & small children many, many vaccinations. When I was being trained, I was told that certain vaccines are "always" administered to a specific side. (ex: Pediarix "always" goes into RT vastus lateralis) Then I found out it is just so sites can be monitored for reactions. As long as you document correctly what site you administer what med/vac to, you should be ok. After all, our muscles are the same bilaterally! Right deltoid is just as good as left deltoid! I think your mom is just going by habitual administraion techniques. Don't worry! You will run into many situations like this from more "experienced" nurses. Just take it in stride & be the best nurse you can be! :spin:

    Of course...I mean this in case of NO contraindication to administering to a certain side such as fistula placement, etc... I deal with babies/children after all!
    Last edit by pedsnursebs on Oct 19, '07

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