Nurses Helping Nurses
allnurses Network: Central | Jobs | Books | Newsletter
allnurses: A Nursing Community for Nurses
Home General News Blogs Articles Students Region Specialty Degrees F.A.Q.
Nursing Issues On Patient Safety /

Intramuscular Injection Sites?



Did You Know?
allnurses is the largest community for nurses on the web. We now have over 388,527 members! Join today to network with other nurses, laugh, share, and much more.
Page 1 of 6 1 23456 >

May 22, 2003 02:57 PM

Intramuscular Injection Sites?


We are having a bit of a debate at the school of nursing where I teach. We are having difficulty getting the students to properly landmark. Although a majority of the texts state that ventrogluteal is the preferred site, but we are wondering if you are using ventrogluteal exclusively in the clinical areas or is dorsogluteal an acceptable alternative. We as the instructors feel that dorsogluteal is a good site for new practitioner students who are nervous enough about an IM and need a littel larger "target" for their injections. Are we wrong? Is this a big no-no in the clinical area?
We would greatly appreciate any feedback, advise or literature/text resources to support one way or another.
Thank you!


Share

Search Tags
None
Top

 
Advertisement
Sponsored Links
 
Page 1 of 6 1 23456 >
Reply
59 Comments
No. 1
from gwenith
Old May 23, 2003, 02:16 AM

Can't answer without getting out the books. Can you get a little less technical with your question? Sorry being brain dead here.
Top
 
No. 2
Old May 23, 2003, 07:27 AM

Basically what I am asking is: Is the dorso-gluteal site a big no-no in the clinical setting? Is it being discouraged by agencies and ventral gluteal being encouraged? We want to teach our students what is actually being practiced and not the "in an ideal world" theory. I want to send out new nurses who are prepared to fit in with the health care team, not nurses who are stuck in the "but the book says so" mind set.
Thanks!
Top
 
No. 3
from neneRN
Old May 23, 2003, 10:21 PM

I generally give all IM injections of more than 1 cc in the dorsogluteal, and I see my co-workers do the same. I don't think I've ever used ventrogluteal, nor have I seen another nurse use that site. I will occasionally use vastus lateralis when I can't get to dorsgluteal, i.e. obese pts who can't roll over, hip Fx, etc. I do recall being told in school about controversy re: dorsogluteal but have not seen this in the real world.
Top
 
No. 4
from celestlyn
Old May 24, 2003, 02:47 AM

Default IM Sites
I use dorsogluteal most of the time. Will occassionally use vastus lateralis, also, but people say it hurts more.
Top
 
No. 5
from teeituptom
Old May 24, 2003, 09:00 AM

Nowadays in the ER we IV everyone and administer everything IV. With the except of Tetanus shots its rare we ever give anything IM anymore
Top
 
No. 6
from VickyRN
Old Jun 10, 2003, 08:17 PM
Updated Jun 11, 2003 at 06:06 PM by VickyRN

I am a clinical instructor, and when we are on the postpartum floor, we frequently give Depo injections in the dorsogluteal. In fact, giving Depo in the deltoid is contraindicated in anyone 120 pounds or under. We do a lot of vastus lateralis IM injections with newborns in the nursery. I'm sure you're aware that the glut is definitely a no-no for young peds.
Top
 
No. 7
from Noney
Old Jun 11, 2003, 02:42 AM

I always use the ventrogluteal unless contraindicated.
9 times out of 10 the pt thanks me and says " You're right it does't hurt as much when you give it there!"

I think students should use the site because if you learn it earlir it'll stick.
Top
 
No. 8
from Murt
Old Jun 11, 2003, 03:37 AM

As far as i can see the only im being given these days is the 10 day vit b1 (neurobion) given to alcoholics who are sobering up.
I never came acrss it inthe hopitals.
Top
 
No. 9
from KRVRN
Old Jun 11, 2003, 12:26 PM

Dorsogluteal is the butt cheek and ventrogluteal is the hip area right???
Top
 
Page 1 of 6 1 23456 >
Reply




Thread Tools


Who's Online
415 members
3,638 guests
4,053

0

Patient Evaluation of Retail Clinic Care

0

The hard to reach on-call doctor, and its effects on...

3

Woman charged with passing off prescription drug as...

8

Man in "Vegetative State" was conscious for 23...

2

Interesting article on ThedaCare's Collaborative Care Model

7

Possible breakthrough regarding MS

63

16th Philly area hospital to stop delivering babies: Mercy...

10

Really interesting article on Indian open hearts

10

High-Tech Pump Does What Her Heart Can't

6

Air Force RN Found Not Guilty



1

Society Needs Care Too

12

Why am I doing this, anyway?

2

Nurse Heal Thyself

9

My Papa, why I am the nurse I am today.

17

I made it through

11

An angel's gaze

16

A Sister Never Forgets

16

Ruby's Marbles

37

What Do Operating Room Nurses Do?

14

My Little Old Jedi

20

I love this job......

23

"I hear voices"

19

Preventing FRUTI (Foley Related Urinary Tract Infection) in...

24

Error and Attitude

10

It's Just a Shower





Sponsored Links

Currently Reading This Page: 2 (0 members & 2 guests)

Interested in the hottest topics of the week? Subscribe to the Nurse-zine Newsletter.
Enter email address: