Do you aspirate before giving an IM deltoid injection? - page 3

by seasalt1023

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I am hoping someone can clear up this issue for me! I am finishing up my last semester in an ADN program. Graduation is December 16th! :) In school we are taught when giving IM injections to aspirate first to check for blood... Read More


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    Quote from seasalt1023
    I am hoping someone can clear up this issue for me! I am finishing up my last semester in an ADN program. Graduation is December 16th! In school we are taught when giving IM injections to aspirate first to check for blood return. If it is clear you give the injection. Is this true when giving an IM injection in the deltoid? I am feeling confused about this because I did a free flu vaccination clinic and the RN (who is also the school's LPN instructor) told us that when giving an injection in the deltoid there is no need to aspirate. The other day I was giving an IM injection and my preceptor told me you always aspirate with any IM injection, but she couldn't find a hospital policy on this. So which way is the correct procedure?
    I appreciate any reply on this matter!
    If you read the sheet that comes with the flu vaccine it says not to aspirate, I know that is what we are taught in school, but according to the CDC and the vaccine manufactures its not what they want us doing. So do what you prefer. They are many things that are taught in school and many things that are done differently, its up to you to decide what you feel is necessary for you to do for you to feel safe!
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    I am with those who say that EBP and ACIP do not recommend aspiration as you described it.

    However, while in school, *unless* it is a matter of pt safety, which this is not, *always* go with what the instructor who will be grading you says.

    DC
    WeepingAngel, PinkNBlue, and kaliRN like this.
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    With the current standards addressing the areas appropriate for an IM injection, I am told by nursing instructors that I have worked with that you no longer need to do this. However, being old school, it is a habit.
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    i know it is always safer to aspirate before giving any IM to note whether you have hit a blood vessel so as to avoid gangrene resulting from wrong route of administration.
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    I was taught in school to aspirate. But sometimes circumstances make it less than ideal. When medicating an agitated, adrenaline fueled psych patient who's being restrained by a half dozen staff, you need to consider the safety of the patient and staff.
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    When I was in school we were told to always aspirate, I even witnesses a fellow classmate aspirate blood. She of course, pulled the syringe out and tried again with a new syringe. The only time we were told to not aspirate was with one shot needles, since they lock up after pushed.
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    I agree with above. Research based practice will be changing many "Obvious truths" in nursing's future. No more egg white or milk on decubitus ulcers. LOL
    TheSquire likes this.
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    I always aspirate because that is what was protocol in the office I worked--twice in a years time I aspirated blood. Once was with an extremely skinny 12 yr old and the other with an obese teen. No rhyme or reason but I have given hundreds of vaccines and had it happen twice. Both were deltoid.
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    I don't aspirate when giving vaccines, but I do with other drugs.
    Otessa likes this.
  10. 0
    Very Interesting thread. I have a question to add... what about an Air lock?


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