Nursing students and new nurses.....about injection sites - page 6

I heard something today that just flabbergasted me......when I was in school back in the days of the horse and buggy, we had to name all IM injection sites and be able to demonstrate how to... Read More

  1. by   moongirl
    ADn program. taught all of the sites, had to practice finding them on each other, then had to choose appropriate needle and do a check off on a mannequin in front of the instructor. we also had a lab for 4 hours on insulin prep and admisntration and also intradermals
  2. by   jimthorp
    I had to learn all of the sites, appropriate needle size, landmarks, etc. I had two clinical instructors where I got do give a number of IM's. For greater than 1cc the ventrogluteal is my site of choice for adults but whenever possible I give IM's greater than 0.5cc in the VG site. I work in LTC/Rehab and have given quite a few IM's.
  3. by   RN mom of 2
    ID's were practiced on hot dogs, then on each other.
    When I first read this I couldn't stop laughing!
  4. by   skittlebear
    In my LPN program, we practiced on Oranges for 30 minutes and was instructed on how and where to give injection sites. It was pretty much up to us in clinicals to get any experience. I only gave about 8 SQ injections. No IM's, or Intradermal. I have still yet to experience giving a Intradermal injection. At the time, I wished we could have at least practiced on each other to get a feel for it before we got to experience it first hand with a patient.
  5. by   Late Bloomer
    I have just completed my first semester of ADN classes. We covered all of the IM injection sites and had to pass a checkoff. We did not practice on each other (I am glad to say, we practiced on maniquins and injection pads) and were told we did not really need to know the Z-track. It was covered in our book though. No one told me that the VG site was not recommened for use now. I gave my first two SQ injections to a patient at the end of the semester. No one in the class has reported being able to actually give an IM.

    Next semester starts, the first day, with IV technique. I do have a problem with the clinical setting though, it seems that most of our experiences are to be found on our own. My instructor tries to be sure we get experience with some things, but a lot of things we are expected to just ask nurses on the floor if we can do stuff. Assertiveness is highly prized. I find I am worried about doing something and then having the instructor say "where do you get off?!" doing xyz. The nurses are just too happy to have us do anything they are time pressed to do.
  6. by   jmeador
    The second semester of nursing school we had to give our trusty lab partners deltoid, glute, and SQ injections. We also started IVs, and drew blood.
    BUT because of sparse flu shots over the last 2 years our Drive-Thru Flu Shot Clinic had to be canceled.
  7. by   JosieLPN
    I graduated this past aug and we were responsible knowing and demonstrating all of the injections sites, what syringe and how many ml's each hold
  8. by   rgroyer1RNBSN
    In my nursing school I went to was a hospital school of nursing and we practiced all kinds of skills on each other. We learned no more then 1 ml can go into the Dl site and if you do have say like 2 then you put 1 ml into one arm then another 1 ml in the other arm. anything more then that needs to go into the VL, VG, DG. We learned all the sites from DG to VL. oh and dont ever put Rocephin in the deltoid use the butt for that.
  9. by   shoegirl28
    I am in semester three at the university I attend in the BSN program. So far I have given only 1 IM, and it was when we were in Long term care (year one).

    As far as teaching goes, we learned injections by practicing on oranges, and "injection sites" plastic that is now used to resemble something real.

    The practice of students injecting other students never happens period.
  10. by   sanctuary
    Quote from comportment
    I am in semester three at the university I attend in the BSN program. So far I have given only 1 IM, and it was when we were in Long term care (year one).

    As far as teaching goes, we learned injections by practicing on oranges, and "injection sites" plastic that is now used to resemble something real.

    The practice of students injecting other students never happens period.

    That is really too bad. Back in the days of yore, we swallowed ng tubes, took shots, sacrificed blood, etc. Instructors never let us perform on a patient until we had shown "perfect" technique. And no aritficial arm is as sensitive as a fellow student who can critique your work, in vivo. Practice, practice, practice. Ah, those were the days...
  11. by   newbiern2006
    Quote from AuntieRN
    TazziRN...We were taught you give very few IM injections anymore. We were also taught to give it in the deltoid or the vastuslateralis rather then the vastus gluteus.
    This is exactly what I was taught - and the reason for using the vastus lateralis instead of the gluteal site was the risk of hitting the sciatic nerve and causing the patient excrutiating, unnecessary pain that can last months. The risk is real, too - it happened to both me and my daughter.
  12. by   hfdguy
    Hi all.. I just graduated from an LPN program here in Connecticut. I can tell you my instructor tested, re-tested and re-re-tested all of us on injection sites.

    Maybe the nurse forgot and was trying to cover it up, but my first IM injection was in the glute... I didn't do any injections in the delt until I could tell my instructor 'alternate' sites for administration.

    Proud to be ... a GPN Step 1, change the S to a G.. Step 2, change that G to an L.
  13. by   nurseofalltrades
    We were definately taught the different sites and how much can be injected into each site IM. It has been pounded into our heads and we were taught easy ways to locate these..

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