So even though my nurse assured me that I did it in the correct location and I talked to another trusted nurse who said I was fine, I just wanted everyone's opinions. I am a senior in a BSN program in my practicum in OB and today I gave my first Rhogam injection NOT in the deltoid. In the clinic, I did one in the deltoid and this is the first one I gave in the gluteal muscle. In my BSN program, we were taught to give gluteal injections in the ventrogluteal area (trochanter as a landmark, anterior superior iliac crest, blah blah....). I "confirmed" with my nurse that I give it in the "hip" when she told me to give it and she said "well, you give it in the upper outer quadrant of the buttock". I wasn't about to start controversy or anything so I went with it and she said "also, I never really aspirate injections" and so I was like, okay, if this is the guidance she is giving me, then I will go with it. She watched me earlier aspirate on a vaccination and the shot took a little longer than I think she would have liked, so this is why she said this.
Either way, I went into the patient's room (in postpartum unit), my nurse came in with me, I gave the injection in the upper outer quadrant, as she said, and I did not aspirate, as she said. The patient did not jump or even move during the injection, so I assumed all was well and okay, did not see much, if any blood when I pulled the needle out.
A while later (after being in and out of her room several times), we go back into the room to check on her, she is walking around the room, no problem and she says "by the way, I have this sharp pain on my left hip" (same side as the injection). My nurse double checked the site with me (and confirmed I put it in the correct spot, according to where I placed the bandage) asked her to describe the pain and she said it was "sharp pain", she felt like it might have been in her bone (I did not hit her bone, I am sure of it) she rated it an 8-9/10. We asked her to walk and she walked just fine and was even walking around the room when we came in.
My paranoia is that I did not give it in the correct location and have caused her sciatic damage or because I did not aspirate, I got it in her vein and this pain she is feeling is a function of hitting her vein. She requested pain relief for it, so we gave her oxycodone for it (because of the outrageous number). Later, we went back in, my nurse said "how is your hip?" and she said "it's fine, better".
Anybody have any suggestions or can anyone else further put my mind at ease about this situation? I feel as though I may not be able to sleep tonight very well because I am so worried about it. I am afraid I have done some damage and will be in trouble for it, and I have 8 hours of practicum left before I am offcially graduted. Help, please!! I really appreciate it.