afraid I hurt Pt w/injection

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Hey, I just posted this on student forum. Thought I'd post here b/c you guys may be able to help me more.

Hi, I am a nursing student. A few weeks ago, I gave Rho gam IM. I believe it came in a prefilled syringe, where you attach the dose into the syringe. Now, I inserted the needle, I aspirated...no blood. So, I injected it. As I was injecting the vaccine, blood came up into the syringe.

I have given I'd say about 10 IM injections. I have been thinking about this. Is it the syringe? Anyone familiar w/it? I aspirated, but there was no blood return. I aspirated sufficiently enough to get a blood return. Why would blood come up into the syringe as I am injecting the medication?

Another thing I was thinking about. Was there air in the syringe, could something like that have happened and me not know it???? Even so, I still aspirated, and blood would return if I had hit a vein.

Please help. I am scared I harmed a pregnant woman. Please tell me what you know.

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Specializes in OB.
for my last semester in nursing school when we starting precepting (with an RN) we just checked off meds with the nurse between patients before walking in the room and went at it. I gave IM's many times while in nursing school... not many but a couple of them (towards the end) unsupervised.

I was just saying that in my facility, we have been told by the instructors that the students are to be supervised while administering injections... chilloutrelax never specified if this is a requirement for her or also what semester she is in. And as a nurse, I would want to know if the student I am working with is doing everything correctly. Especially if I am legally responsible for that patient.

I made a big mistake. I didn't tell an instructor, because an instructor wasn't present. I was the only student at the health dept. I did not have a nurse w/me. It was busy, I had confidence I could do it alone.

It didn't happen a few weeks ago, it happened yesterday. I won't see her again until tomorrow. I'm scared I will get kicked out of school if I tell the truth. I truely believe they will find a way to flunk me out if I tell. I will be in serious trouble for not having a nurse w/me while giving it, and I think they will kick me out for that.

I was also thinking the incident happened a few weeks ago because that is what you stated in your original post... maybe you were just scared and you typed the wrong thing? chilloutrelax, I didn't mean to scare you more... I'm sure if you're just honest and tell the truth, you will not be in serious trouble or get kicked out of school.

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