Quote from melissa_rn
Has anyone ever hit the humerus when giving an IM in the deltoid? If so, what do you do?
I've in working in a pediatric doctor's office for about 6 months now after 8 years of adult care. On several occasions I've hit the femur in younger children/infants, and occasionally have hit the humerus on a thin teenager.
My understanding is that they don't feel it, and none have reacted as if they experienced any additional pain (beyond being stuck with a needle, of course!
). What I was told by the nurses I trained with was just to pull the needle back out a little, aspirate, and then give the med.
To avoid this (for the most part), I've learned to inject a little slower (tough when you're injecting one-handed and holding a fighting child with the other hand), and as time has passed my judgement skills of "kid sizing" have improved.
None of the patients have suffered any harm, and I doubt they even knew the difference.
Hope this helps!