Aspirate on Rhogam IM?

[Bortaz]

I was given conflicting information from my clinical instructor and my (RN) wife today, and I come to you, AN, for confirmation.

When giving a Postpartum woman an injection of Rhogham (IM in deltoid), should you or should you not aspirate for blood return? What is the justification for whichever you feel it is?

Thanks, nursing pals!

EDIT: Now that I think of it, perhaps I should have posted this in the OB forum...oh well.

[jeepgirl, LPN, NP]

you give it in the ventrogluteal or dorsogluteal but never the deltoid - and you always aspirate!

[jeepgirl, LPN, NP]

Well, there's always a risk of sciatic injury with ANY GM inj if one doesn't know thier landmarks and fails to do it properly,; you wouldn't give Iron or Vistaril in the deltoid 2/2 its highly irritating properties,-- some solutions require a big muscle-

and I must disagree with that nonsense the CDC stating aspirating for placement is not beneficial, pure hogwash, I really don't think keeping a needle in for an additional second can cause more harm than inadvertently injecting into a vein would JMTC

i had an improperly given ventrogluteal injection last january in a physicians office - i won't let anyone in that office ever touch me there again. i wasn't paying attention has i have had tons of ventrogluteal injections before... if i had, i would have said something...

i hurt for a ******* week when i walked.

after that, i insisted on getting it dorsogluteal there (had to be given in a large muscle). i was fine after that...

i have never, ever had a painful injection like i had that ventrogluteal injection. they aren't "foolproof" like i had a preceptor try to tell nursing students once. that is a lie. people need to learn their landmarks.