Published Sep 26, 2010
Mommy TeleRN, RN
649 Posts
I usually work nights and we don't do a lot of immunizations. I am doing some extra work though this year doing flu shots. A couple quick questions:
1) does it matter which arm? Is it better to do non-dominant since it may hurt a little afterwards?
2) do you massage the site after the injection?
Thanks!
doublehelix
165 Posts
Speaking as a pt, I would say your non dominant arm, everyone reacts differently, but I know sometimes my arm would swell up or it would hurt to raise it.
I'd be interested in hearing some other responces from nurses who do flu clinics!
dthfytr, ADN, LPN, RN, EMT-B, EMT-I
1,163 Posts
I've heard 2 theories. Putting it in the non-dominant arm will cause less pain because it's not used as much. OR; Putting it in the dominant arm will cause less pain because the more the muscle is used the faster it will be absorbed.
I take mine in the dominant arm.
evolvingrn, BSN, RN
1,035 Posts
don't massage the site after injection it could inadvertently cause underlying tissue damage
leslie :-D
11,191 Posts
i would ask pt, if they have preferance of arm.
no, do not massage.
leslie:)
azilliRN
43 Posts
I work in a Family Practice Clinic and I have been giving out the Flu shot to practically whoever walks in the door. As a way of giving the patient some control over their healthcare, I always ask the pt which arm they prefer to have the injection. For the most part my pt's like having it in their left arm. I for one am right handed and I like getting it in left arm - less pain I suppose
LoveMyBugs, BSN, CNA, RN
1,316 Posts
I am working in for a flu shot clinic and I usually just ask the pt what arm they would prefer it in. If it is a woman if she has had a mastecomy then in the opposite arm
Make sure to remind them to relax the muscle the needle goes in easier
SwimRN10
30 Posts
Its always better to just ask the patient which arm them want the injection in and to lightly massage after...helps with the stinging
RedhairedNurse, BSN, RN
1,060 Posts
I take mine in dominant arm, soreness goes away quicker IMO.
grantw9066
4 Posts
1. I prefer to recieve my injections in the dominant arm, but I believe you should ask the patient for their preference.
2. An interesting trick I have used is applying pressure to the site of the injection approx ten seconds before injection. It reportedly fatigues the nerve receptors in the skin and causes less pain during needle insertion.
Good Luck!
classicdame, MSN, EdD
7,255 Posts
we have a drive by clinic annually at our hospital (drive by shooting is my term) and last year I personally gave 200 injections to whichever arm the pt requested, no massage.
PedsAtHeart, LPN
375 Posts
I always ask the patient, most come in with their sleeve already rolled up!
I personally prefer mine in my dominant arm.
I massage, gently, for just a quick moment. Nothing hard or vigorous.