massage after IM injection?

  1. So I'm reading various reference books, and it's telling me different things about what to do after an IM injection. One book says to discard the needle into a red bin right away while another says to massage the injection site first. I would choose to discard the needle first. So what is the better way?
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    About mt_nurse

    Joined: Jul '07; Posts: 126; Likes: 6
    USAF RN; from US
    Specialty: Med/Surg

    12 Comments

  3. by   Jaguar Boy
    We are being taught not to massage. The rationale is that massage may cause minor tissue damage and would be of particular concern with any anticoagulant injection.
  4. by   PedsAtHeart
    I find nothing wrong with massage unless contraindicated for the type of medication you are injecting.
    I usually massage the kids' legs after I give them their vaccine. Not hard or vigorous, just a gentle run for a few seconds. I do the same with other IM injections I give.
    As for the needle thing, I use safety needles 99% of the time so its not that big of a concern. Even if I dont, it doesnt take that long, i usually give the injection, stick the band ade on, give it a little rub then turn around and put my sharp into the sharps container.
  5. by   pagandeva2000
    I have massaged the arm after giving Anthrax, but that is per instructions. Otherwise, I had not.
  6. by   PedsAtHeart
    I dont think its something you have to do, just a bit of a comfort measure for some patients. I have some that request that I do it.
    Anthrax huh? Never gave that one... is it painful?
  7. by   Multicollinearity
    I thought we weren't supposed to massage after IM injections? I received an IM immunization recently and the MA started rubbing my deltoid. When she started rubbing vigorously my head about spun around, I was so surprised.
  8. by   PedsAtHeart
    i dont know of any reason to rub vigourasly... and i dont know if that had anything to do with your head spinning either.
    as far as i know it is not contraindicated except with certain meds.
  9. by   Multicollinearity
    smanion,

    I meant I was so surprised at the vigorous rubbing, my head spun around to see what the MA was doing.
  10. by   PedsAtHeart
    well i wouldnt rub vigorously like that! haha
  11. by   pagandeva2000
    Quote from smanion
    I dont think its something you have to do, just a bit of a comfort measure for some patients. I have some that request that I do it.
    Anthrax huh? Never gave that one... is it painful?
    Extremely. I work as a vaccination nurse per diem for the US Army, and we administer some of those 'exotic' shots like Anthrax, Yellow Fever, Rabies, Smallpox, etc... I have seen people's veins and arms swell immediately after administration. Is a common side effect, amongest others.
  12. by   PedsAtHeart
    wow that sounds way cool. not the side effect part, but i defiantely have a huge interest in immunizations!
  13. by   boggle
    My texts have conflicting instructions about massage as well. One, (Taylor) has a pretty good rationale for NOT massaging though, that massaging can force the medication into subcutaneous tissue.
  14. by   PedsAtHeart
    Maybe if you do it hard, but I dont see a gentle massage doing that. An IM injection should be deep enough into the muscle anyway that none can seep into to SQ layer.

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