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Discussion

IM injection

Can you do IM injection on the arm with matured fistula or graft? We're giving Hepatitis vaccine and it comes in 2 syringes. I always give both shots in one arm, non AVF arm but some senior nurses do give in arm with AVF. What do you do in your unit?

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    I've never given IM shots or shots of any kind on the side with the AVF/AVG. Isnt that what we also teach our patients?

    No needle sticks BPs etc on ur access arm.

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    I have never met a nephrologist who would allow this practice and they would certainly be speaking to your supervisor if they knew. Mention it to them the next time they round and see what happens.

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    I have never met a nephrologist who would allow this practice and they would certainly be speaking to your supervisor if they knew. Mention it to them the next time they round and see what happens.

    I knew a nephrologist that allowed us to do SC shots in access arm. Only epogen, not an IM, he was very senior, said that research shows it didn't matter.

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    Which reminds me of the old joke " What do they call the person who finishes last in medical school?"

    Doctor.

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