IM questions

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Hi everyone,

I am an RN and I am just starting a new job in community mental health, where we give many IM injections. In my previous job, I did not give IM's, and I only gave a couple back in school.

Can someone answer a couple questions?

1) Do you have to Z-track in the deltoid - why or why not?

2) Air bubbles - do you need to do this?

3) Upper quadrant versus VG site - I was taught in school to use VG to avoid the sciatic nerve, but everyone at work uses upper, outer quadrant, and that is what the patients expect and want. Is this safe?

Thank you for your help!!

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