Injection Technique--VENT!!
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OK, I don't know, maybe because it happend to my husband, I'm blowing things WAY out of wack. And we all know what emotions can do to our view of what happens. So! here's the background...
My husband woke up with sharp right-sided abd pain. I did my little assessment and told him to go to the doc. My head is screaming appendicitis, but I wouldn't tell him that. He didn't have rebound tenderness, but he did have pain on the right when I pushed on the left...you know...all that good stuff. So he went to the doc, and they sent him for an CT with oral and IV contrast.... poor guy said he felt like he was in the microwave when they pushed the dye
Anyhow, on the plus side, they decided that he didn't have appendicitis! WOOPIEE! The doc orders a Rocephin IM inj, leaves and sends the nurse in.
OK. My husband weighs about 120 pounds soaking wet and is 5'10! So, very little fat, VERY little-but cute-tush. I joked around with him about getting harpooned in the butt...boy did I feel dumb...he got harpooned in the butt!!! She used the longest needle I think she could find, and just shoved that needle into him so hard, I was waiting for the needle to come out the other side and start spraying Rocephin all over me. He didn't want to sit down in the car because he was hurting so much. :angryfire
OK, so...VERY thin guy, not much fat in the heiney department needs an IM inj. Heres what I would have done....5/8 inch needle, skip the v. glute. go for the d. glute. His inj site was...well..on the butt...but kinda in the middle (thank goodness she didn't hit the nerve!)
Do they not teach that needles are REALLY sharp and coated to slide in easily? You need some force....but jeez! She took the 1 hand approach (the other was kinda in that off to the side stabalize the aim pose) and just jammed it right in.
I usually hear "that wasn't TOO bad" when I do injs. So..am I over emotional, or was that nurse WAY to rough with the inj?
Thanks for letting me vent...
Jules