Published
Basically what I am asking is: Is the dorso-gluteal site a big no-no in the clinical setting? Is it being discouraged by agencies and ventral gluteal being encouraged? We want to teach our students what is actually being practiced and not the "in an ideal world" theory. I want to send out new nurses who are prepared to fit in with the health care team, not nurses who are stuck in the "but the book says so" mind set.
Thanks!
I generally give all IM injections of more than 1 cc in the dorsogluteal, and I see my co-workers do the same. I don't think I've ever used ventrogluteal, nor have I seen another nurse use that site. I will occasionally use vastus lateralis when I can't get to dorsgluteal, i.e. obese pts who can't roll over, hip Fx, etc. I do recall being told in school about controversy re: dorsogluteal but have not seen this in the real world.
I am a clinical instructor, and when we are on the postpartum floor, we frequently give Depo injections in the dorsogluteal. In fact, giving Depo in the deltoid is contraindicated in anyone 120 pounds or under. We do a lot of vastus lateralis IM injections with newborns in the nursery. I'm sure you're aware that the glut is definitely a no-no for young peds.
Nurse Bethie
28 Posts
We are having a bit of a debate at the school of nursing where I teach. We are having difficulty getting the students to properly landmark. Although a majority of the texts state that ventrogluteal is the preferred site, but we are wondering if you are using ventrogluteal exclusively in the clinical areas or is dorsogluteal an acceptable alternative. We as the instructors feel that dorsogluteal is a good site for new practitioner students who are nervous enough about an IM and need a littel larger "target" for their injections. Are we wrong? Is this a big no-no in the clinical area?
We would greatly appreciate any feedback, advise or literature/text resources to support one way or another.
Thank you!:)