Intramuscular Injection Update Training ??

[david1969]

Does such a training exist in the UK.........This may sound strange but I've been giving depots for years exactly as I was shown how about 12 years ago i.e. upper outer quadrant........

I was asked to give a patient an injection in his shoulder recently and had to refuse because I had never done it and was embarrassed by this, after all I should have known really.

I have never been shown how to z-track by someone who had formal training - I would like to have training on giving depots in the deltoid, thigh etc but I cannot seem to find any formal training anywhere - does anybody out there have any ideas.

Its one of those areas that no one seems to know much about.

[wannabeE.R.RN]

Maybe not what you are looking for but....

http://www.rcn.org.uk/publications/pdf/injection-technique.pdf

[Silverdragon102, BSN]

must say when I trained, many many moons ago, I didn't have formal training but a 30 min lecture, an orange and majority done with the staff on the wards. I am sure if you can not find anything to help that there will be a few online sites which should help.

This site has some good diagrams showing sites to use http://www.clinimmsoc.org/teaching/downloads/subcutaneous_injections.pdf

Also welcome to the site

[ayla2004, ASN, RN]

still pre-reg but im sites instruted on where deltoid upper outer and thigh

though most wards use upper outer

[RGN1]

must say when I trained, many many moons ago, I didn't have formal training but a 30 min lecture, an orange and majority done with the staff on the wards.

Yup - pretty much the same training I had!!!

OP - you could identify it as a training need on your appraisal & see if you can have a chat with a uni link lecturer - if you have students in your hospital then they must have one. I can guarantee that if you are not sure about these techniques then there are bound to be other staff, not as honest as you, who don't know too!

[cariad]

we were trained with the orange and then let loose on patients. only ever taught to use the thigh, then lo and behold, new guidlines were introduced and we had update training on the ward where i worked. that was about 2003, and shown where to give im injections into the appropriate muscles in the arm and thigh.

[Interested Party]

Some years ago, I did a research paper for my graduate diploma - comparison between z-track and air - bubble technique. Not many research were done prior to 1999 but some contained drawings of the techniques. I did a simple survey of about 35 psychiatric nurses asking which technique they preferred and why. Eversince then, I have been using z-track for depot IM injections in upper outer quadrant and in the deltoids. It has been some years now but if I come across my research paper, I'll let you know the references.

[AZ hopeful]

We have been form filling lately for marsden clinical guidelines- had to write when we were last trained in all areas- even TPR BP