Originally posted by kewlnurse
I read that info on the sites you provided, and maybe i missed it but where does it say why you give it in tha abdomen? I emailed them and asked for some clinical evidence as to why that site was chosen. And as far not giving it in the abdomen to someone who refused, you would rather not give it than give it in the arm? Would you really call the doc? Every attending I know would rip you a new one for wasting his/her time and then tell you to give it in the sq site of their choice. Very interesting.
That's funny...because I had the VERY same thing happen just last year...and guess what happened??? The pt started taking the injections in the ABD from everyone....and then...starting giving them to himself the same way...
...beside because the manufacturer instructs to give it in the abd....please see the first link...gives you a step by step instrucition...second one gives you the same....and is from the drug company that makes Lovenox.
Plus if I ever end up in court for something...I want to know I was within hospital policy, and I was following the policies in everything I did. This is my way...my license..
Ok...here is my rational for not giving it in the arm. Where is a pt...even one lying in bed...most likely to get hit or bumped at...arm...abd?? Ok...lets say you gave Inj in the arm...and CNA comes behind you...and does a BP with a nurse on a stick??? Did you ever have one of those things squeeze you soo hard you wanted to snatch it off?? Do you get my rational now???
kids-r-fun - Also...(in rehab) we almost never gave insulin an the abd, we used the sites that the patient has trouble reaching when giving it to them selves at home...backs of arms, lateral thighs and the 'love handles'.
I totally agree with Insulin the above...but I also have had pts state that having it in the abd...is much less painful to them. So with Insulin I go where ever the pt wishes...as long as we are rotating the sites. But in the case of insulin.....abd is not the preferred or only place to give it as per manufacturers direction.