Nursing students and new nurses.....about injection sites - page 7

I heard something today that just flabbergasted me......when I was in school back in the days of the horse and buggy, we had to name all IM injection sites and be able to demonstrate how to... Read More

  1. by   MissBeehaves
    We also learned all the sites, but if you check the newest clinical skills manuals, the gluteal site is no longer recommended for IMs and isn't even shown. At my school, they did teach us how and where to do it, but said to go to the vastus lateralus instead because it was safer.
  2. by   withasmilelpn
    My first IM (and first injection) was given to a tiny lady in my ambulatory care rotation in clinicals. I was absolutely petrified. Because she was tiny of course my instructor felt it would need to be given in 2 injections in the vg s. And since she was fearful of needles (and most likely the student as well) my instructor was gracious enough to invite her husband to stay and watch. I could have killed her! My hands shook and when I gave it to her she bled like a pig, which absolutely horrified me. ( I know, I shouldv'e known right needle pierces skin- may bleed, but the dummies never did) I froze while the husband anxiously asked are you ok honey repetively. Then I had to go through this again on her left, realizing I had never practiced on this side of our dummies and was very awkward and hesitant finding my placement. The whole experience was truly awful. Even though my techniques were fine I got a lecture about remaining professional and that I needed to get used to having family members present. Years later this is so funny, but I still think my instructor could've realized a student might get a touch of stage fright for their first time. Let me tell you every inj after that was a breeze though!
  3. by   jjjoy
    Citing how to find the location for an injection and actually finding it on a variety of different shapes and sizes (as opposed to the dummy or young healthy lab partner) and injecting into a real person are very different things.

    I often felt chastised for "not knowing" things as a student or a newbie because I'd ask "is this right?" I "knew" it but since I didn't have the experience, I wanted confirmation before actually doing something undoable to someone.
  4. by   Cmariehart
    I am scared to death of giving an IM injection. I'm an LPN and I've given 5 of them so far, each time I had a supervisior or experienced RN with me... I HATE needles, afraid to death of them!!!!!!!! When I look at the IM needle I get very pale and I get light headed and feel like I'm going to pass out!!!!!!

    I can give an insulin shot without flinching now!!!!!!!!! so maybe someday I will get over the fear.....

    But I also have a problem finding the sites--- I think it's the scared thing though......
  5. by   Roy Fokker

    Not only were we taught the sites, but we were advised on a list of "prefered sites" in adults. We were also taught about "safe sites" for infants/kids.

    The explanation provided was that IMs carry inherent risk of hitting nerves or big blood vessels (hence why you aspirate).

    We were tested on prefered needle gauge and length.

    Finally we were tested on injection method.

    This whole process was repeated for SQ and ID as well.

    Last edit by Roy Fokker on Apr 8, '07
  6. by   lpnstudent40
    I am in my last semester of lpn school. We have had plenty of opportunities to give injections. My fundamentals instructor always stressed to give IM injections in the ventrogluteal. I have given lots of subq injections-Lovenox, Epogen and lots of insulin. At clinicals it seems like everyone gets an Accucheck!
  7. by   pagandeva2000
    I also want to share that I went to an LPN school that did a poor teaching job with pharmacology, as well as nutrition. In fact, by the time I graduated, I was so poor in pharm that I had to take a one day seminar in order to prepare for NCLEX, only to still see drugs I had never heard of. I passed NCLEX-PN, thank goodness, but to date, I am embarassed about how little I knew and still know. I keep a drug book in tow at all times, and I know nothing about the common dosages. It is a shame and sin. Most days, now, nursing school teaches you to pass NCLEX, but does not give you the clinical skills that are necessary to be successful as a nurse. And, because older nurses received a better education, they are very impatient with us, thinking that we had been afforded the same level and intensity of education.
  8. by   lector
    as a nursing stud..that was like my 2nd year, we were taught to find all the landmarks of the sites and we did a return demonstration in front of a clinical instructor and of course with a student partner....we did all the injections.Its actually a requirement for us so that we would be able to enrol for the next sem and be able to do the capping and badging which here in the Phil. signifies a studnt to be in the clinical rotation in the 3rd-4rth year.That was tough hahaha.Intradermal was the one rated by me as the most painful..buit here in the Univ. that im in we are not actually taught how to do IV Insertion...we can just always do the assist your doctor or med intern and just observe.
  9. by   SN bbgrl
    I dont feel too left out then - i just finished 1st semester and the only injections i have given were 2 SC Lovenox. But i was so nervous trying to dothe procedure correctly, i totally forgot about leaving the needle in for 10 seconds!!! But i will defiinitiley remember for next time.
  10. by   caliotter3
    I do not remember much about this subject being taught in my program. Like most things in my nrsg school it was glossed over. I only remember having to do one injection during clinical, and that was only b/c my pt for the day needed one. I do however, remember, very distinctly, that my clinical instructor told me to steal needles and syringes to practice giving injections at home. She said that was what she did when she was in nrsg school. She acted as if I was stupid b/c I didn't figure out that I should steal the stuff myself. All I can say is I was not about to follow her instructions. Looking back on it, I should have reported her to the dean. But she probably would have denied telling me that. There was a lot of things that I had to look up in skills manuals or ask my co-workers about when I got on the job, b/c my clinical classes missed the boat as far as I am concerned. I have never felt that I got my money's worth from my tuition, even taking everything into consideration. Most of what I've learned has been learned on the job.
  11. by   NursingAgainstdaOdds
    I did many injections in clinical, both IM and SubQ. We had to be prepared to demonstrate finding the appropriate landmarks for any site when giving an IM injection.
  12. by   heymansgirl
    We also learned the IM injection sites, but we have only used the deltoid in clinical, and we were also told not to use the ventrogluteal site.
  13. by   SN bbgrl
    Really? You were instructed not to use the VG site? We were encouraged to use that site, and in fact, our book and our instructor told us that is the preferred im site - (the dorsogluteal however, is a different story because of the possibility of striking the sciatic nerve). We were shown all the sites and landmarks for IM, and SC. Also, from my understanding you should not use the deltoid site for injections containing > 1 mL. Well, im glad i can remember all this when im typing - i hope i remember in clinicals too!!! :smackingf