Kazed

Thank you.. hopefully no harm done

The physician I work for told me to give a 9 month old, 6 month vaccines as they were behind schedule due to being premature at birth (born at 33 weeks) I did as asked and gave pediacel and rotateq. The head nurse told be today I should not have given rotateq past 8 months. I was just following orders. I did question it, I asked "so give 6 month to the 9 month old?" Physician confirmed. Should I worry?

Thank you for the advice. I am nervous about the child's protection against the diseases he was being vaccinated against. I don't feel the nurse or doctor took it as seriously as I felt it was

I really wish she would have taken over. I did not have control. The dad did not have control. The poor kids arms are definitely going to be sore for awhile. I felt like a failure. Thank you for the advice

I totally agree. Deltoid after 12 months seems an unnecessary rule. I've also been instructed after 14 years old it always has to be 1" needle for IM. I had a frail old lady and really think 5/8" would have sufficed. I don't want to disagree when they are training me however it's not what my class taught me

I would much prefer giving the injection in the thigh. The 2 nurses training me keep telling me 'after 12 months, move to the deltoid' I have questioned it a few times as some toddlers are very thin and id prefer the thigh. That hold seems much better and I'll get the parents to that. I too feel we should have regrouped after the first one went so badly. I do need to improve my injection method. Im too slow I feel for pediatric patients. Thank you all for responding!

We had the father hold the arm not in use around his body and place his other arm around the in use arm. The child was tiny for his age but strong and squirming. I've done lots of 2 mth to 4 year olds and have never had it go so wrong. I agree.. parents should not be in charge of restraining however the practice I work at usually only has 1 person a day in charge of administering and it's impossible to give the injection and restrain at the same time. At least for me

So I work in a family practice, being trained on vaccines. Have done 100 so far, minimal issues. 18 month is in for his 12 month shots (delayed), first injection went bad... child flung free from fathers grip with needle still in arm, lost some vaccine, some mild bleeding. Wait and then go in for last 2 injections. Did subcutaneous first. Kid again jerked his arm, lost some vaccine and again bleeding. Nurse supervising told father he needs to get a better grip and advised me to just do last one. I tried but the kid kept squirming. Needle went in then slipped back out. Had to quickly do it again. Child's arm was red, Puffy, Slightly swollen at injection site. Advised parent to wait 20 minutes to check for reaction they declined. Explained the doctor should assess the injection site as it was a rough injection and it looked puffy. They declined. I told the doctor and noted in the chart. I feel like I never want to do pediatric injections again. The nurse said it happens sometimes but unless we get someone else to restrain the child I feel I cannot trust the parents to secure them.