NurseBoy1983

In my country there's still no introduction of that technique. We only use dorsogluteal. anyone can help?

I really don't think the technique is wrong... I locate the spot with 3 references: iliac bone, grand trochanter and the mark that assinalates de division of the gluteal region. I give in the most external part...checked with the literature photos. Perhaps it has to do with missing soft spots? Maybe pinching instead of spreading could resolve?

Hi. This week i've given dorsogluteal injection to a patient. I select correctly the upper/exterior area of the muscle, formed a C with my left hand, spread the skin a little with the thumb (down) and index (up) and darted the needle quickly in the center of the "C". The patient was relaxed. Right after the needle insertion and starting the medication the patient said that it was hurting a lot, like sharp or burning sensation. And with this medication (tiocolquicoside) it usually doesn't happen. The next day it occured again. What did wrong? did i hit any nerve? If so how can i prevent it from happening again? Please help. Thank you very much

Anyone?

Anyone has more opinions? Does stretching the local skin helps?

Yes i too think it could lead to infection. doesnt anyone have other tips so it doesnt hurt toomuch?

Hi. I'm in need of your help and experience. I am a recent nurse and i'm having difficulties in selecting the best method to give an IM gluteal injection. Most of all my work collegues do this technique: they separate the needle from the siryngue and with the back of the hand they tap around 3 times de injection site; then in a quick movement they round the hand and dart with the needle. It seems the way the patient almost feels nothing but everytime i try to do it i cant have the sincronicity to tap-tap-tap-dart. and a pair of times the needle didn't stand perfectly in 90 degrees... When i search for this technique i don't see any text suporting this. Is this a common technique? Is it correct in terms of assepsia? this patients are used to the "beating" before darting. I personally think it would be easier for me if i do with the syringue and needle in one, without "beating" and rounding the hand . Can you help me? Any of you know of any technique that reduces the pain? Usualy this patients ask for a standing position. Should i pinch, separate the skin? Is there a technique with wrist so i can dart more quickly? Please i need your help. Thank you very, very much.