Would you give sub-dermal inj. with 25 gauge needle?

[waggykeeper]

Next week I am scheduled to do bunch of TB tests. As far as I have learned, since it is a sub-dermal injection, a 1/2 inch needle of 27-30 gauge should be used. I have done a few TB tests in the past with such equipment.

This time my employer has provided me with 1 inch needles of 25 gauge ( basically for IM injections) and said to go ahead and use those!

So my question is, have you ever used or heard of using 25 gauge needle for sub-dermal inj?

My rational mind is telling me that it is too big for such injection and the results could be altered, what do you think?

[JerseyLilly]

Hi check out the CDC's recommendations:http://www.cdc.gov/tb/education/Mantoux/part1.htm

[nursejoy1, ASN, RN]

we use 28 gauge 1/2 inch nad it should be intradermal not subdemal.

[Murse901, MSN, RN]

Don't do it. You need the right tools for the right job. Would you attempt to give an insulin injection with a tuberculin syringe? Would you attempt to give an IM injection with an insulin syringe?

Don't let your employer's attempt to cut corners and/or lack of basic clinical knowledge put you at risk. Also, was this clinical personnel or administrative personnel telling you to use these syringes?

[waggykeeper]

Thank you all for your replies.

Sorry, I meant intradermal.

I got the issue resolved. Had to make few phone calls and explain my concerns but at the end I got all the right equipment. Thanks again.

PS. Yes it was administrative personnel. Always trust your gut and what you have learned from the right source.