You did well! If I can make a suggestion. When you turn your back on your aseptic field, you should consider it contaminated, since you wouldn't have seen if something compromised the site. But great job!
For a first IM injection I'm surprised you chose ventrogluteal! Really confident in the actual technique. My only comment would be that aspirating is technically no longer necessary (at least according to the University of Toronto standards) in this location because of the minimal risk, and no longer used in peds at all. But on the whole, I have seen seasoned nurses do a worse job!
Haters, haters, haters. Anybody with anything negative to say somehow can't bring themselves to the minimal level of maturity and find a way to convey it as constructive criticism.
Dude is a nursing student. STUDENT. Bunch of jackasses. I'm sorry if you think this guy did something horribly wrong; he didn't. He actually did a very good job and with his gestures and hand motions appeared rather confident considering he was being filmed, during a checkoff, with an instructor questioning him!
Every fall there is a new batch of know-it-all nursing students who get off on judging others. I didn't -have- to be video taped. I voluntarily asked to be filmed to increase the pressure of the checkoff. Let me welcome all of you to post the very first injection YOU did on a live person and then I'll take you seriously. (But that has never happens because your all too chicken to actually challenge yourselves. For shame.) Thanks again to the others for defending me!
@durakone I have a few questions for u bro. Say you don't use the z track method for dorsogluteal and for quad injections that are IM is that bad? I know it's to prevent medication from leaking but say you don't use it and the medication might have leaked (no way to tell personally) then how much does this affect absorption? It will still get absorbed am I right? Assuming the quantity of the medication is like 1.25cc's
And any landmarks for the layperson self-administering? Little nervous lol.
well, i don't have a problem about this video...they are still students and they are prone for imperfections.we either aren't perfect! but it's nice to knw that several concerned professionals commented and made some opinions. that's what we ought to do. A piece of advice: students make sure u practice and perform the procedures correctly before posting it here... because you know~ human beings are fault finders and any videos posted here were subjects for critics to some~ but congrats 4 trying
So many errors. Im in nursing school right now and tomorrow im doing that checkoff so now I know what NOT to do and thankfully I never had that instructor. Doesn't even know what's going on with z-track
It's called an air lock, that's what the air bubble is for in a Z track method injection. And that instructor, good God Almighty. She questions about the air bubble, then says, "Well just go ahead anyway". Awesome teaching. What nursing school are you guys from, and where do plan on working so I know never to go there...
@ MichiganYankee1980 some new nursing students are being instructed to leave an air bubble at the bevel end of heparin and lovenox injections and to leave the needle in the skin for 30 sec to lock the med in...guess it depends on where you practice?
I've been in the medical field for over 10 yrs. We've NEVER put a bubble in the syringe! How old is that lady asking?! Poor guy was so nervous! But he did good :)
Honestly, I have to wonder how many of these people making negative comments are in the medical field. I could tell when the clip began you already had the site marked with your finger, you cleansed the area well (OMG you didnt do a perfect circle from the inside out - you should just quit the profession!) You held the z-track and your injection technique was very good. I can't stand to see nurses slide the needle in slowly - pains ME to just watch it happen. Well done.
I think that the person videoing was referring to an old technique that some health professionals used (called the air bubble technique - popular in the US) where they would purposely put an air bubble in the syringe when carrying out IM injections which was suppose to seal the medication in after injecting, much like the Z track technique......
and LOL @ "that makes me feel confident" and "im not crying the air is really dry in here" XD
@25det - Yeah, I've seen it used before, I've been taught on the job that it is necessary when doing certain medications such as depo-shots for birth control, where dosing lasts for three months and it ensures all the medication gets out of the syringe and helps prevent it from leaking back out. Current guidelines don't recommend the air bubble through, as long as you get a good z-track you ought to be fine.
@25det - Yes, it's called an air lock. It's done by withdrawing .2 mL of air into the syringe after withdrawing the medication. Current NCLEX guidelines say that air-lock technique is fine, and a Z track injection can only be given into the dorsal gluteal. Certain medication such as Iron dextran can irritate or stain the subcutaneous tissue, and can be given this way.
I'm pretty sure air bubbles should not be present lol how are you going to bring it up and not instruct them properly....also Z track technique should be used on the ventrogluteal IM to protect the sciatic nerve from damage.
@jeanag17 - Using the Z track has nothing to do with protecting the sciatic nerve, Z-track is simply used to seal the injection into the muscular tissue and prevent it from leaking up into the subcutaneous tissue via the injection canal.
@jeanag17 I have helped to teach psychomotor skills labs in Huge top of the line universities where they have the propper body dummies to practice injections and cannulations but not all institutions have that kind of money and equipment. I have also worked in hospital colleges where the students get to practice thier first time on the hospital patients but also in community colleges where they practice on each other - after some work on inj pillows or oranges :-) what ever you need to do.
@jeanag17 The Z-track method is actually to prevent the medication from resurfacing on the skin. Landmarking is what helps to protect the sciatic nerve, which I believe he did before the camera was turned on. I'm a registered nurse and can say well done for your first time!
@pnevers - uh actually I landmarked before she turned the camera on? In addition, I apply pressure when I swap and I do it extra long to dull sensitivity at the injection area, its not wrong, its preference.
@deeholbrook2 That artifact information is what everyone in nursing school was taught, but really is rarely used anymore, especially for injections. If at all, it is used for wounds & dressing changes and not so much for cleansing IM sites.
@MrBigtoy10 first of all he DID aspirate i saw that he completely acknowledged that step and second of all you can keep that "i would be scared to death" comment to yourself...no one needs to hear that and, as a student, i know that it is those types of comments that crush your self-esteem and confidence...students are students for a reason and that isn't to make mistakes and be ridiculed by someone else but to continue learning and continuously improve...so yea, peace
LOL! Im not crying guys. That was funny. They didnt teach us about any bubble for IM's or Z track methos either, but I just read in my Med Surg book your suppost to pull another 1-2 ml of air for a z track. Thats the first Ive heard of it.
You did well! If I can make a suggestion. When you turn your back on your aseptic field, you should consider it contaminated, since you wouldn't have seen if something compromised the site. But great job!
imogenna 5 days ago
For a first IM injection I'm surprised you chose ventrogluteal! Really confident in the actual technique. My only comment would be that aspirating is technically no longer necessary (at least according to the University of Toronto standards) in this location because of the minimal risk, and no longer used in peds at all. But on the whole, I have seen seasoned nurses do a worse job!
stanfe5 1 month ago
Haters, haters, haters. Anybody with anything negative to say somehow can't bring themselves to the minimal level of maturity and find a way to convey it as constructive criticism.
Dude is a nursing student. STUDENT. Bunch of jackasses. I'm sorry if you think this guy did something horribly wrong; he didn't. He actually did a very good job and with his gestures and hand motions appeared rather confident considering he was being filmed, during a checkoff, with an instructor questioning him!
rasey077 2 months ago
Every fall there is a new batch of know-it-all nursing students who get off on judging others. I didn't -have- to be video taped. I voluntarily asked to be filmed to increase the pressure of the checkoff. Let me welcome all of you to post the very first injection YOU did on a live person and then I'll take you seriously. (But that has never happens because your all too chicken to actually challenge yourselves. For shame.) Thanks again to the others for defending me!
durakone 3 months ago
@durakone I have a few questions for u bro. Say you don't use the z track method for dorsogluteal and for quad injections that are IM is that bad? I know it's to prevent medication from leaking but say you don't use it and the medication might have leaked (no way to tell personally) then how much does this affect absorption? It will still get absorbed am I right? Assuming the quantity of the medication is like 1.25cc's
And any landmarks for the layperson self-administering? Little nervous lol.
gjuboy1122 2 months ago
well, i don't have a problem about this video...they are still students and they are prone for imperfections.we either aren't perfect! but it's nice to knw that several concerned professionals commented and made some opinions. that's what we ought to do. A piece of advice: students make sure u practice and perform the procedures correctly before posting it here... because you know~ human beings are fault finders and any videos posted here were subjects for critics to some~ but congrats 4 trying
nashryn 3 months ago
So many errors. Im in nursing school right now and tomorrow im doing that checkoff so now I know what NOT to do and thankfully I never had that instructor. Doesn't even know what's going on with z-track
DANOA7X2009 4 months ago
It's called an air lock, that's what the air bubble is for in a Z track method injection. And that instructor, good God Almighty. She questions about the air bubble, then says, "Well just go ahead anyway". Awesome teaching. What nursing school are you guys from, and where do plan on working so I know never to go there...
bballtsk12 5 months ago
Comment removed
deeholbrook2 5 months ago
@ MichiganYankee1980 some new nursing students are being instructed to leave an air bubble at the bevel end of heparin and lovenox injections and to leave the needle in the skin for 30 sec to lock the med in...guess it depends on where you practice?
deeholbrook2 5 months ago
I've been in the medical field for over 10 yrs. We've NEVER put a bubble in the syringe! How old is that lady asking?! Poor guy was so nervous! But he did good :)
MichiganYankee1980 5 months ago
Honestly, I have to wonder how many of these people making negative comments are in the medical field. I could tell when the clip began you already had the site marked with your finger, you cleansed the area well (OMG you didnt do a perfect circle from the inside out - you should just quit the profession!) You held the z-track and your injection technique was very good. I can't stand to see nurses slide the needle in slowly - pains ME to just watch it happen. Well done.
mustamissdher 5 months ago
THIS is the right technic !!
landnelkentulpe 9 months ago
Wasted my time on this idiot :(
lmkona 9 months ago
I think that the person videoing was referring to an old technique that some health professionals used (called the air bubble technique - popular in the US) where they would purposely put an air bubble in the syringe when carrying out IM injections which was suppose to seal the medication in after injecting, much like the Z track technique......
and LOL @ "that makes me feel confident" and "im not crying the air is really dry in here" XD
25det 11 months ago
@25det - Yeah, I've seen it used before, I've been taught on the job that it is necessary when doing certain medications such as depo-shots for birth control, where dosing lasts for three months and it ensures all the medication gets out of the syringe and helps prevent it from leaking back out. Current guidelines don't recommend the air bubble through, as long as you get a good z-track you ought to be fine.
durakone 10 months ago
@25det - Yes, it's called an air lock. It's done by withdrawing .2 mL of air into the syringe after withdrawing the medication. Current NCLEX guidelines say that air-lock technique is fine, and a Z track injection can only be given into the dorsal gluteal. Certain medication such as Iron dextran can irritate or stain the subcutaneous tissue, and can be given this way.
DerekRN89 1 month ago
Who practices on their classmates?! lmao...
I'm pretty sure air bubbles should not be present lol how are you going to bring it up and not instruct them properly....also Z track technique should be used on the ventrogluteal IM to protect the sciatic nerve from damage.
jeanag17 11 months ago
@jeanag17 - Using the Z track has nothing to do with protecting the sciatic nerve, Z-track is simply used to seal the injection into the muscular tissue and prevent it from leaking up into the subcutaneous tissue via the injection canal.
durakone 10 months ago 7
@jeanag17 Z track technique is to avoid the skin pigmentation from some fluid. The sciatic nerve is an anatomical issue
perezangio 8 months ago
@jeanag17 I have helped to teach psychomotor skills labs in Huge top of the line universities where they have the propper body dummies to practice injections and cannulations but not all institutions have that kind of money and equipment. I have also worked in hospital colleges where the students get to practice thier first time on the hospital patients but also in community colleges where they practice on each other - after some work on inj pillows or oranges :-) what ever you need to do.
mustamissdher 5 months ago
@jeanag17 The Z-track method is actually to prevent the medication from resurfacing on the skin. Landmarking is what helps to protect the sciatic nerve, which I believe he did before the camera was turned on. I'm a registered nurse and can say well done for your first time!
Jemini312 5 months ago
That is bullshit teaching right there!
pnevers 11 months ago
That is no way to give an IM injection! He never land marked. He swabbed the area wrong. NO teaching on air bubbles! Who is schooling these people?
pnevers 11 months ago
@pnevers - uh actually I landmarked before she turned the camera on? In addition, I apply pressure when I swap and I do it extra long to dull sensitivity at the injection area, its not wrong, its preference.
durakone 10 months ago 2
@durakone the disinfecting was wrong because ur suppose to go from inner to outer without going over the same area to avoid recontamination.
deeholbrook2 5 months ago
@deeholbrook2 That artifact information is what everyone in nursing school was taught, but really is rarely used anymore, especially for injections. If at all, it is used for wounds & dressing changes and not so much for cleansing IM sites.
Jemini312 5 months ago
This has been flagged as spam show
@durakone the disinfecting was wrong because ur suppose to go from inner to outer without going over the same area to avoid recontamination.
deeholbrook2 5 months ago
can I say aww?! You really darted the site with the syringe.. like just.. well, a dart. haha
thanks for the vid. :D
7fateroses 1 year ago
@durakone I didnt even here about the air bubble method til long after I was working >.>
mirtleturtleful 1 year ago
Comment removed
patel748 1 year ago
you go cheddahcheese!!!
HSandhu86 1 year ago 2
@MrBigtoy10 first of all he DID aspirate i saw that he completely acknowledged that step and second of all you can keep that "i would be scared to death" comment to yourself...no one needs to hear that and, as a student, i know that it is those types of comments that crush your self-esteem and confidence...students are students for a reason and that isn't to make mistakes and be ridiculed by someone else but to continue learning and continuously improve...so yea, peace
CheddahCheese 1 year ago 15
Comment removed
patel748 1 year ago
LOL! Im not crying guys. That was funny. They didnt teach us about any bubble for IM's or Z track methos either, but I just read in my Med Surg book your suppost to pull another 1-2 ml of air for a z track. Thats the first Ive heard of it.
riseofthefall 2 years ago
from what college are ya!!!!!
richardms79 2 years ago
okkkkkkkkkkkkkkkk
sally20012010 2 years ago