Ventrogluteal IM injection

My first stab(hah) at an intramuscular injection. At the end it looks like I'm about to close the safety needle with my finger, but its really just the angle. :P

Category:

Education

Tags:

• IM
• injection

[durakone]

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!

[25det]

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

[durakone]

@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.

[jeanag17]

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.

[durakone]

@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.

[pnevers]

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?

[durakone]

@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.

[CheddahCheese]

@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

[MatthewRX]

I really hope I do it as well as you did- your technique looked pretty good to me.

[imogenna]

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!

[stanfe5]

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!

[DerekRN89]

@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.

[gjuboy1122]

@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.

[rasey077]

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!

[nashryn]

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

[DANOA7X2009]

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

[Jemini312]

@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.