06.08 IM Injections

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Study Tools

IM Injection – Deltoid (Image)
140 Must Know Meds (Book)
Medication Administration Pro-Tips (Cheat Sheet)

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Transcript

In this video, we’re going to look at proper administration technique for intramuscular medication administration. Of course, always follow your 5 rights and calculate the correct volume for administration.

Based on the volume of med and the size of your patient, choose an appropriate site and needle site. Draw up the med in an appropriate syringe and attach the appropriate needle. In this case, we have 2 mL, we’re going to use the patient’s right deltoid, and a 1 inch 23 gauge needle.

Clean the site with alcohol in circles starting at the center and working outward and make sure you let it dry.
We’re going to show you the Z-track method. Uncap you needle. Then, use the thumb and forefinger of your non-dominant hand in the shape of a C and pull the skin to the side.

Now hold the syringe like a dart in you dominant hand and insert the needle at a 90 degree angle.
Use your pointer finger to gently pull back on the plunger. If you don’t see blood right away, you’re good to go.
Inject the medication slowly

Then you’ll remove needle and release the skin - that creates the Z-track to prevent irritant meds from getting to the skin.
Now you can apply gentle pressure with gauze and cover the site with a band-aid.

Activate the safety device on your needle and/or throw the needle directly in the sharps container.

Document administration and monitor the patient for effects of the med!

That’s it! Now, go out and be your best self today. And, as always, happy nursing!
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