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Should pediatric nurses give intramuscular injections?
Is there a risk of intramuscular injections in children?
What is an intramuscular injection (IM)?
For children: bunched • 7 through 10 years of age, use a 1- to 1.25-inch (25–32 mm) needle. • 11 through 18 years of age, use a 1- to 1.5-inch (25–38 mm) needle. 2. Identify the injection site. Preferred site: Deltoid muscle in the upper arm Use anatomical landmarks to determine the injection site.
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Place your hands on the landmarks as instructed to locate the injection site. Using a circular motion, clean the injection site with an alcohol wipe. Let it dry. Take off the needle cover and hold the syringe like a dart. With the other hand, hold the muscle firmly, using the position checked below.
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Follow instructions for SARS-COV2 vaccine administration provided on Elsevier’s Vaccination Hub undefinedhttps://elsevier.health/en-US/preview/sars-cov2-vaccine" target="_blank">https://elsevier.health/en-US/preview/sars-cov2-vaccine Use the intramuscular (IM) injection route in pediatric patients only when it is the recommended route for a prescri...
The purpose of IM injections is to administer medication safely into the muscle below the subcutaneous layer. Many medications must be injected intramuscularly because of chemical properties, pharmacokinetics, desired onset, intensity and duration of the effect, and certain patient characteristics related to treatment compliance. The injection site...
Provide developmentally and culturally appropriate education based on the desire for knowledge, readiness to learn, and overall neurologic and psychosocial state.Assess the patient’s and family’s learning readiness.Explain to the patient and family the importance of managing medication information to identify and resolve discrepancies.5Provide the patient and family with written information on the medication the patient should be taking,5including its purpose and the reason for the IM route.Assessment
1. Perform hand hygiene before patient contact. Don appropriate personal protective equipment (PPE) based on the patient’s need for isolation precautions or the risk of exposure to bodily fluids. 2. Introduce yourself to the patient and family. 3. Verify the correct patient using two identifiers. 4. Review the patient’s history for reactions or allergies to medications, foods, or environmental allergens. 5. Assess the patient for specific contraindications to receiving the medication and advi...
Preparation
1. Verify the patient’s daily weight in kilograms. Stated, estimated, or historical weight should not be used.4 2. Obtain consent, when appropriate. Ensure that parental or legal guardian consent is obtained for immunizations per the organization’s practice. 3. Obtain, update, and compare information about the medication the patient is currently taking with that of the medications ordered for the patient to identify and resolve discrepancies.5 4. Select an appropriate injection site based on...
Perform hand hygiene. Don appropriate PPE based on the patient’s need for isolation precautions or the risk of exposure to bodily fluids.Verify the correct patient using two identifiers.Explain the procedure to the patient and family and ensure that they agree to treatment.Check the accuracy and completeness of the medication administration record (MAR) with the practitioner’s original order.Monitor the patient’s tolerance of the procedure.Assess for the intended response to medication.Monitor the patient for adverse and allergic reactions to the medication. Recognize and immediately treat respiratory distress and circulatory collapse, which are signs of a severe anaphylactic rea...Monitor the injection site for tissue injury. Reportable conditions: Profuse bleeding, hematoma, loss of function, signs and symptoms of infectionMedication administered per the rights of medication safetySigns of intended response to medicationNo adverse reactionsMinimal discomfortMedication not administered per the rights of medication safetyNo sign of intended response to medicationAdverse reaction to the medicationPain with administrationComprehensive list of current medications and those recently discontinuedConsent, if requiredName of the medication, dose, volume, injection site, time of administration, and name of person administering itPatient’s response to the medication, including adverse reactionsAnderson, C.E., Herring, R.A. (2022). Chapter 20: Pediatric nursing interventions and skills. In M.J. Hockenberry, C.C. Rodgers, D. Wilson (Eds.), Wong’s essentials of pediatric nursing(11th ed., p...Centers for Disease Control and Prevention (CDC). (2023). Vaccine recommendations and guidelines of the ACIP: Vaccine administration. Retrieved May 11, 2023, from https://www.cdc.gov/vaccines/hcp/a...Hellsten, M. (2022). Chapter 5: Pain assessment and management in children. In M.J. Hockenberry, C.C. Rodgers, D. Wilson (Eds.), Wong’s essentials of pediatric nursing(11th ed., pp. 114-147). St. L...Institute for Safe Medication Practices (ISMP). (2022). 2022-2023 Targeted medication safety best practices for hospitals. Retrieved May 11, 2023, from https://www.ismp.org/guidelines/best-practice...Dec 1, 1982 · The technique of administering intramuscular injections involves attention to the appropriate site of needle insertion, needle size, and angle of injection. Suggested techniques with illustrations are included. The appropriate site of injection depends upon the age and size of the child.
- Paul S. Bergeson, Stanford A. Singer, Allen M. Kaplan
- 1982
Intramuscular (IM) Injection. Infants 11 months of age and younger . Administer these vaccines by IM injection: Diphtheria, tetanus, and pertussis (DTaP) Diphtheria, tetanus, pertussis, polio, Diphtheria, tetanus, pertussis, polio, and hepatitis B and Haemophilus influenzae hepatitis B (DTaP-IPV-HepB) type b (DTaP-IPV-HepB-Hib) .
administer an IM injection in the anterolateral thigh of an adult, see www.immunize.org/catg.d/p2030.pdf. Intramuscular (IM) injection site for infants and toddlers Intramuscular (IM) injection site for children and adults IM injection site (shaded area) Insert needle at a 90° angle into the anterolateral thigh muscle.
