intramuscular injections best practice guidelines 2019

If you wish to read unlimited content, please log in or register below. Although the practice of giving intramuscular injections is routine for mental health nurses, the process is invasive and best practice guidelines are not well developed. Wynaden D, Landsborough I, Chapman R, et al. Am J Med Sc 1961; 241: 47-58,Rodger MA, King L. Drawing up and administering intramuscular injections: a review of literature. Authoriser: EDON Owner: Nurse Consultant SMHS Issue date: 22 January 2019 Page 1 of 8 3 yearly review Intramuscular Injection . This paper reviews practice in the area of intramuscular (IM) injection administration, an everyday activity for many nurses in clinical practice. Kroger AT, Atkinson WL, Marcuse EK, Pickering LK; Advisory Committee on Immunization Practices (ACIP) Centers for Disease Control and Prevention (CDC). It should not be forgotten that among potential complications of IM injection are abscess, cellulites, tissue necrosis, granuloma, muscle fibrosis, contractures, haematoma and injury to blood vessels, bones and peripheral nerves.The thigh may be utilised when other sites are contraindicated or by clients who administer their own medication, as it is readily available in the sitting or lying back position. All Ireland J Nursing & Midwifery 2001; 1(5): 185-193,Newton M, Newtown DW, Fudin J. Registration is free.Close more info about Large-volume IM injections: 
A review of best practices,Una Hopkins, RN, FNP-BC, DNP; Claudia Y. Arias, RN, OCN,http://www.cheshire.ie/docs/staff/policies/clinical/AdministrationofInjections/IntramusInjectAIG03.pdf,http://www.dtgp.cpft.nhs.uk/FileHandler.ashx?id=721,From the February 01, 2013 Issue of Oncology Nurse Advisor,Should Vital Signs Be Routinely Obtained Prior to Intravenous Chemotherapy? Bristol, TN: King Pharmaceuticals; 2009.9. In: White L.16. Blackwell Science: London, 1996,Zelman S. Notes on the techniques of intramuscular injection. Clinical Practice Project Group. Carter-Templeton H, McCoy T. Are we on the same page? Results From a 2-Center Study. Small SP. The administration of intramuscular injections is a common nursing intervention in clinical practice. Best Practices Guidance of the Advisory Committee on Immunization Practices (ACIP). : a comparison of intramuscular injection explanations in nursing fundamental texts.14. However, the main disadvantage is that injections in the Rectus femoris site may cause considerable discomfort.This site can be used for infants, children and adults. One hand’s width above the top of the knee becomes the lower border of the box,Insert the needle at a right angle to the skin (90°) straight in,Up to 2ml of fluid may be given into this site,Find the trochanter. Preventing sciatic nerve injury from intramuscular injections: literature review.19. Insert the needle at a right angle to the skin (90°),Up to 3ml of fluid may be given in this site7,IM injections should be administered in the Ventrogluteal region whenever possible,The medication should be administered with a needle long enough to reach the muscle without penetrating underlying structures,The patient should be positioned so as to relax the muscle.The ‘Z track’ technique should be used at all times (see diagram).Greenway K. Using the ventral gluteal site for intramuscular injection. Mishra P, Stringer MD. Spread the second or middle finger toward the back, making a ‘V’. Cocoman A, Murray J. Recognizing the evidence and changing practice on injection sites.18. Reviewing the big three injection routes. Best practice guidelines for the administration of intramuscular injections in the mental health setting. If you do not receive an email within 10 minutes, your email address may not be registered, Intramuscular Injection Fluid and Medication Management protocol The latest version of this document is available on the CDHB intranet/website only. Cheshire Ireland Web site.11. Medications delivered by the intramuscular route assist consumers to live in the community and enhance their ability to integrate and engage in community life. Intramuscular injections: a review of nursing practice for adults. • Identification of clinical need for intradermal / subcutaneous / intramuscular injection. Good injection technique can mean the difference between less pain and injury.The administration of intramuscular injections is a common nursing intervention in clinical practice.The importance of good injection technique cannot be understated. and you may need to create a new Wiley Online Library account.Enter your email address below and we will send you your username,If the address matches an existing account you will receive an email with instructions to retrieve your username,I have read and accept the Wiley Online Library Terms and Conditions of Use.Number of times cited according to CrossRef:Nurses' practices in the preparation and administration of intramuscular injections in mental health: A cross‐sectional study.Systematic review and meta‐analysis: Physical‐procedural interventions used to reduce pain during intramuscular injections in adults.Medication-related issues associated with the documentation and administration of long-acting injectable antipsychotics.International Journal of Clinical Pharmacy.Nurses' Use of Appropriate Needle Sizes When Administering Intramuscular Injections.The Journal of Continuing Education in Nursing.A narrative review of the success of intramuscular gluteal injections and its impact in psychiatry.An assessment of injection site reaction and injection site pain of 1‐month and 3‐month long‐acting injectable formulations of paliperidone palmitate.Antipsychotic long-acting injections in clinical practice: Medication management and patient choice.Comparison of the G and V methods for ventrogluteal site identification: Muscle and subcutaneous fat thicknesses and considerations for successful intramuscular injection.International Journal of Mental Health Nursing.Influence of gender, BMI and body shape on theoretical injection outcome at the ventrogluteal and dorsogluteal sites.Investigation of Turkish nurses frequency and knowledge of administration of intramuscular injections to the ventrogluteal site: Results from questionnaires.Ventrogluteal versus dorsogluteal site selection: A cross-sectional study of muscle and subcutaneous fat thicknesses and an algorithm incorporating demographic and anthropometric data to predict injection outcome.International Journal of Nursing Studies.Multiple abscesses caused by repetitive intramuscular injections.The effect of the application of manual pressure before the administration of intramuscular injections on students' perceptions of postinjection pain: a semi‐experimental study.An evaluation of the effectiveness of a planned training program for nurses on administering intramuscular injections into the ventrogluteal site.Administering intramuscular injections: How does research translate into practice over time in the mental health setting?.The dorso–ventro debate: in search of empirical evidence.Aspirating during the intramuscular injection procedure: a systematic literature review.Effect on pain intensity of injection sites and speed of injection associated with intramuscular penicillin.International Journal of Nursing Practice.Improving the Success Rate of Gluteal Intramuscular Injections.Administering long-acting antipsychotic injections.British Journal of Mental Health Nursing.Book Review Posttraumatic Growth in Clinical Practice Miriam Akhtar 2013 184pp ISBN: 9780415645300 price £23.99.Effect of Methylprednisolone Injection Speed on the Perception of Intramuscular Injection Pain.Administering LAAIs: an education and training workshop.The safe administration of long-acting depot antipsychotics.Needlestick injuries and safety syringes: a review of the literature.Effect on pain of changing the needle prior to administering medicine intramuscularly: a randomized controlled trial.Staff nurses’ sites of choice for administering intramuscular injections to adult patients in the acute care setting.Recognizing the evidence and changing practice on injection sites.Contradictory recommendation in a best practice guideline compared with the primary paper in relation to administration of intramuscular injections in the mental health setting.Sciatic nerve injury from intramuscular injection: a persistent and global problem.International Journal of Clinical Practice.Intramuscular injections: a review of best practice for mental health nurses.Journal of Psychiatric and Mental Health Nursing,International Journal of Mental Health Nursing,https://doi.org/10.1111/j.1447-0349.2006.00423.x.

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