When I switched to intramuscular injections, I referred to the site as vastus lateralis when I'm actually demonstrating ventrogluteal. - Ellis
@yasmiensharaan7321
2 жыл бұрын
In IM is the bevel up as well?
@sweettnt_homemade9111
2 жыл бұрын
Thank you for clearing that up.
@LevelUpRN
Жыл бұрын
@@yasmiensharaan7321 There's no way to bevel up an IM injection because you're inserting the needle at a 90 degree angle. - Ellis.
@gaze9885
21 сағат бұрын
@@LevelUpRNyou have to aspirate it a little right,to check whether it's actually in the muscle or not, bcz if it's not in muscle then blood will come while aspirating na I don't know it's correct practice or not , but our tutors taught us this , need to do it or not
@researchofufos1205
2 жыл бұрын
🙏❤️ Excellent instructional video! G0D BLESSED!
@penelopekeys8911
5 ай бұрын
You did not drawback the needle, for the intramuscular to make sure you are not in a blood vessel.
@joycelynray6848
Жыл бұрын
this helped but i want to point out that the sight she is showing for intramuscular is actually the ventrogluteal and not the vastus laterus
@LevelUpRN
Жыл бұрын
You are correct! I have a pinned comment explaining this slip-up. - Ellis
@CelenaKaye35
Жыл бұрын
I am just a Medical Assistant student and a Pre-Nursing student, but I was recently taught that when you put the needle in, you do it strongly and swiftly, like confidently and kind of fast, especially for IM injections, and then we pull it out at the same angle we went in, also fairly strong and swift.
@lyss3461
2 ай бұрын
Same.
@bottles-updivingej5041
4 ай бұрын
Just watched this video and first thing I noticed that you did not aspirate... Dr John Campbell noticed this during Covid epidemic and sadly the stupid WHO also does not mention aspiration while it used to be mandatory. You need to know if you accidently hit an artery or vein....so either make a new movie or add the importance of aspiration.
@victoriasfire
2 жыл бұрын
Min. 4:43 you said you were demonstrating IM injection to the vastus lateralis site. No, you were not, because that is the thigh. You said "This is the rear end" which is the dorsogluteal. However, the site you demonstrating appeared to be what I learned in nursing school for the ventrogluteal. So the IM injection demo should be redone imo.
@Noname-qk3hr
Жыл бұрын
Same thing I thought too
@pd9605
Жыл бұрын
Different states have different guidelines. The states that no longer require aspiration to ensure no vein has been accessed should also explain why not? I have recently seen lab techs use the same needle again and again while attempting to draw blood and in the ED nurses have done the same with IV attempts. Two words STAPH INFECTION. I would love to see every video that addresses needles to begin with the reminder not to do this!
@shaddymay96
Жыл бұрын
Thank you! This is great for us future Medical Assistants as well! 😉
@jamieusername
5 ай бұрын
Do you aspirate to make sure there is no blood when doing IM injection?
@chrishiggins1934
Жыл бұрын
Why did you release the pinched fat on SQ prior to injecting? I thought the whole point of pinching was to ensure placement in subcutaneous tissue. Doesn’t releasing negate this?
@annadorn7388
Жыл бұрын
I loved the instructional delivery. I'm not even a nurse. Muy Interesting.
@LevelUpRN
Жыл бұрын
Glad you enjoyed it!
@RogueOntheRoad
2 жыл бұрын
For my insulin injections I try to find a spot where there are no pain nerves. The best area I've found is off from center on the stomach over near the side. It's about 6 to 7 inches from center. Doesn't seem to matter how high or low.
@janetconran1146
Жыл бұрын
I was taught to withdraw to see if I entered a blood vessel. I was also taught to pinch the skin when administering an injection in the arm. Did they change this technique with evidence base practice as I witnessed none of that when I took my daughter to the pediatrician’s office. She also has a quarter size bruise. Are we not withdrawing or pinching skin up anymore?
@LIMLG
8 ай бұрын
The Z track method is the recommended vaccine administration now and not the pinching of the skin.
@penelopekeys8911
5 ай бұрын
Sorry I was meant to say, you did not withdraw the plunger once you had injected to make sure you are not in a blood vessel.
@robertarowland728
10 ай бұрын
New subscriber, 💭 your content is extremely valuable and helpful ☕️ Thank You 🌤️
@Nrsesand1
2 жыл бұрын
Thank you for taking the time in sharing these videos.
@LevelUpRN
2 жыл бұрын
Very welcome!
@RogueOntheRoad
2 жыл бұрын
I've had clinicians do fast hard presses on the plunger. One time while getting a tetanus shot the shot fluid squirted all over my arm. They need to learn to press it slowly and not do fast.
@ashimonyemary-frances4695
16 күн бұрын
My Chief Thanks for this video I noticed that during the IM, you didn't aspirate. Is it not necessary?
@daysijimenez7244
14 күн бұрын
Aren’t you supposed to wait with the needle inserted at least 5-10 seconds when injecting IM medication?
@Aliyah27312
2 жыл бұрын
Can you demonstrate how to draw up medications and reconstitute??
@LevelUpRN
2 жыл бұрын
Great suggestion! Sending this suggestion to the team!
@Nrsesand1
2 жыл бұрын
Anything is helpful at this point. Worked as an LVN for a few years, got my RN in 2006, never worked as an RN. I completed a refresher course in 2019 then the pandemic started ;( I do not know where to go from here……
@penelopekeys8911
5 ай бұрын
Sort of similar to my situation.
@yuhin4694
7 ай бұрын
Who is this nurse? She's cute af
@dalejansen127
3 ай бұрын
To aspirate or not to aspirate...seems to be a bone of contention on multiple sites. Is this a "know your state/local/facility protocol/policy" item?
@سبيستونالقديمه-ق8ض
2 ай бұрын
In the IM does her insert the needle verticaly or horizantly because it not clear for me
@alvetareese7367
19 күн бұрын
The IM was given in the ventral gluteal muscle, not the vast us lateralis
@LoganLovell
4 ай бұрын
Thank you!! This was such a good refresher. Very well demonstrated
@NaseerAhmad-ys9xv
2 жыл бұрын
U r doing a great job.... Keep going!!!
@chaucerflanders7918
Жыл бұрын
Thank you. you are amazing, please can you make a video on Flushing catheters xx
@tonyas8785
8 ай бұрын
Just wanted to see the arm for IM injection thank you tho this was great
@mohamedezzo4602
7 ай бұрын
thanks, love you from Egypt . شكرًا❤
@MichelleKorte-t1g
Жыл бұрын
Liked watching the Intramuscular injection z track method.
@meltem__cvs
5 ай бұрын
heyy ı have a questıon?? should we do the aspiration on aour all IM ınjectıons because she dıdnt show ıt and our teacher saıd that we should aspirate first for precautıon
@hax0n23
12 күн бұрын
Usually per institution policy, what I've learned is for vaccines aspiration is not required(per CDC). All other IM injections should be aspirated
@prettyblack9306
8 ай бұрын
Would be nice if its done in actual human hihi
@researchofufos1205
2 жыл бұрын
Thanks 🙏 very useful instructions! G0D BLESSED Y0UR HEART ❤️
@RanDeeCherry
7 ай бұрын
Thank you! I really enjoyed your video. Great job!
@palee4744
2 жыл бұрын
What is the gauge needles size for each site
@LevelUpRN
2 жыл бұрын
It depends on your facility and your text book; our Clinical Skills flashcards cover our suggestions for needle length and gauge on cards 83 - 85!
How deep do you go with SQ and IM needle ? Half way ? All the way ?
@LevelUpRN
Жыл бұрын
Generally, insert it all the way. That's why choosing the appropriate length is critical. If your IM needle is too long, you run the risk of it hitting bone.
@mm-zd9ml
2 жыл бұрын
Pls could you be so kind of explaining again the reason the bevel should be pointing up?
@LevelUpRN
2 жыл бұрын
Absolutely! The bevel is where the medication will exit. If the bevel is pointing up, it allows the bleb (or bubble) to form under the skin. If the bevel is pointing down, the medication is injected towards the dermis tissue and the bleb will not form. - Ellis
@mm-zd9ml
2 жыл бұрын
@@LevelUpRN That's clears it up....but lastly why we need the bleb or bubble to form? 😓🙏
@muhammadumairmuhammadumair4174
Жыл бұрын
Wao
@deebee1022
2 жыл бұрын
Question: at the 4:40 time mark please clarify the type of injection demonstrated.
@LevelUpRN
2 жыл бұрын
Hello! I'm demonstrating an intramuscular injection in the vastus lateralis muscle. The next intramuscular injection uses the Z-track method. That is the only difference. - Ellis
@adrianaguerrero9517
2 жыл бұрын
Ventrogluteal?
@deebee1022
2 жыл бұрын
@@LevelUpRN I believe you said you were attempting a vastus lateralis when in fact you were showing a skill for a ventral gluteal injection
@ayeshanaveed8958
Жыл бұрын
For test dose which layer should we reach
@LevelUpRN
Жыл бұрын
Ayesha, I'm not sure what exactly you're referring to. Do you mean to see if there's a potential allergy? That is usually intradermal. - Ellis
@hannyco2320
2 жыл бұрын
I was just learning these in school, but we have to hold the needle after we stick it in and before we inject the solution. Is there a difference in the technique requirement in every state?
@LevelUpRN
2 жыл бұрын
Hi there! Could you describe more what you mean about holding the needle? - Ellis
@ericahunt99
2 жыл бұрын
I understand what you mean- you have to keep the syringe stabilized while your injecting the medication and keep your fingers stabilized on the syringe until the medication is injected.
@xoxoxoxo1111
11 ай бұрын
You explain so well! Thank you 💕
@LevelUpRN
11 ай бұрын
Thank you so much!
@mva6213
Жыл бұрын
no aspiration????????????????
@LevelUpRN
Жыл бұрын
Whether or not we aspirate depends wholly on the route and type of injection. For example, the CDC no longer recommends aspirating an IM vaccination.
@reenursingknowledge
2 жыл бұрын
👍👍👍
@tatalhinotreasurehuntertv1620
Жыл бұрын
Great job.🎉🎉🎉
@LevelUpRN
Жыл бұрын
Thank you! 😃
@cynthiawithers2555
Жыл бұрын
Great instructions.
@LevelUpRN
Жыл бұрын
Glad it was helpful!
@DrAnkitJangid
Жыл бұрын
Ok
@LevelUpRN
Жыл бұрын
Thanks for watching!
@DrAnkitJangid
Жыл бұрын
@@LevelUpRN you are welcome
@josephongogan8000
7 ай бұрын
Thank you 😭😭
@mmanzano8226
2 жыл бұрын
It would be helpful if you mention how to find the correct site like for intradermal injection is it 3-4 inches below the antecubital and so on.
@pforpeace4041
2 жыл бұрын
Thank you🤗
@LevelUpRN
2 жыл бұрын
You’re welcome 😊
@myworke-mail339
Жыл бұрын
Good vid, except you did not aspirate to make sure you were not in a blood vessel on the IM. Also, check with your facility, some do not want you using the z-track method. Always changing! :o)
@LevelUpRN
Жыл бұрын
Absolutely -- policies change based on your facility but also what medication you're administering. Both WHO and CDC are no longer recommending aspiration prior to IM vaccines.
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