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Intramuscular Injection in Deltoid Muscle with Z-Track Technique

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IM injection technique for the deltoid muscle site using the Z-track technique.

This is our thread sterner sorry and calm and in this video i’m going to demonstrate how to give an intramuscular injection in the deltoid before ever administering any type of medication including ayam injections you always want to review your facility’s protocol and how they require you to administer that certain medication now before actually giving the ayam

Injection there’s some prep work you have to do first of all you have to make sure you have the right patient the right medication are you giving the right dose at the right time and the right route so double-check all those things in addition you want to get your supplies ready and to do this you have to do some critical thinking so first of all you need to ask

Yourself ok what muscle are we going to be giving this injection in here in this video we’re going to be doing the deltoid so let’s review some things about the deltoid muscle it’s located up here in this region and this muscles a little bit smaller than the other muscles you can use it can only hold about one to two milliliters of a solution so if you need to give

More amounts of a solution you need to go in a larger muscle like the ventral gluteal muscle next you want to look at how your patient is built generally the guidelines for a needle length in giving a deltoid injection is about a one-inch needle to a one and a half inch needle so look at your patient do they have a lot of adipose fatty tissue over that deltoid

Muscle if so you want to use the longer of the two options so one and a half needle length would be good here we’re going to use a one inch needle next you want to look at the gauge of needle this is how big that hole of that needle is that allows that solution to go through so most vaccines are watery so you can give anywhere from a 20 to a 25 gauge needle here

We’re gonna use a 23 gauge but if you were doing like a thicker solution that’s all you would want to use anywhere between an 18 to 25 gauge needle no what we’re gonna do is we’re going to gather supplies perform hand hygiene and it’s optional if you want to wear gloves according to the cdc gov gloves are not required when administering vaccines unless the person

Administering the sene is likely to come into contact with potentially infectious body fluids or has openly jhin’s on hands therefore gloves are optional personally i like to wear gloves because i never know what i may come into contact with then of course you want to explain the procedure to the patient what you’re going to be doing what you’re administering to

Them in a tip whenever i give vaccines i always like to ask the patient are they right or left-handed because i like to give the deltoid i am injection and their non-dominant arm because if you’ve ever had a vaccine or an injection before in your arm it can get sore so always try to take that into consideration before you give the injection you can have the patient

Stand or sit if your patient doesn’t like needles it’s probably best to have them sit in case they pass out so where we’re going is the deltoid muscle it’s located up in this area so what you want to do is you want to have the patient completely like relax their arm you do not want this muscle to be tensed up because it’s going to be a little bit more painful for

Them so tell them to relax as much as possible then we’re going to find where we’re going so to find the deltoid muscle and for an injection site we want to use landmarks so our first landmark is called the pro mian process this is found high up where the shoulder is and it comes out it’s like a bony prominence just fill in yourself where it is it’s really easy to

Find so you’re gonna feel that and you’re going to go about two fingers width down from that area so we have our two fingers so we’re going to go about right here in this area once we have our area what we want to do is we want to clean the injection site so we’re going to take our alcohol prep we’re going to start in the center and we’re gonna work our way outward

And cleanse the area and let that dry completely don’t blow on it let it air dry now to give the injection what we’re gonna do is we’re gonna use what’s called a z track technique this is now recommended for all i am injections and what this technique does is number one it decreases pain for the patient but it helps prevent the solution that we’re instilling from

Actually going in that sub cute issue we want this to go in the muscle not the sub-q tissue so the z track technique helps with that back in the day they taught to pinch the skin up bunch it up to give the vaccine that’s no longer recommended but the z track method so what we’re going to do to do that we’re going to take our non-dominant hand and we’re just going

To go to the side of where an injection site is going to be and we’re just going to put a little bit of pressure and we’re just going to pull the skin to the side then we’re going to take our dominant hand with injection the needle and we’re going to go in like we’re shooting a dart at a 90 degree angle and you’ll want to do this quickly to cause the patient less

Pain so we want to steady our syringe so we’re going to take our thumb and our forefinger and just hold it steady then we’re gonna take our dominant hand and depress the plunger and instill that fluid slowly about over 10 seconds per ml this was half an ml so we’re gonna do about five seconds and then once you have instilled it wait about ten more seconds to let

All that fluid go down into that muscle and then what we’re gonna do is we are going to take it out the same angle we had inserted it we’re going to engage our safety never recap a used needle then you can take a gauze and cover the area sometimes it can bleed if your patients on blood thinners but never massage the area because that can increase the solution going

Into the sub-q tissue and then dispose of your syringe a needle in the sharps container once you’re done with that of course what you want to do is you want to perform hand hygiene and you want to document you’re going to document what muscle you use on what side and how the patient responded along with how much medication you instilled in that muscle now notice

Whenever i was giving that i am injection i did not aspirate aspiration for ayam injections is no longer recommended a core to cdc gov they say aspiration before injection of vaccines or toxoids which is pulling back on the syringe plunger after needle insertion before injection is not necessary because no large vessels are present at the recommended injection

Sites and a process that includes aspiration might be more painful for infants okay so that wraps up how to give an iamb injection in the deltoid thank you so much for watching and don’t forget to subscribe to our channel for more videos

Transcribed from video
Intramuscular Injection in Deltoid Muscle with Z-Track Technique By RegisteredNurseRN