Intramuscular Injections
An e-learning learning resource pack
An ideal world!!!!!
Administration Of Intramuscular Injections:
Custom & practice: Where’s the evidence?
Intramuscular Injections
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Injections are one of the most frequent used
pharmacological interventions
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The importance of safe injection administration cannot
be underestimated. Once the medication has been
administered via IM it is irretrievable
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The identification of the most appropriate muscle site for
each injection is vital in order to ensure that the
medication reaches its target area, and to avoid
injury/trauma to the person
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Traditionally given into Dorsogluteal muscle, however
contemporary evidence suggests that this muscle is not
as safe or effective as Ventrogluteal muscle
A simple task?
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Which site should I use?
What size of needle should I use?
Should I use an alcohol wipe?
Should I wear gloves?
Should I use Z-track?
What angle should I inject?
How much of the needle do I insert into the
skin?
Should I aspirate?
How long should I take to inject medicine?
How long should the needle remain insitu?
What records should I keep?
Project Development
• Action Research: Capture current practice
(n=62). No nurse uses VG site!!
• QIS: Ask question
• August 2010: An enquiry to CSMEN
• October 2010: Agreed to support
• A call to arms: HEI, Nursing, Pharmacy,
Medicine, CSMEN
Project Development
• First meeting: Jan 21st 2011, April,
August…..Dec?
• Literature Review: Best evidence available
• Shared Space
• E-mail, telephone, visits, VC conversations
• 4 modules, guideline & DVD
Project Development
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Meeting Dundee with Andrea
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Learning outcomes developed: Clarify what can be
achieved
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Assessment: Drive learning & desired learning outcomes
met
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Evaluation of pack: Does it work?
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Complete December 2011
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High quality, time flexible, cost effective, fun!!
Intramuscular Injections
Paul Smith
Paulsmith1@nhs.net