Nurses Know How To Give People Injections

Nurses Know How To Give People Injections
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Many of you may go in to the doctor for a vaccination or birth control shot, or may even be giving yourself medications such as insulin, and not know the correct technique. Being a nurse myself I am well aware if the person administering my injection is administering correctly, but if I wasn’t I would want to know!
Picture courtesy of www.memecenter.com
Hopefully these tips will help you pick up on if your medical assistant or nurse is injecting properly or teach you how to self inject the right way. These are guidelines according to the Centers For Disease Control:
These are for medications like insulin, growth hormones, heparin, and others. They are given into fatty tissue and absorbed more slowly due to less blood flow in adipose tissue found above the muscle.
Picture courtesy of  www2a.cdc.gov                          Picture courtesy of www.vhcinfo.org
Picture courtesy of alfa.saddleback.edu
IM shots are given into the muscle below the fatty tissue. This site will have faster absorption due to more blood supply. They can be given into the upper arm, the gluteal (hip), or the thigh, depending on the type of medication, vaccination, and patient’s size and age.

Pictures courtesy of www.brooksidepress.org

      Picture courtesy of www.houstonpublicmedia.org            Picture courtesy of www.cdc.gov
For a medication given into the gluteal site –
                                          Picture courtesy of droualb.faculty.mjc.edu
MA Instructor at CCC since October, 2009. Graduated the RN program from TCC in 2003. Nationally certified as a CMA (AAMA), AHA BLS CPR Instructor and NCCT CPI. Professional experience in pediatrics and PICU, Cystic Fibrosis, and post-op gynecological patients. Currently instructing phlebotomy, injections, anatomy and physiology, dosage calculations and front office skills the Medical Assisting Program.
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I once read that dental hygiene students practice on each other when learning how to give injections and I admit, this worried me a bit because I'm assuming nursing students do the same thing. If not, how do you practice giving injections? How was your first time giving someone a shot? Details, details. Thank you :)

Specializes in ER.

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My program does not allow us to practice on each other. We learned by reading about the skill, then performing it in the skills lab, then on the clinical floor on our patients...supervised by our instructor until we were signed off, of course. After you've done a bunch, it's really no big deal.

Specializes in LDRP.

804 Posts

we had the option to practice on each other with saline, but you didnt have to. we had fake "skin" to practice on as well, and to practice TB tests we used a hotdog! lol

Specializes in Labor and Delivery.

Has 3 years experience.

1,229 Posts

We had fake skin injection pads but really I guess the best practice is exactly that practice. It's not that hard although I've seen some people that seem so awkward that I feel bad for the patient but I also watched nurses before my first time too just to kinda get an idea of how they did it and you cna always learn little extra tips this way. Good Luck!!!!! That will be the easiest part of nursing.

Specializes in Emergency; med-surg; mat-child.

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We did flu clinics at school and our first jabs were on each other. Then we could say we had given shots before.

Specializes in Pediatrics.

Has 2 years experience.

213 Posts

Fake skin and/or some sort of fruit (an orange maybe?! I'm blanking about what fruit it was) to practice in lab and then supervised by our instructors in clinical on patients. Definitely no practicing on each other!
Fake plastic skin in the skills lab. Neither the LVN program or RN program I attended allowed us to practice on each other. Strangely, medical assistant students at the same school where I went for my LVN did practice on each other with saline.

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Fake skin in skills lab. I volunteered for a couple of flu clinics and became a pro at it. I highly recommend doing this because nothing beats practice on a real arm.
We didn't practice on each other -- we had fake skin in our simulation lab. The first shot I gave was a Lovenox injection in my patient's abdomen. My instructor was right next to me and it went just fine!

Specializes in none.

852 Posts

we practiced on oranges for some reason. I was good at darts, so giving injection was no problem. But the site was a problem for me. I was always afraid of hitting the sciatic nerve so an RN told me to mentally to draw a cross. I did it with a cotton ball on there butt. I still do it today.
Practice, practice, practice. During flu season, if your school takes part in a flu clinic, make sure you sign up. Nothing like doing 50+ shots a day to get you up to speed.
We used the fake skin in lab....and only injected air to extend the life of the skin...described everything we were doing. No practising on each other.
Then on pts with instructors. First time instructor had us run back through the steps really quick before going in the room. Like ok....first time giving flu shot, where does it go, what landmarks do you use to find correct location. What is the max volume you can give there. What needle size is appropriate. Class that starts doing injections in fall usually does a flu shot clinic so lots of IM experience there. And you will give hundreds of subQs between insulin and heparin so those will become second nature pretty quick. But really, heparin and insulin are the only common injections to give in hospital. Occasional vaccination unless you get experience with a clinic.....and a few other rarer ones.
You have to remember what you are comparing to is dental school.....they have to place that novicane just right to numb the mouth. They do not know if it numbed if it is just a fake mouth. And you can't wait til pts to find out if you are numbing it or you will hurt them.
With OUR injections, as long as you review with your instructor, and do things as practised in simulation ( like aspirate IMs, give in right place, dart to go in) you are not going to hurt (more then any injection is going to hurt) the pt.
Create well-written care plans that meets your patient's health goals.
This study guide will help you focus your time on what's most important.
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Sources
Infusion Associates. How Does an IV Work? [Accessed November 2, 2021]. Available from: https://infusionassociates.com/how-does-an-iv-work/ .
Homage. Injection 101: Overview, Types, Common Uses & Risks. [Accessed November 2, 2021]. Available from: https://www.homage.sg/health/injection/ .
Jin JF, Zhu LL, Chen M, et al. The optimal choice of medication administration route regarding intravenous, intramuscular, and subcutaneous injection. Patient Prefer Adherence. 2015;9:923-942. Published 2015 Jul 2. doi:10.2147/PPA.S87271. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4494621/ .
Memorial Sloan Kettering Cancer Center. How to Give Yourself a Subcutaneous Injection Using a Prefilled Syringe. June 29, 2020. [Accessed November 2, 2021]. Available from: https://www.mskcc.org/cancer-care/patient-education/how-give-yourself-subcutaneous-injection-using-prefilled-syringe .
Health Navigator New Zealand. Intramuscular injections. October 17, 2021. [Accessed November 2 , 2021]. Available from: https://www.healthnavigator.org.nz/medicines/i/intramuscular-injections/ .
UW Health. How to Give Yourself Intramuscular (IM) injections. May 2019. [Accessed November 2, 2021]. Available from: https://patient.uwhealth.org/healthfacts/5450 .
Children’s Hospital of the King’s Daughters. Intramuscular Injection Home Instructions. May 2018. [Accessed November 2, 2021]. Available from: https://www.chkd.org/patients-and-families/health-library/way-to-grow/intramuscular-injection-home-instructions/ .
Nakajima Y, Fujii T, Mukai K, et al. Anatomically safe sites for intramuscular injections: a cross-sectional study on young adults and cadavers with a focus on the thigh. Hum Vaccin Immunother. 2020;16(1):189-196. doi:10.1080/21645515.2019.1646576. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7012163/
Greiner Bio-One. IV cannulation procedure for nurses to place a peripheral IV catheter (PIVC). June 23, 2020. [Accessed November 2, 2021]. Available from: https://www.stick-to-safety.com/news/newsroom/detail///iv-cannulation-procedure-for-nurses/ .
Doyle GR, McCutcheon JA. Clinical Procedures For Safer Patient Care. Chapter 7. Parenteral Medication Administration. 7.3 Intradermal and Subcutaneous Injections. [Accessed November 2, 2021]. Available from: https://opentextbc.ca/clinicalskills/chapter/6-7-intradermal-subcutaneous-and-intramuscular-injections/ .
NHS, Guy’s and St Thomas’, NHS Foundation Trust. Overcoming your needle phobia (fear of needles). October 2020. [Accessed November 2, 2021]. Available from: https://www.guysandstthomas.nhs.uk/resources/patient-information/all-patients/overcoming-your-fear-of-needles.pdf .
Health Navigator New Zealand. Fear of needles and injections. October 17, 2021. [Accessed November 2, 2021]. Available from: https://www.healthnavigator.org.nz/medicines/i/injection-and-needle-phobia/ .

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Medically reviewed by N. France, BPharm . Last updated on Nov 2, 2021.
An injection is a way of administering a liquid to a person using a needle and syringe. It’s also sometimes also called a ‘shot’ or ‘jab’. Injections are used to give a wide variety of different medications, such as insulin , vaccines and Botox (onabotulinumtoxinA), but not all injections are the same.
Read on to learn more about the four most common types of injection and where on the body they should be given. Plus find out about the basic steps for administering injections at home and tips to overcome your injection fears.
When ‘type’ of injection is mentioned, ‘type’ usually refers to the body tissue or path by which a medication is injected. The ‘type’ of injection describes its route of administration.
The four most frequently used types of injection are:
Some medications can be injected in more than one way. EpiPens (epinephrine) used to treat severe allergic reactions can be given via IM or SC injection, for example. Epogen (epoetin alfa) on the other hand, which is used to treat anemia, can be given by IV or SC injection. Depending on the condition you are treating, Botox may be administered as an IM, ID or intradetrusor injection.
The best site on your body to receive an injection depends on factors such as the medication being given, what you are treating, how quickly or slowly the medication needs to work, and the type of injection you are receiving. The best type of injection for you may also be influenced by your weight, age, cost, the frequency of administration and other factors.
An IV injection is usually given by a healthcare professional. A small plastic tube called a catheter is typically inserted into the vein for an IV injection to be administered through, especially when more than one injection is required. IV catheters are best placed where they are easy to access and the blood flow is good.
An IV catheter is most commonly placed into a vein in the:
When selecting a site to place an IV catheter it’s important to avoid infected areas of skin and placing a catheter in a flexible joint where it may bend. Injured or sore areas, and stiff or very thin veins should also be avoided.
Usually an IM injection, such as a vaccine, will be given by a healthcare professional. IM injections need to be injected into a muscle. It is recommended that an IM injection is given into a muscle in your:
The best site for your IM injection may vary depending on the drug you are receiving. Some IM injections need to be administered into a larger muscle than the deltoid for example. When selecting an injection site for an IM injection it’s important to pick one that is:
Some people may need to administer an IM injection at home.
If you’re prescribed an injection that you have to administer yourself at home then it’s likely it’ll be a SC injection. This type of injection is used to administer medications like insulin for diabetes, hormone injections for fertility treatment and blood thinning agents to prevent blood clots.
SC injections need to be injected into an area on the body with subcutaneous fat. It is recommended that you inject a SC injection into:
When selecting an injection site take care to avoid areas where the skin is sunken or lumpy, or areas where you might inject into a muscle rather than subcutaneous tissue. Also avoid sites where the skin is injured or damaged.
ID injections are commonly used for allergy and TB testing. The m
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