Ventrogluteal injection site PDF

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flVentrogluteal injection site 1) Place the heel of the opposing hand (left hand right hip & vice versa) on the greater trochanter (ball of the hip bone) & feel for the anterior superior iliac spine with index finger. 2) Index finger placed on the anterior superior iliac spine. 3) Middle finger stretched dorsally/fanned towards but below the iliac crest. 4) Injection site is within the ‘V’ formed by the index finger, middle finger & crest of the ileum Anterior Superior Iliac Spine Iliac Crest Gluteus Medius Gluteus Maximus

Sciatic Nerve

Z – track Technique Pulls the skin and subcutaneous tissue a few centimetres to one side of the injection site so that the administered medication remains in the muscle & does not leak into subcutaneous tissue where it can be a painful irritant. Called Z-track because it creates a zigzag path that seals the drug in the muscles by sliding of the tissue planes across each other. Also known as - ‘broken injection pathway’

1)Must explain procedure to patient to reduce anxiety associated, be aware of needle phobias, might move during injection. 2) Assess site for anything that would increase pain of injection or inhibit drug absorption. Needs to be done prior to drawing up medication as waste of drug if no appropriate site. 3) Draw medication into syringe without contamination, place needle onto syringe & place in kidney dish for transport to patient. Needle size dependent on size of patient – select from 21-23G as appropriate. 4) Need to position patient lateral & have bed elevated to appropriate height for administration. Ensure adequate warmth & lighting & curtains drawn for privacy. 5) Glove on non-dominant hand, measure site with landmarks (greater trochanter, anterior superior iliac spine, iliac crest), clean area with alco wipe (wipe from center working outwards + don’t go over same area, allow to dry), remove cap from needle. 6) Prepare patient for injection, ask to take deep breath, some say to cough or wiggle toes. 7)Pull skin a few cm to one side of injection site = z-track method 8) Inject shaft 2/3 @ 90 degrees in dart like motion, MUST aspirate to check for blood, wait 5 seconds to ensure negative pressure built, if no blood proceed with injection, if blood present, withdraw needle & start entire procedure again. 9) Inject steadily with needle stabilised at steady rate – remove needle quickly at same angle as insertion whilst supporting surrounding skin and apply pressure if bleeding but DON’T massage as can displace the medication into subcut tissue. 10)Ensure kidney dish is on a stable surface to put used syringe into otherwise there is risk needle stick. 11)Make patient comfortable, return to original position & tell patient you will check site in 1/24 for reaction but let RN know if any concerns, pain, etc. 12)Sign for the administered med with RN before leaving the room – can be distracted on the way to sharps container otherwise, forget to go back & sign & patient may be given another dose by another RN = overdose. 13 ) Take syringe with needle attached in kidney dish & dispose directly into sharps container, return other equipment & clean as necessary.

Deltoid Intramuscular Injection Site

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