Intramuscular Injections

1. Intramuscular Injections An e-learning learning resource pack

2. An ideal world!!!!!

3. Administration Of Intramuscular Injections:Custom & practice: Where’s the evidence?

4. Intramuscular Injections • Injections are one of the most frequent used pharmacological interventions • The importance of safe injection administration cannot be underestimated. Once the medication has been administered via IM it is irretrievable • 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 • Traditionally given into Dorsogluteal muscle, however contemporary evidence suggests that this muscle is not as safe or effective as Ventrogluteal muscle

5. A simple task? • 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?

6. 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

7. 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

8. Project Development • Meeting Dundee with Andrea • Learning outcomes developed: Clarify what can be achieved • Assessment: Drive learning & desired learning outcomes met • Evaluation of pack: Does it work? • Complete December 2011 • High quality, time flexible, cost effective, fun!!

9. Intramuscular Injections Paul Smith Paulsmith1@nhs.net