When I switched to intramuscular injections, I referred to the site as vastus lateralis when I'm actually demonstrating ventrogluteal. - Ellis

@yasmiensharaan7321

2 жыл бұрын

In IM is the bevel up as well?

@sweettnt_homemade9111

Жыл бұрын

Thank you for clearing that up.

@LevelUpRN

Жыл бұрын

@@yasmiensharaan7321 There's no way to bevel up an IM injection because you're inserting the needle at a 90 degree angle. - Ellis.

I am just a Medical Assistant student and a Pre-Nursing student, but I was recently taught that when you put the needle in, you do it strongly and swiftly, like confidently and kind of fast, especially for IM injections, and then we pull it out at the same angle we went in, also fairly strong and swift.

Thank you! This is great for us future Medical Assistants as well! 😉

🙏❤️ Excellent instructional video! G0D BLESSED!

Thank you for taking the time in sharing these videos.

@LevelUpRN

Жыл бұрын

Very welcome!

U r doing a great job.... Keep going!!!

I loved the instructional delivery. I'm not even a nurse. Muy Interesting.

@LevelUpRN

Жыл бұрын

Glad you enjoyed it!

Thank you! I really enjoyed your video. Great job!

You explain so well! Thank you 💕

@LevelUpRN

7 ай бұрын

Thank you so much!

Thanks 🙏 very useful instructions! G0D BLESSED Y0UR HEART ❤️

thanks, love you from Egypt . شكرًا❤

Thank you!! This was such a good refresher. Very well demonstrated

Liked watching the Intramuscular injection z track method.

For my insulin injections I try to find a spot where there are no pain nerves. The best area I've found is off from center on the stomach over near the side. It's about 6 to 7 inches from center. Doesn't seem to matter how high or low.

Great instructions.

@LevelUpRN

11 ай бұрын

Glad it was helpful!

this helped but i want to point out that the sight she is showing for intramuscular is actually the ventrogluteal and not the vastus laterus

@LevelUpRN

Жыл бұрын

You are correct! I have a pinned comment explaining this slip-up. - Ellis

Thank you 😭😭

Why did you release the pinched fat on SQ prior to injecting? I thought the whole point of pinching was to ensure placement in subcutaneous tissue. Doesn’t releasing negate this?

Just wanted to see the arm for IM injection thank you tho this was great

Anything is helpful at this point. Worked as an LVN for a few years, got my RN in 2006, never worked as an RN. I completed a refresher course in 2019 then the pandemic started ;( I do not know where to go from here……

@penelopekeys8911

2 ай бұрын

Sort of similar to my situation.

Can you demonstrate how to draw up medications and reconstitute??

@LevelUpRN

2 жыл бұрын

Great suggestion! Sending this suggestion to the team!

Great job.🎉🎉🎉

@LevelUpRN

9 ай бұрын

Thank you! 😃

Do you aspirate to make sure there is no blood when doing IM injection?

I was taught to withdraw to see if I entered a blood vessel. I was also taught to pinch the skin when administering an injection in the arm. Did they change this technique with evidence base practice as I witnessed none of that when I took my daughter to the pediatrician’s office. She also has a quarter size bruise. Are we not withdrawing or pinching skin up anymore?

@LIMLG

5 ай бұрын

The Z track method is the recommended vaccine administration now and not the pinching of the skin.

Min. 4:43 you said you were demonstrating IM injection to the vastus lateralis site. No, you were not, because that is the thigh. You said "This is the rear end" which is the dorsogluteal. However, the site you demonstrating appeared to be what I learned in nursing school for the ventrogluteal. So the IM injection demo should be redone imo.

@Noname-qk3hr

10 ай бұрын

Same thing I thought too

I was just learning these in school, but we have to hold the needle after we stick it in and before we inject the solution. Is there a difference in the technique requirement in every state?

@LevelUpRN

2 жыл бұрын

Hi there! Could you describe more what you mean about holding the needle? - Ellis

@ericahunt99

2 жыл бұрын

I understand what you mean- you have to keep the syringe stabilized while your injecting the medication and keep your fingers stabilized on the syringe until the medication is injected.

Thank you. you are amazing, please can you make a video on Flushing catheters xx

To aspirate or not to aspirate...seems to be a bone of contention on multiple sites. Is this a "know your state/local/facility protocol/policy" item?

It would be helpful if you mention how to find the correct site like for intradermal injection is it 3-4 inches below the antecubital and so on.

heyy ı have a questıon?? should we do the aspiration on aour all IM ınjectıons because she dıdnt show ıt and our teacher saıd that we should aspirate first for precautıon

Question: at the 4:40 time mark please clarify the type of injection demonstrated.

@LevelUpRN

2 жыл бұрын

Hello! I'm demonstrating an intramuscular injection in the vastus lateralis muscle. The next intramuscular injection uses the Z-track method. That is the only difference. - Ellis

@adrianaguerrero9517

2 жыл бұрын

Ventrogluteal?

@deebee1022

2 жыл бұрын

@@LevelUpRN I believe you said you were attempting a vastus lateralis when in fact you were showing a skill for a ventral gluteal injection

New subscriber, 💭 your content is extremely valuable and helpful ☕️ Thank You 🌤️

How deep do you go with SQ and IM needle ? Half way ? All the way ?

@LevelUpRN

11 ай бұрын

Generally, insert it all the way. That's why choosing the appropriate length is critical. If your IM needle is too long, you run the risk of it hitting bone.

👍👍👍

Sorry I was meant to say, you did not withdraw the plunger once you had injected to make sure you are not in a blood vessel.

Thank you🤗

@LevelUpRN

2 жыл бұрын

You’re welcome 😊

What is the gauge needles size for each site

@LevelUpRN

2 жыл бұрын

It depends on your facility and your text book; our Clinical Skills flashcards cover our suggestions for needle length and gauge on cards 83 - 85!

@LevelUpRN

2 жыл бұрын

Intradermal: 25 - 27 gauge, ¼ - ½” needle. Subcutaneous: 25 - 30 gauge, ⅜ - ⅝” needle. Intramuscular: 20 - 25 gauge, 1 - 1.5” needle. :) Ellis

Pls could you be so kind of explaining again the reason the bevel should be pointing up?

@LevelUpRN

2 жыл бұрын

Absolutely! The bevel is where the medication will exit. If the bevel is pointing up, it allows the bleb (or bubble) to form under the skin. If the bevel is pointing down, the medication is injected towards the dermis tissue and the bleb will not form. - Ellis

@mm-zd9ml

Жыл бұрын

@@LevelUpRN That's clears it up....but lastly why we need the bleb or bubble to form? 😓🙏

I've had clinicians do fast hard presses on the plunger. One time while getting a tetanus shot the shot fluid squirted all over my arm. They need to learn to press it slowly and not do fast.

For test dose which layer should we reach

@LevelUpRN

Жыл бұрын

Ayesha, I'm not sure what exactly you're referring to. Do you mean to see if there's a potential allergy? That is usually intradermal. - Ellis

Wao

You did not drawback the needle, for the intramuscular to make sure you are not in a blood vessel.

Good vid, except you did not aspirate to make sure you were not in a blood vessel on the IM. Also, check with your facility, some do not want you using the z-track method. Always changing! :o)

@LevelUpRN

Жыл бұрын

Absolutely -- policies change based on your facility but also what medication you're administering. Both WHO and CDC are no longer recommending aspiration prior to IM vaccines.

Different states have different guidelines. The states that no longer require aspiration to ensure no vein has been accessed should also explain why not? I have recently seen lab techs use the same needle again and again while attempting to draw blood and in the ED nurses have done the same with IV attempts. Two words STAPH INFECTION. I would love to see every video that addresses needles to begin with the reminder not to do this!

no aspiration????????????????

@LevelUpRN

11 ай бұрын

Whether or not we aspirate depends wholly on the route and type of injection. For example, the CDC no longer recommends aspirating an IM vaccination.

Ok

@LevelUpRN

Жыл бұрын

Thanks for watching!

@DrAnkitJangid

Жыл бұрын

@@LevelUpRN you are welcome

But that's a huge needle!!!!😮

Would be nice if its done in actual human hihi

Just watched this video and first thing I noticed that you did not aspirate... Dr John Campbell noticed this during Covid epidemic and sadly the stupid WHO also does not mention aspiration while it used to be mandatory. You need to know if you accidently hit an artery or vein....so either make a new movie or add the importance of aspiration.

Who is this nurse? She's cute af

You did not aspirate on the intramuscular injection,you did not explain well the place of injection.Students should not listen to your channel.

@pd9605

Жыл бұрын

Yes, clarification is necessary that different states have different techniques.

@Simplyputme

6 ай бұрын

Textbooks nowadays say not to aspirate, that based on clinical evidence the risks outweigh the benefits.

@Sarianmiller

4 ай бұрын

You no longer have to aspirate.

@seals_are_cool1985

3 ай бұрын

@@Simplyputmewait really? My textbook says to aspirate

@Simplyputme

3 ай бұрын

@@seals_are_cool1985 I was still pretty early in school when I made that comment. I'm a little further and while my fundamentals book is explicit about not aspirating, other books contradict it. At this point I've seen literally hundreds of contradictions in these books that are all from the same company that makes the national exams. So you know, great field with totally fair exams.