If blood is aspirated, remove the needle, discard it appropriately, and re-prepare and administer the medications (Perry et al., 2014). particles up to a hundred times smaller than those in suspensions that are however likewise suspended in a solution. For non-live vaccines, manufacturers typically recommend use within the same day that a vaccine is withdrawn or reconstituted. WebHow many mL can be injected into the deltoid and thigh muscles? To locate this area, lay three fingers across the deltoid muscle and below the acromion process. WebYou can administer 1, 2, or 3 injections per deltoid, spaced at least 1" apart. The act directed OSHA to strengthen its existing bloodborne pathogen standards. Deltoid muscle: Locate the central and thickest portion of the deltoid muscle above the level of the armpit and approximately 2" below the acromion process (see diagram at right). Retrieved February 11, 2023, from https://www.cdc.gov/vaccines/hcp/admin/admin-protocols.html, Kroger, A., Bahta, L., Hunter, P. (2023). Unsupervised medication may lead to medication errors, Hand hygiene prevents transmission of microorganisms. Locate the injection site again using anatomic landmarks. The anterolateral thigh can also be used. Intramuscular Injection: To avoid the danger of subcutaneous fat atrophy, it is important to ensure that deep intramuscular injection is given into the gluteal site. Monitor the patient for adverse and allergic reactions to the medication. Refer to the agency policies regarding needle length for infants, children, and adolescents. Multiple use jet injectors using the same nozzle for consecutive injections without intervening sterilization were used in mass vaccination campaigns from the 1950s through the 1990s (33); however, these were found to be unsafe because of the possibility of bloodborne pathogen transmission (34-37) and should not be used. The markings are for milliliters (mL). Allow site to dry completely. For intramuscular injections (use a 22- to 25-gauge needle for all ages): For subcutaneous injections (use a 23- to 25-gauge needle for all ages): Subcutaneous injections are administered at a 45-degree angle, usually into the thigh for infants younger than age 12 months and in the upper-outer triceps area of people age 12 months and older. Explain the procedure and ensure that the patient agrees to treatment. Bloodborne diseases (e.g., hepatitis B, hepatitis C, human immunodeficiency virus [HIV]) are occupational hazards for clinicians and other health-care providers. Administering volumes smaller than recommended (e.g., inappropriately divided doses) might result in inadequate protection. Adults and children weighing 30 kilograms (kg) or more0.3 to 0.5 milligram (mg) injected under the skin or into the muscle of your thigh. Assist the patient to a comfortable position. Refer to agency policy regarding specifications for infants, children, adolescents, and immunizations. Muscle tissue is less sensitive than subcutaneous tissue to irritating and viscous medications. (b) Note that prefilled syringes of High-Dose Fluzone have a volume of 0.7 cc and the recommended volume of administration is 0.7 ccs. Data source: Berman & Snyder, 2016; Davidson & Rourke, 2014; Ogston-Tuck, 2014a; Perry et al., 2014. Position the ulnar side of the nondominant hand just below the site and pull the skin laterally. Hold a clean swab or dry gauze between the third and fourth fingers of the nondominant hand. Because of the sciatic nerve location, the dorsogluteal muscle is not recommended as an injection site. The needle is inserted at a 90-degree angle; this varies from the angle used for subcutaneous and intradermal injections (Figure 1).undefined#ref2">2,5 The appropriate needle length is determined by the patients weight and age and the amount of adipose tissue in the chosen injection site.2,7 The needle must be long enough to reach the muscle tissue, but not too long to present the risk of hitting underlying neurovascular structures or bone.2, IM injections should be administered so that the needle is perpendicular to the patients body or as close to a 90-degree angle as possible.2 IM injection sites should also be rotated to decrease the risk for hypertrophy.