Administer a Pediatric Intramuscular Vastus Lateralis Injection

[@paulaladeux]

This is horrible technique. Why would she release the child's leg to 'plunge'. That would allow the child to move his leg about and cause undo pain/injury. Hold the leg down by the knee using the edge of your hand and hold the syringe barrel with those fingers and plunge with the dominate hand.

[@NovaValentine000]

Agreed, you are supposed to grab that Vastus lateralis as you go in and not let it go till she was finished. That was a risking procedure.

[@seenwajeem]

Can you show us the correct technique.

[@NoneUpsMan]

Telling anyone administering an IM or SQ injection to "not move the needle" to "prevent discomfort" while *also* telling them to let go of a scared, screaming, flailing child is absolutely bonkers. Also, a great way to increase the chance of bleeding (internally and externally), pain, bruising and reinforcing a fear of needles in the older kids. Please, everyone looking to get into pediatric nursing, DO NOT LET GO OF THE KID. You have to figure out a safe, one-handed injection method, or (at the risk of stabbing an emotional parent) have the parents anchor the leg (while also keeping hands away from the injection site). It's your job to safely administer the vaccine and that does not involve letting kids move freely with a needle inside them while you clumsily reposition to fit the ridiculous technique taught by literally everyone.

[@terrim.602]

What?! This is a terrible technique! Why would you use a 22g on an infant to give .05mls? That's too big of a bore for an infant! Why did she release the baby's leg?

[@StephyGrowsWeed]

Yea, RKI states for babies above 2 months and toddlers 2,5 cm (26G or size 18 here in germany) needles should be used. For adults 2,5-5cm. Die Nadellänge sollte bei Säuglingen von < 2 Monaten 15 mm betragen, bei älteren Säuglingen und Kleinkindern 25 mm und bei Jugendlichen und Erwachsenen 25 - 50 mm.

[@Domesticated_house_goblin]

I’m horrified at her technique

[@MaryBethCarlson-hv7zs]

This is the worst and most improper demonstration of administering an IM injection I have ever seen. And as an INSTRUCTIONAL VIDEO!! That’s too long of a needle to begin with and if you don’t aspirate, you have no idea if you are in a vessel, in which case you pull out immediately without injecting and start over. And NEVER let go of the limb until you are done. I actually inject the leg approaching from the opposite side of the table to hold above the knee of the leg I’m going to inject and stabilize the other leg closest to me by resting my elbow above that knee. I have the parent or a coworker hold both hands of the infant/ child and speak to them to distract them, telling them not to let go of their hands until I am done. This is a very poor example of how to safely give an IM injection. I’ve been a pediatric RN for 30 years. This surely cannot be what’s being taught as “best practice.”

[@wafflesjam5385]

Can you do a video? Your technique is way better lol.

[@MaryBethCarlson-hv7zs]

@@wafflesjam5385 If I were technologically advanced beyond managing a patient on ECMO and CRRT, I would. Find a really good nurse mentor (not necessarily the ones with the alphabet soup behind their name-they are usually too far away from the bedside or actual care to know what they are doing). It’s a crime what nursing has become these days.

[@juannavarro8659]

Today at the odessa texas tech My son go his shot or the 2 month and know his crying like bad ad 😢 😕 😪 she fk up they don't know

[@leoniepotter84]

What the actual hell was that!!! The needle was way too long for a baby, and she lined up the wrong position

[@الوردالبيضاء-ض3ل]

هلوو هلوو

[@elhrmincan]

مللات

[@rajazainai5295]

Hdjdhfjdhsisgdudvudngdo😊

[@rajazainai5295]

Hdjdhfjdhsisgdudvudngdo😊

[@rbrajesh687]

X

[@cassandradowning]

So freaking terrible. All of it. Poor sweet baby!

[@ma.1749]

This’s perfect thank you

[@lisahanson4545]

Beautiful job keep it up and ignore the comments, they're nit lsaving professionals who are perfectly qualified! 👍👍👍❤️

[@lisahanson4545]

I mean they're not life saving professionals! You people are absolutely amazing 👍👍👍 not the people in the comments section lol

[@StephyGrowsWeed]

3:42 just aspirate! save lives

[@paulaladeux]

No need to aspirate. It's unneeded, especially for vaccines.

[@murdochfrommacgyver8516]

in vastus lateralis on a baby? Why?

[@StephyGrowsWeed]

@@murdochfrommacgyver8516 that’s what ppl said about the deltoid muscle too…. untill…. yea, now they changed recommendations (even in germany) ….

[@murdochfrommacgyver8516]

@@StephyGrowsWeed what happened?

[@StephyGrowsWeed]

@@murdochfrommacgyver8516 ppl got injected intravenously….