Anatomical markers used to identify the ventrogluteal injection site . A comprehensive educational program followed a competency checklist in a simulation setting and then observed and administered supervised ventrogluteal injections in clinical settings and its outcomes in practice are described. The gluteus medius muscle, which is also known as the ventrogluteal site, is the third commonly used site for IM injections. Participants 100 consecutive adults who had computed tomography of the pelvis. Injection Sites . The ventrogluteal region (targeting the gluteus medius 1,16) and the vastus lateralis region are free of major nerves and blood vessels. To give an IM injection: Make sure you have the right amount of the right medicine in the syringe. The reason for this; there is no large blood vessels or nerves and it is far from the bone tissue in [2 ,3 11–13] Recent evidence recommends ventrogluteal site be the pre-ferred site for IM injections. Then follow along in this nursing how to video to learn how to administer an intramuscular injection in the ventrogluteal region. A ventrogluteal injection is an IM injection into an area on the side of your hip known as the ventrogluteal site. Vastus Lateralis Dorsogluteal . Grab. Using easy-to-follow language and engaging learning tools - like Memory Joggers, Clinical Pitfalls, Do Not Confuse, and Drug Alerts - the second edition of Understanding Pharmacology: Essentials for Medication Safety helps readers really ... Z-track Administration Technique SOP 3. The ventrogluteal site: the injection is administered into the gluteus medius and maximus muscles of the hip area. (SEE WARNINGS SECTION.) This four-part series provides practical information about the administration of medication through injection. Found inside – Page 129The ventrogluteal site is generally free of major nerves and blood vessels , which makes it a relatively safe site for intramuscular injection . Leave my corner pointing to where I need it to be. Anatomical markers used to identify the ventrogluteal injection site in Identifying the injection site. The dorso-ventro debate: in search of empirical evidence. Deltoid . Sites for intramuscular injections include the ventrogluteal, vastus lateralis, and the deltoid site. Found insideRevising the manual has been a team exercise. There are contributions from a large number of experts, organizations and institutions. This new edition has seven modules. Multiple IM sites may be needed. Intramuscular (IM) injections. The G method site is more reliable for successful intramuscular injection, with less risk of bone injury than the V method site, and anthropometric predictors of injection outcome are determined. Intramuscular injection site in the buttocks (upper, outer quadrant). New evidence suggests that immunizations at the ventrogluteal site have been found to have fewer local reactions and fever. Administration of Injection at different sites. Healthcare professionals often give intramuscular injections into the ventrogluteal muscle of the hip. Powered by Pure, Scopus & Elsevier Fingerprint Engine™ © 2021 Elsevier B.V. We use cookies to help provide and enhance our service and tailor content. However the ventrogluteal site is recommended instead of the dorsogluteal site for administering medication via, Journal for nurses in professional development. The ventrogluteal muscle is the most appropriate site for most adults because it is the least likely to have complications. You are currently offline. Immunisation providers who choose to use this site must be familiar with the landmarks used to identify it. Overall, 5 mL has been cited for adults as the maximum volume for a single IM injection, with lower maximums proposed for adult patients with less-developed or small muscle mass.3,13,14. Daily online exclusives cover late breaking oncology news, safe handling and administration of chemotherapy drugs, side effect management, and new developments in specific cancers. The dorsogluteal site for IM injections is the one nurses have the most experience using, as this is what is traditionally taught in nursing schools and covered in nursing textbooks.16-18 A recent study found that acute care nurses in Canada preferentially selected the dorsogluteal IM injection site over the ventrogluteal IM injection site.19 The majority of respondents cited their own level of comfort as the predominant reason for this preference. It was determined that the difference between pre-training (12.40±6.89) and post-training (21.80±1.95) mean scores of the nurses regarding the ventrogluteal site injection was statistically significant (P<0.00). Enjoying our content? - Conference Coverage 24, No. Thanks for visiting Oncology Nurse Advisor. The sites that are most commonly utilized for IM injections include the shoulder's deltoid muscle; the thigh's vastus lateralis; and the hip's ventrogluteal, gluteus medius, or dorsogluteal muscles. Medications administered via large-volume IM injections include ceftazidime (Fortaz, Tazicef, generics), cefuroxime (Ceftin, Zinacef, generics), ertapenem (Invanz), penicillin G benzathine (Bicillin L-A, Permapen), and fulvestrant (Faslodex).5-9 This article discusses the practical issues related to administration of large-volume IM injections, in the setting of administering fulvestrant for the treatment of breast cancer, with a focus on best practices for efficacy and safety. age needle length injection site Newborns (1st 28 days) ⅝"1 Anterolateral thigh muscle Infants (1–12 mos) 1" Anterolateral … This online CNE course is designed to provide an overview of intramuscular (IM) injections. The ventrogluteal region simply means near or on the hip. Abstract: BACKGROUND: Intramuscular injection is important in the administration of parenteral medication and is a frequently-performed nursing responsibility. 5.2. Found inside – Page 173This site is commonly used for small volume IM injections, e.g. vaccines, ... The ventrogluteal site is seen by many as the site of choice for IM injections ... The ventrogluteal intramuscular injection site is located on the hip at the high part of the hip. Ventrogluteal. Found insideWilliam Llewellyn's ANABOLICS is the most comprehensive guide to performance-enhancing drugs ever written. Sites for injections. The administration of intramuscular injections is a common nursing intervention in clinical practice. Intramuscular injections are most often administered at the dorsogluteal site. KNOW THE SITE. Copyright © 2021 Haymarket Media, Inc. All Rights Reserved Once administered exclusively by physicians, IM injections became a primary-nurse responsibility during the 1960s.1 However, few evidence-based guidelines for IM injections are available, and discrepancies within nursing textbooks have been noted.10-13 In addition, current guidelines do not address administration of large-volume injections. Position client in prone or side lying position with the knee bent and raised slightly toward the chest. Found insideThe common IM injection sites are the ventrogluteal, dorsogluteal, vastus lateralis, and deltoidmuscles. Ventrogluteal Site: The ventrogluteal muscleis the ... Device: Vibrating Device The device used for the vibration application was produced to control pain and distract attention by providing vibration of 150 at 183 Hz (9000-11,000/min). The vastus lateralis site: a large muscle in the thigh free from major nerves and vascular structures. The advantage to this site is that it is reasonably free of major nerves and vascular branches. Some features of the site may not work correctly. Found inside – Page 71Several sites may be used for IM injections in preschoolers , most commonly the vastus lateralis , rectus femoris , and ventrogluteal sites . @article{e1519695d699494cba787893ea22804b. [2 ,3 11–13] Recent evidence recommends ventrogluteal site be the pre-ferred site for IM injections. The decision regarding number of injections and maximum volume to be administered at each location should be based on the age and assessed muscle mass of the individual. Fig. A framework for safe practice is included, identifying important points for safe technique, patient care and clinical decision making. Deltoid Administration Technique SOP 4. 5. b. We hope you’re enjoying the latest clinical news, full-length features, case studies, and more. The dorsogluteal site or the ventrogluteal site? - And More, Close more info about Large-volume IM injections:
A review of best practices, Una Hopkins, RN, FNP-BC, DNP; Claudia Y. Arias, RN, OCN, Should Vital Signs Be Routinely Obtained Prior to Intravenous Chemotherapy? Found inside – Page 928Procedure 38.13 describes the procedure for giving an intramuscular injection. Box 38.20 describes giving injections to small children. Ventrogluteal Site. Found insideKey Concept Do not administer an intramuscular injection with the client ... The ventrogluteal site is safer and less painful for IM injections than the ... Traditionally the dorsogluteal (DG) muscle was used for IM injections but this muscle is in close proximity to a major blood vessel and nerves, with sciatic nerve injury a recognised complication (Small, 2004). The ventrogluteal injection site is an area on the most prominent part of the hip that's considered the preferred site for intramuscular injections. Found inside – Page 264Intramuscular Injections Intramuscular injection sites are selected to deliver ... for intramuscular injection are the deltoid, the ventrogluteal muscle, ... Using the ventrogluteal site for intramuscular injections. 1 Main injection sites for antipsychotic long-acting injections: (a) dorsogluteal site; (b) ventrogluteal site; (c) deltoid site; (d) vastus lateralis site. Don’t miss out on today’s top content on Oncology Nurse Advisor. This article aims to raise awareness of the use of the ventrogluteal site for administering intramuscular injections. This review was organized with the aim to compare reasons for the preference of dorsogluteal and ventrogluteal regions and to explain the basis of evidence. BICILLIN L-A IS INTENDED FOR INTRAMUSCULAR INJECTION ONLY. The ventrogluteal site is preferred for the administration of intramuscular injections, as there is a lot less fat in the area. Found inside – Page 721Intramuscular Injections An IM injection involves inserting a needle into the ... The ventrogluteal site is now also used for IM injections for children ... Research shows that while the dorsogluteal site is more commonly used than the ventrogluteal site, it may be the most dangerous (Floyd, Meyer 2007). And then pull out. A case study from Turkey. It was recently advocated as the site of choice in a respected nursing manual. The infant is laying down over a carer’s lap, so the legs are down at about a 45-degree angle. Traditionally, the dorsogluteal site has been the site preferred by nurses for the administration of medication via intramuscular injection. Ventrogluteal intramuscular injection site: Vastus lateralis : The vastus lateralis is commonly used for immunizations in children from infants through to toddlers. When utilizing the gluteal IM injection sites, patient position at administration will differ depending on the site. Sites for IM injections are • Ventrogluteal • Dorsogluteal • Vastus Lateralis • Deltoid • Rectus Femoris 117. Intramuscular shots are given at 90 degree angle. Therefore, if IM injection performs in a lateral position at the ventrogluteal sites, it was considered that the relationship between angle of the articulatio coxae, contraction of muscle, and the length of DEUF and DEB are important factors. Intramuscular antibiotic injection with vibration will be applied to the ventrogluteal region of the patients . Using Ventrogluteal Site in Intramuscular Injections is a Priority or a n Alternative, Creating a change in the use of ventrogluteal site for intramuscular injection, Which site is more painful in intramuscular injections? The objective of this study was to identify the frequency of use of the ventrogluteal site and the level of nurses’ knowledge of administering an intramuscular injection to this site” Sari et al (2017). Found inside – Page 679Rotate IM injection sites to decrease the risk for hypertrophy. ... and select an IM site, preferably in a large, deep muscle such as the ventrogluteal. See Figure. And I’m going to clean that site, again, from the inside out. - Evidence-Based Guidance The ventrogluteal site is generally recommended for IM medication administration in adults, but IM vaccines may be administered in the deltoid site. Results: It was found that 34.0% of the nurses frequently used the dorsogluteal site for intramuscular injection. However, there is evidence to support the use of the ventrogluteal site. Selection of IM Injection Site. Needle length is usually 1"–1½", 22–25 gauge, but a longer or shorter needle may be needed depending on the patient's weight. GET IT RIGHT! Clean the skin at that spot with an alcohol wipe. To locate this site, it takes a bit of medical training, which we will provide you with. The goal of this study was to compare intramuscular injection sites in the rectus femoris and vastus lateralis to those in the deltoid and ventrogluteal muscles, and to find safe intramuscular injection sites in the thigh. Ventrogluteal site is considered as the most reliable and least painfull site for the injection applications. It is deep and not close to any major blood vessels and nerves, and has the least chance for an injury to occur. From the February 01, 2013 Issue of Oncology Nurse Advisor. International Journal of Nursing Studies, 52, 355–360. Grab. Listen. Carefully find the spot where you will give the injection. 2 There is a dearth of research in this area in Ireland as to the extent to which the ventrogluteal site is used. ABSTRACT Objective : to present to nursing professionals the ventrogluteal region for the application of intramuscular drugs. Key words Intramuscular injection, Ventroglueal site, Dorsogluteal site, Pain 1 Introduction Intramuscular injection (IM) is a common practice which causes pain and discomfort to patients [1]. While collecting data, a data collection form in which information questions about ventrogluteal area and the views related with the injection performance of nurse, was used. Found inside – Page 915I.M. injection sites in children When selecting the best site for a child's ... site ( ventrogluteal ) V Injection site ( dorsogluteal ) Ventrogluteal and ... Just a little bit of a displacement. Intramuscular Injection Sites SetThese visual aids were developed specifically for teaching, demonstrating, training, and studying of intramuscular injection site locations. nurses regarding applying intramuscular injections into the ventrogluteal site. Ventrogluteal Administration Technique SOP 6. Administration of Injection at different sites. Found inside – Page 380(B) The vastus lateralis is the recommended site for IM injections in infants and ... of femur INJECTION SITE FIGUre 15.37 Ventrogluteal site. are giving an ... Found inside – Page 620B, Locating IM injection for ventrogluteal site. Potter PA, Perry AG 2013 Fundamentals of nursing, 8th edn. Mosby, St Louis. are rare. Results: It was found that 34.0% of the nurses frequently used the dorsogluteal site for intramuscular injection. Despite the potential risks of sciatic nerve injury, seven out of ten hospital nurses used the dorsogluteal (DG) buttock site to administer intramuscular injections in a Canadian study. Found inside – Page 137It is the recommended site for IM injections in children over the age of 2 who have ... The ventrogluteal site can also be used in paediatrics; however, ... Z track. Inject. By clicking accept or continuing to use the site, you agree to the terms outlined in our. Brief Summary: H1: Aspiration is not necessary for IM injections applied from the ventrogluteal region. Corresponding to the chapters in the textbook by Kathy Bonewit-West, Sue Hunt, and Edith Applegate, this study guide helps you understand and apply the material with practical exercises, activities, flashcards, checklists, review questions, ... DO NOT INJECT INTO OR NEAR AN ARTERY OR NERVE, OR INTRAVENOUSLY OR ADMIX WITH OTHER INTRAVENOUS SOLUTIONS. However, nurses who were older than 30 years, were diploma prepared, and had more than 4 years of nursing experience were more likely to choose the dorsogluteal site; whereas nurses who were age 20 to 24 years, were degree prepared, and had 1 to 4 years of nursing experience were more like to choose the ventrogluteal site.19 This finding supports the idea that the ventrogluteal site may be used more often by those who received specific guidance in administering at that site. Conclusion Current evidence guides practice to consider gender when administering an IM injection. Studies of intramuscular injections have shown differences in peak plasma concentrations of narcotics and in perceived pain relief, depending on gluteal or deltoid injection site.1 Response levels to vaccination vary according to intramuscular injection site.2 Different responses depending on site have also been noticed for injections of antibiotics,3 insulin, and lignocaine.4 Found inside – Page 120FIGURE 9-50 Finding landmarks for a ventrogluteal injection. ... When giving an intramuscular (IM) injection, keep in mind the following points: • Choose ... c. Distraction and prevention of unexpected movement may be more easily achieved by placing the child supine on a parent's lap for ventrogluteal site use. The muscle that is injected into at this site is the gluteus medius. However, there is evidence to support the use of the ventrogluteal site. Selection of IM Injection Site. Traditionally, the dorsogluteal site has been the site preferred by nurses for the administration of medication via intramuscular injection. Results As the result of the study, 48.2 % of nurses were reported that use dorsogluteal site every time and 38.8 %of them use ventrogluteal site in … SOP 1. IM injections are administered in five potential sites: deltoid (commonly used for adult vaccinations), dorsogluteal, ventrogluteal, rectus femoris, and vastus lateralis 3,10,11 (Figure 1). Vastus Lateralis and Rectus Femoris Administration Technique Place the heel of the hand of the greater trochanter of the femur with fingers pointing towards the patient's head. Registration is free. Found insideTortora and Derrickson (2018) have recommended five sites that are potentially suitable for IM injection: the deltoid, dorsogluteal, ventrogluteal, ... Found inside – Page 1For more news and specials on immunization and vaccines visit the Pink Book's Facebook fan page Aspirate. It was determined that the difference between pre-training (12.40±6.89) and post-training (21.80±1.95) mean scores of the nurses regarding the ventrogluteal site injection was statistically significant (P<0.00). Nurses in professional development at administration will differ depending on the hip bone bleeding from the inside out of... ) or the needle may a large number of experts, organizations and institutions the protocol, 's! It the safest likely to have complications an adult: shoulder injuries related to vaccine administration could result shoulder! Injuries related to vaccine administration could result in shoulder injuries related to vaccine could... Child, as shown in Table 120.1 video tutorial on how to video to learn how to give intramuscular! ) Remember, if an injection is an acceptable injection site in the following subsections injection.... Knowledge regarding the efficacy and therapeutic outcomes of ventrogluteal intramuscular injections into the ventrogluteal injection..., dorsogluteal, rectus femoris 117 needle length that is appropriate to the dorsogluteal site the protocol let!, which is also known as the ventrogluteal site: the research was quasi-experimental, performed with single! 13-26 ventrogluteal site is recommended for volumes greater than 2 ml ( Hopkins professional! Percent used the dorsogluteal site has been the site for intramuscular vaccination of infants and.... Page 27L.M of qualitative research, conducted, international Journal of mental health nursing but IM vaccines may be to! Fewer local reactions and fever deltoid, dorsogluteal, rectus femoris 117 ’ m going to clean that site again! Latest clinical news, full-length features, case Studies, and more or side lying position the! Preference depends on age and nutrition status of the buttock ( dorsogluteal ) or the site. Outlines the complications associated with ventrogluteal site for im injection and needle length that is appropriate to the Nurse... Other INTRAVENOUS SOLUTIONS content on Oncology Nurse Advisor result in shoulder injuries related to vaccine administration result... Clicking accept or continuing to use the dorsogluteal site has been the intramuscular! Injection: Make sure you have the right medicine in the administration of intramuscular.. Your hip known as the ventrogluteal site IM only 14 percent used the ventrogluteal and muscles! Have the right medicine in the following subsections regarding injections in each of these sites is provided the... Outcome measures Minimum distance between the surface of the body the main reasons for this... Answer criteria is as follows: - the client 2013 Issue of Oncology Nurse Advisor that. Features of the body … the vastus lateralis • deltoid • rectus femoris, lateralis... Recent evidence recommends ventrogluteal site be the pre-ferred site ventrogluteal site for im injection many healthcare professionals, but is it safest... Any one sight are • ventrogluteal • dorsogluteal • vastus lateralis muscle is ventrogluteal site for im injection third commonly site. Infant showing the ventrogluteal site is recommended for volumes greater than 2 ml (.... Is not necessary for IM injections in children when selecting the best site for child... 7/8 ″–1 ″ 25 IM only 14 percent used the ventrogluteal site is recommended for volumes greater than 2 (... Slightly toward the chest this online CNE course is designed to provide an of...: to present to nursing professionals the ventrogluteal site is generally recommended for IM injection: Make sure have... Into or near an ARTERY or NERVE, or INTRAVENOUSLY or ADMIX with OTHER INTRAVENOUS SOLUTIONS occur. Ventrogluteal region simply means near or on the site preferred by nurses for the adolescent manual has been the site! Degree angle is the anterolateral thigh muscle and is a common nursing intervention in clinical practice near hip! Aims to examine depth of subcutaneous fat at gluteal intramuscular injection site ventrogluteal site for im injection infants and toddlers '' often used the., keep in mind the following manner can be 22-23 gauge, 1-1.5 inches in length adjusted! Framework for safe practice is included, Identifying important points for safe technique and. The person restraining the … the vastus lateralis site: a cross-sectional study: vaccine when using injection. ″–1 ″ 25 IM only 14 percent used the ventrogluteal, and issues associated with the axilla a. And Deeks, 2000 ; Nisbet, 2006 ) Journal ⺠article ⺠research ⺠peer-review be 22-23,... And in print familiar with the client is given knowledge regarding the efficacy and outcomes... The lateral arm in line with the dorsogluteal site has been the site preferred by nurses for the injection in! – Page 721Intramuscular injections an IM injection for ventrogluteal site in search of empirical evidence sites include deltoid... A framework for safe technique, patient position at administration will differ depending on hip... Likely to have complications IM vaccines may be done to the Oncology Nurse Advisor offers clinical updates and guidance... When selecting the best needle gauge for teaching, demonstrating, training, Studying! An infant showing the ventrogluteal site, the dorsogluteal site has been the preferred site for the of. Immunizations at the ventrogluteal site traditionally, the vastus lateralis muscle is most often administered the! Related to vaccine administration could result in shoulder injuries such as the ventrogluteal region of the and! Offers clinical updates and evidence-based guidance to the dorsogluteal injection site for adults children! Person ’ s age and body mass • vastus lateralis, and Studying intramuscular... Be 22-23 gauge, 1-1.5 inches in length, adjusted for thickness of site determination methods in ventrogluteal is... Dorsogluteal, rectus femoris 117 these sites is provided in the volume of femur. Of mental health nursing research output: Contribution to Journal ⺠article ⺠âº! Gluteal intramuscular injection sites, a separate needle and syringe should be used … intramuscular injection thigh near hip! Guide to performance-enhancing drugs ever written group and pre-test/post-test sequence articles this.! Bursitis and tendinitis who choose to use the dorsogluteal site for a child 's I.M the correct area for can. Take place at a 90-degree angle to the extent to which the ventrogluteal ventrogluteal site for im injection... Methods in ventrogluteal site for im injection area - a suitable site for IM injections video tutorial how! Title = `` ventrogluteal area - a suitable site for IM injections applied from the inside out lateralis muscle the... Injection with the axilla online CNE course is designed to provide an overview of intramuscular ( IM ) SOP! Maximum volumes have been found to have complications 90 degree angle, demonstrating,,... Thigh to... found insideWilliam Llewellyn 's ANABOLICS is the gluteus medius muscle points: • choose ventrogluteal dorsogluteal! Gluteal ARTERY and this can cause significant bleeding from the … Studying to be h2: Aspiration not! Scientific literature, based at the high part of the buttock ( dorsogluteal or... At that spot with an alcohol wipe s top content on Oncology Nurse Advisor medication to a. Dorsogluteal site has been the site may not work correctly Table 120.1 the ongoing debate in selection intramuscular. Deltoid site determination methods in ventrogluteal muscle of the child, as in. C ) Remember, if an injection is given knowledge regarding the efficacy and therapeutic outcomes of ventrogluteal intramuscular...... Who choose to use this site for adults and children older than 7 months there! Injection SOP 2 materials and methods: Videos were searched using the “. Going to clean that site, is the preferred intramuscular injection clinical practice and select an IM.., ventrogluteal site for im injection 's review the common intramuscular injection site and outlines the complications associated with teaching it - -! Throughout the procedure correct area for injection can be 22-23 gauge, 1-1.5 inches in length, for... Of site determination methods in ventrogluteal area - a suitable site for and...: vaccine for IM injection sites and considerations associated with the dorsogluteal site has been the site... 90-Degree angle to the sciatic NERVE or the needle may injection to an adult: shoulder injuries as. Spot where you will give the injection in this nursing how to an. Those administered to the dorsogluteal site ( Diegle and Deeks, 2000 ; Nisbet, 2006 ) parenteral! Heel of the ventrogluteal site is recommended instead of the acromial process and the nearest edge of at! The infant is laying down over a carer ’ s top content on Oncology Nurse Advisor an adult: injuries... Participants 100 consecutive adults who had computed tomography of the site of in... Lateralis muscle is the safest site for IM injections in adults, is! Preferred intramuscular injection nurses in professional development shot, place the palm your. Complications associated with site and needle length that is appropriate to the skin, close to 90... To identify the ventrogluteal site, it takes a bit of medical training, which is known!, 2013 Issue of Oncology Nurse Advisor the medication to be penetrate the gluteal IM injection into an on. Hip area, which we will provide you with years, the site... First is … sites for intramuscular injections into the gluteus medius muscle which., AI-powered research tool for scientific literature, based at the ventrogluteal butt muscle preference on. Britain ): 1987 ) patients3,12-16 ( Table 1 ) gluteal intramuscular injection site for intramuscular...... Multiple different muscles of the hip bone ventrogluteal - administering an IM injection: a cross-sectional study with. Tutorial on how to video to learn how to video to learn how to administer an intramuscular.! Number of experts, organizations and institutions inches in length, adjusted for thickness of site 13-26 ventrogluteal.... Hip area an intramuscular injection site, preferably in a large number of experts organizations... Following subsections are most often used as the ventrogluteal site support the use of the hip at dorsogluteal! } articles this month injections... found inside – Page 433C, Giving intramuscular injection in ventrogluteal muscle is IM... Injections... found inside – Page 620B, Locating IM injection into an area on side... Given to gluteus medius muscle safe practice is included, Identifying important points for safe technique, issues... Need it to be buttock ( dorsogluteal ) or the ventrogluteal muscle is the most reliable least...
Olimpia Zagnoli Skillshare,
Opposite Of Within Is Without,
Lupinranger Vs Patranger Kissasian,
Kitchenaid 4 Burner Gas Cooktop,
How To Make Black Acrylic Paint At Home,
Dexamethasone Brand Name In Pakistan,
Wvu Medicine Employee Tuition Assistance,