The administration of intramuscular injections is a common nursing intervention in clinical practice. This article aims to raise awareness of the use of the ventrogluteal site for administering intramuscular injections. It describes the main reasons for using this site and outlines the complications associated with the dorsogluteal site. It is hoped that this review of the literature will shift everyday practice in favour of the ventrogluteal site. Summary
LOOKING FOR THE EVIDENCE * Evidence-Based Practice * Types of Evidence * Systematic Reviews * Information Sourcing * APPLYING THE EVIDENCE * Clinical Effectiveness * Development of Practice * Audit * REFLECTING UPON THE EVIDENCE * Personal Change * Organisational Change * Ethical Change * Appendix: Research and Development Centres
: Nurses are at risk of infection through injuries caused by infected sharps and needles. The authors discuss the prevention and management of such injuries.
#2Lindy King('KCL': King's College London)H-Index: 21
Drawing up and administering intramuscular injections: a review of the literature Intramuscular (IM) injections have been an integral part of drug administration in nursing practice for almost half a century. However, there are some conflicting practices which warrant investigation to determine their effectiveness in this aspect of patient care. To this end, this paper presents the results of a literature review which was carried out in order to establish current understanding of present day kno...
: In the period 1985-1992, 176 significant occupational exposures to HIV were reported to the PHLS Communicable Disease Surveillance Centre. The outcome at three months post exposure was reported for 134 (76%) incidents. Ninety-nine of these involved percutaneous exposure to HIV-infected blood or serum; two resulted in seroconversion, one following the use of zidovudine post exposure. Under-reporting of significant exposures may have been considerable. However, the observed transmission rate, of...
Managing occupational exposures to human immunodeficiency virus type 1 (HIV-1) in the healthcare workplace remains both controversial and complex. Healthcare workers' perceptions of risk for occupational transmission of HIV-1, their knowledge of risk-reduction strategies, and their perceptions about appropriate postexposure management are all derived from an intricate interplay of scientific, political, social, and emotional sources. Following an occupational exposure to blood or blood-containin...
: The authors undertook a review of published articles on reported worldwide seroconversions to the human immunodeficiency virus (HIV) among workers who sustained occupational exposure to HIV. Documented seroconversions are occupational exposures for which the worker is tested and found negative for HIV antibody shortly after the exposure (usually within 30 days). The worker may develop symptoms of a retroviral illness, and seroconversion occurs usually within six months. In all cases the worker...
VIEWING routine computerized-tomography (CT) scans of the pelvis suggests that in a North American population the majority of injections intended to be intramuscular are actually delivered into fat...
This semi-experimental study is conducted to compare intramuscular injections applied on ventrogluteal and dorsogluteal sites in regards to bleeding, pain and hematoma. Population of the study was composed of patients who applied to the emergency care service of a state hospital. Sample group is consisted of 102 patients who meet the criteria of sampling with power analysis have 95% of confidence interval. Data were collected via Patient Information Form, Patient Observation Form, Pain Scale, Op...
Bu arastirmanin amaci, hemsirelik ogrencilerinin intramuskuler enjeksiyon konusunda bilgi duzeylerini degerlendirmeyi saglayacak gecerli, guvenilir bir basari testi gelistirmektir. Intramuskuler Enjeksiyon Basari Testi metodolojik bir calisma olup 50 coktan secmeli soru hazirlanmistir. Testin kapsam gecerliligi uzman gorusleri ile degerlendirilmistir. Uzman onerilerine gore test maddelerinde duzeltme yapilmis ve bir madde cikarilmistir. Test, bir devlet universitesinin hemsirelik bolumunde okuya...
Teoreticno izhodisce: Intramuskularna injekcija je pogosta intervencija v zdravstveni negi, saj je ena izmed osnovnih nacinov dajanja zdravil parenteralno. Kljub pogostosti za pacienta predstavlja potencialno varnostno tveganje. Namen zakljucnega dela je bil raziskati dejavnike, povezane z aplikacijo intramuskularne injekcije v glutealno podrocje, ki vplivajo na izide pri pacientu. Raziskovalna metodologija in metode: Izveden je bil sistematicni pregled literature v podatkovnih bazah PubMed, Med...
Objective: This study was carried out to determine the sites which are selected by nurses to use in the intramuscular medicine applications and the factors affecting the selection of the injection sites. Methods: The population of this descriptive and cross-sectional type of study was composed of 250 nurses working in two hospitals in Istanbul, the sample was composed of 171 nurses selected by stratified random sampling method. Data were collected with ‘Structured Questionnaire Form’. Results: T...
Purpose: This study was conducted to determine the impact of education on the knowledge, opinions and anxiety level of the nurses regarding the use of the ventrogluteal site for intramuscular injection. Subjects and methods: The research was conducted with a single group using a semi-empirical pre-test, post-test design. The sample consisted of 50 nurses who worked in clinics where intramuscular injection was frequently applied and who participated in training on the use of ventrogluteal site fo...
The ventrogluteal site is increasingly recommended for long-acting antipsychotic intramuscular injections; however, it remains infrequently utilized due to nurses’ lack of confidence in site identification. The more recent G (geometric) method of ventrogluteal site identification is less subjective and likely more reliable than the V method for successful intramuscular injection outcomes. Knowledge of muscle and subcutaneous fat thicknesses, and the influence of sex and anthropometry on theoreti...
Last. Theresa A Larkin(Illawarra Health & Medical Research Institute)H-Index: 11
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Intramuscular injections given at the dorsogluteal and ventrogluteal sites are intended for the gluteus maximus and gluteus medius muscles, respectively. However, little research has confirmed the reliability of these sites for the presence and thickness of the target and other muscles, and subcutaneous fat. This study characterised and compared these at the V-method and G-method ventrogluteal sites and dorsogluteal site (n=60). Gluteus maximus, medius and minimus were identified at each site, p...
Aims and objectives This study aimed to determine the influences of gender, BMI and observed body shape (OBS) on subcutaneous fat and muscle thicknesses, and theoretical injection outcome, at the ventrogluteal and dorsogluteal intramuscular injection sites. Background Debate continues as to whether the dorsogluteal or ventrogluteal injection site is more reliable for a successful intramuscular injection outcome. Subcutaneous fat and muscle thicknesses at the injection site are direct determinant...
Purpose This study was performed to determine suitability of ventrogluteal (VG) site for intramuscular (IM) injections in children aged 36 months and under. Design and Methods The present study was designed as a prospective descriptive study and performed between 2016 January and June. The study included a total of 120 children aged 36 months and under that met the study criteria. The subcutaneous tissue thickness and muscle thickness of anterolateral, deltoid, and VG sites were measured and ass...