How do you give a deep intramuscular injection?

Hold it firmly about an inch away (2.54 cm) from the muscle. In the other hand, hold the needle at a 90-degree angle and insert it quickly and deeply enough to penetrate your muscle. Inject the medication. If there is no blood in the syringe, push on the plunger to inject the medication slowly into the muscle.

How deep do you inject intramuscular?

The injection site will be approximately 2 inches below the bone and above the axillary fold/armpit. 3. Administer the vaccine correctly. a 90-degree angle and inject all of the vaccine in the muscle tissue.

What happens if you don’t aspirate when giving an IM injection?

Many who did not aspirate felt that aspiration resulted in increased pain. The two RCT’s found that a slower technique that included 5–10 second aspiration were assessed as more painful than a 1–2 second ‘faster’ technique without aspiration (both these studies were in the paediatric setting).

When giving a shot do you stick the needle all the way in?

The needle should stand straight up from the skin. Quickly jab the needle all the way into the skin. Hold the syringe in place with one hand, and pull back on the plunger with the other hand.

Where do you inject in the thigh?

Typically, people who need to self-administer injections use the vastus lateralis muscle in the thigh. To locate the correct spot, imagine dividing the thigh vertically into three equal parts. Give the injection into the outer top part of the middle section.

Do you have to draw back when giving an IM injection?

It is common practice to draw back on a syringe after the needle is inserted to check whether it is in a blood vessel. While it is important to aspirate if the DG muscle site is used – because of proximity to the gluteal artery – it is not required for other IM injection sites (PHE, 2013; Malkin, 2008).

What is Z track method?

The Z-track method is a type of IM injection technique used to prevent tracking (leakage) of the medication into the subcutaneous tissue (underneath the skin). During the procedure, skin and tissue are pulled and held firmly while a long needle is inserted into the muscle.

How do you give an intramuscular injection in the arm?

To locate this site, feel for the bone (acromion process) that’s located at the top of the upper arm. The correct area to give the injection is two finger widths below the acromion process. At the bottom of the two fingers, will be an upside-down triangle. Give the injection in the center of the triangle.

What are the 5 injection sites?

IM injections are administered in five potential sites: deltoid (commonly used for adult vaccinations), dorsogluteal, ventrogluteal, rectus femoris, and vastus lateralis3,10,11 (Figure 1).

Do you aspirate IM injections?

Aspiration is most commonly performed during an intramuscular (IM) or subcutaneous (SC) injection, and is meant to ensure that the needle tip is located at the desired site, and has not accidentally punctured a blood vessel.

How do you give an IM injection deltoid 2020?

Injection site



Give in the central and thickest portion of the deltoid muscle – above the level of the armpit and approximately 2–3 fingerbreadths (~2″) below the acromion process. See the diagram. To avoid causing an injury, do not inject too high (near the acromion process) or too low.

How do you give an intramuscular injection deltoid?

Giving an IM injection into the deltoid site

  1. Find the knobbly top of the arm (acromion process)
  2. The top border of an inverted triangle is two finger widths down from the acromion process.
  3. Stretch the skin and then bunch up the muscle.
  4. Insert the needle at a right angle to the skin in the centre of the inverted triangle.


What happens if you give an IM injection too high?

What Is SIRVA? Shoulder injury related to vaccine administration, or SIRVA, happens when a vaccine is injected too high or too deep in the shoulder. Injecting the vaccine this way can lead to intense and prolonged pain and other shoulder injuries, such as a rotator cuff tear or tendonitis.

Where is the IM injection site?

Imagine a line from the bottom of the buttocks to the top of the hip bone. Imagine another line from the top of the crack of the buttock to the side of the hip. These two lines form a box divided into 4 parts. Put the injection in the upper outer part of the buttocks, below the curved bone.

What are the four IM injection sites?

Summary. There are four sites on your body that can be used to give yourself an intramuscular injection. These include the upper arm, thigh, hip, and buttocks.

Can you give 2 mL in deltoid?

The deltoid site is mostly commonly used for immunizations. However, up to 1 mL of any medication may be administrated to this muscle (the maximum volume should never exceed 2 mL).

How do you give a painless deltoid injection?


Completely like relax their arm you do not want this muscle to be tensed up because it's going to be a little bit more painful for them so tell them to relax as much as possible.

How much volume is intramuscularly injected?

WHAT IS IT? An intramuscular (IM) injection is the administration of medication through the cutaneous and subcutaneous layers, into the muscle. Solutions up to a volume of 5ml in large muscles, and 2ml in smaller muscles, may be used.