A Registerd nurse has perfected the procedure of giving an injection to a patient without the patient feeling the prick. Nurse Ann gives you her tips on how to do it flawlessly every time.
As a Registered nurse, we all have our own method, particularly in giving injections. Currently I work in an STD environment and have to administer very thick fluid injections requiring a large needle. Tough men have shown acute pain and I always felt compassion for them. Thus I started to develop a painless injection technique that eventually became pretty celebrated at the facility where I worked and all and sundry only wanted me to give them the injections. I have been nursing for over 30 years and was in charge of a pediatric unit with young children scared of injections and that is where I developed the painless injection method. My co-workers used to call me to come and give injections for them. Patients who are positive for Syphilis need large agonizing injections of pure penicillin using a thick gauge needle for its entire length penetration. They too compliment me on a “great” job which they did not feel. The medication itself regrettably does burn and there is not much we can do about that.
Injections cannot be given into the same spot on the body every day or even every week as scar tissue can build up, and the medication will be ineffective. The initial step to a painless injection is to properly choose the location of the injection. For children the thigh area is the place of choice. In adults the gluteus muscle is best because it is the prevalent muscle, seeing that an injection needs to go into a muscle ( intramuscularly) Blood vessels have to be avoided for intramuscular injections. On other occasions intravenous injections have to be given e.g. diabetic insulin injection. Intravenous would be direct into a vein. Vaccinations are generally given into the deltoid arm muscle as they leave marks of immunization evidence. As a precaution never use tap water as a solution basis, water must be sterile. You can also use lidocaine which is a local anaesthetic solution as a basis when mixing dry medications for injections as directed by the physician.
Diabetic injections are given subQ which is subcutaneous meaning between the skin and the muscle area. In general, the area used is the stomach, upper thighs, deltoid muscle. Medicine that needs to work slowly is given subQ. SubQ shots must be given in small amount for example TB ppd testing, and insulin coverage.
The second step to a painless injection is to educate the patient as to what is going on, what I am doing, what I am using, and where the injection will be given.You must reassure the patient that it will not be painfull. You can only tell a patient this once you have mastered the painless injection technique or else you will be telling an untruth and they will shortly find that out. I allow them to verbalize whatever they do not comprehend and allow them to ask any questions before I give the injection. Most people are anxious about injections, even burly macho men and medical staff! I reassure the patient explaining what I want him/her to do, where to lie, and what part of the body to be open.
Before proceeding check the doctor’s order and check the medication dosage. Use a new injection with a new needle, pull up the medication to be given. Clean the area with an alcohol prep and prior to penetration, which must be rapid, I SMACK the area with the left hand and then penetrate with the syringe. The SMACK of the area is more of a shock than the rapid stick. The smack does not have to be a harsh smack but simply a firm smack like you were killing a mosquito that sat on your arm. Intramuscular injections must go all the way in, that is the whole length of the needle must penetrate. (Not 50%, not 75%) Then you have to pull back to verify that you are not in a blood vessel and then give the medication usually at a steady tempo. When the medication is used up, I pull out with speed and then rub the affected area in round motions. All my patients compliment me by saying “That was nothing and I never felt it at all” There should be no bruising at the site of penetration. There should be no bleeding once the needle is removed from the skin. All it takes is choose the correct location, one Smack, one rapid “stick” - speed makes it painless and quick. Giving the painless injection doesn’t require much skill and absolutely doesn’t require bravery.
Now here is another great tip as regards a whole different subject. Here at the medical facility we were looking for ways to save costs and somebody told us how we could save a lot by switching our way of thinking about printer ink. He told us about an online supplier called Peachtree Ink [%link1%] that would supply the same printer ink at a tiny proportion of the price. We now use them for all our printer requirements and have managed to save the department a significant amount. [%link2%] I wanted you to know about that too. No point in keeping all the gems to ourselves.
Author Resource:
Sister Annaleen is a veteran registered nurse with 30 years experience and is sponsored by Peachtree ink which is the best place online for " target="_blank">http://www.usainktank.com/"> ink cartridges for printers
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