Blood Aspiration During IM Injection
The World Health Organization and Centers for Disease Control and Prevention no longer recommend aspiration during intramuscular (IM) injections. The purpose of this study was to investigate the technique registered nurses (RNs) use during IM injections and incidence of blood aspiration. This descri...
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| Veröffentlicht in: | Clinical nursing research 2016-10, Vol.25 (5), p.549-559 |
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| creator | Thomas, Christine M. Mraz, Megan Rajcan, Lois |
| description | The World Health Organization and Centers for Disease Control and Prevention no longer recommend aspiration during intramuscular (IM) injections. The purpose of this study was to investigate the technique registered nurses (RNs) use during IM injections and incidence of blood aspiration. This descriptive study surveyed 164 RNs. Results noted that 74% of the sample continue to aspirate at least 90% of the time. Of the participants who continue to aspirate, only 3% aspirate for the recommended 5 to 10 s. Forty percent reported having aspirated blood at least once, whereas 6 RNs (4%) noted blood aspiration ≥13 times. Blood aspiration occurred most frequently in the dorsal gluteal (15%) and deltoid (12%). Based on the findings, it is recommended that RNs use a decision-making process to select the safest technique for IM injections. If a parental medication has different administration rates, dose, viscosity, or other concerns when given IM versus intravenously (IV), aspiration during IM administration should be implemented. |
| doi_str_mv | 10.1177/1054773815575074 |
| format | Article |
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The purpose of this study was to investigate the technique registered nurses (RNs) use during IM injections and incidence of blood aspiration. This descriptive study surveyed 164 RNs. Results noted that 74% of the sample continue to aspirate at least 90% of the time. Of the participants who continue to aspirate, only 3% aspirate for the recommended 5 to 10 s. Forty percent reported having aspirated blood at least once, whereas 6 RNs (4%) noted blood aspiration ≥13 times. Blood aspiration occurred most frequently in the dorsal gluteal (15%) and deltoid (12%). Based on the findings, it is recommended that RNs use a decision-making process to select the safest technique for IM injections. If a parental medication has different administration rates, dose, viscosity, or other concerns when given IM versus intravenously (IV), aspiration during IM administration should be implemented.</description><identifier>ISSN: 1054-7738</identifier><identifier>EISSN: 1552-3799</identifier><identifier>DOI: 10.1177/1054773815575074</identifier><identifier>PMID: 25784149</identifier><identifier>CODEN: CNREFD</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Adult ; Blood ; Decision making ; Drugs ; Evidence-Based Nursing ; Humans ; Injections ; Injections, Intramuscular - methods ; Injections, Intramuscular - nursing ; Middle Aged ; Nurses ; Nursing ; Nursing care</subject><ispartof>Clinical nursing research, 2016-10, Vol.25 (5), p.549-559</ispartof><rights>The Author(s) 2015</rights><rights>The Author(s) 2015.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c398t-2db1cf7c783ae7a29b276e06aeccf8339363c2d6b913dffeadd432e72e038263</citedby><cites>FETCH-LOGICAL-c398t-2db1cf7c783ae7a29b276e06aeccf8339363c2d6b913dffeadd432e72e038263</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/1054773815575074$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/1054773815575074$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,778,782,21802,27907,27908,30982,43604,43605</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25784149$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Thomas, Christine M.</creatorcontrib><creatorcontrib>Mraz, Megan</creatorcontrib><creatorcontrib>Rajcan, Lois</creatorcontrib><title>Blood Aspiration During IM Injection</title><title>Clinical nursing research</title><addtitle>Clin Nurs Res</addtitle><description>The World Health Organization and Centers for Disease Control and Prevention no longer recommend aspiration during intramuscular (IM) injections. The purpose of this study was to investigate the technique registered nurses (RNs) use during IM injections and incidence of blood aspiration. This descriptive study surveyed 164 RNs. Results noted that 74% of the sample continue to aspirate at least 90% of the time. Of the participants who continue to aspirate, only 3% aspirate for the recommended 5 to 10 s. Forty percent reported having aspirated blood at least once, whereas 6 RNs (4%) noted blood aspiration ≥13 times. Blood aspiration occurred most frequently in the dorsal gluteal (15%) and deltoid (12%). Based on the findings, it is recommended that RNs use a decision-making process to select the safest technique for IM injections. If a parental medication has different administration rates, dose, viscosity, or other concerns when given IM versus intravenously (IV), aspiration during IM administration should be implemented.</description><subject>Adult</subject><subject>Blood</subject><subject>Decision making</subject><subject>Drugs</subject><subject>Evidence-Based Nursing</subject><subject>Humans</subject><subject>Injections</subject><subject>Injections, Intramuscular - methods</subject><subject>Injections, Intramuscular - nursing</subject><subject>Middle Aged</subject><subject>Nurses</subject><subject>Nursing</subject><subject>Nursing care</subject><issn>1054-7738</issn><issn>1552-3799</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqNkM9LwzAUx4Mobk7vnqSgBy_V_OxLjnP-Gky87F7SNB0dXTOT9eB_b0qnyEDwkjzyPu_zyBehS4LvCAG4J1hwACaJECAw8CM0jiVNGSh1HOvYTvv-CJ2FsMYYc4rJKRpRAZITrsbo5qFxrkymYVt7vatdmzx2vm5Xyfwtmbdra_q3c3RS6SbYi_09Qcvnp-XsNV28v8xn00VqmJK7lJYFMRUYkExb0FQVFDKLM22NqSRjimXM0DIrFGFlVVldlpxRC9RiJmnGJuh20G69--hs2OWbOhjbNLq1rgs5kRS4AFDwHxQLlTHSW68P0LXrfBv_ESmiuIpHL8QDZbwLwdsq3_p6o_1nTnDeZ50fZh1HrvbirtjY8mfgO9wIpAMQ9Mr-2vqX8AuIcYMM</recordid><startdate>201610</startdate><enddate>201610</enddate><creator>Thomas, Christine M.</creator><creator>Mraz, Megan</creator><creator>Rajcan, Lois</creator><general>SAGE Publications</general><general>SAGE PUBLICATIONS, INC</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>201610</creationdate><title>Blood Aspiration During IM Injection</title><author>Thomas, Christine M. ; Mraz, Megan ; Rajcan, Lois</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c398t-2db1cf7c783ae7a29b276e06aeccf8339363c2d6b913dffeadd432e72e038263</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Blood</topic><topic>Decision making</topic><topic>Drugs</topic><topic>Evidence-Based Nursing</topic><topic>Humans</topic><topic>Injections</topic><topic>Injections, Intramuscular - methods</topic><topic>Injections, Intramuscular - nursing</topic><topic>Middle Aged</topic><topic>Nurses</topic><topic>Nursing</topic><topic>Nursing care</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Thomas, Christine M.</creatorcontrib><creatorcontrib>Mraz, Megan</creatorcontrib><creatorcontrib>Rajcan, Lois</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical nursing research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Thomas, Christine M.</au><au>Mraz, Megan</au><au>Rajcan, Lois</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Blood Aspiration During IM Injection</atitle><jtitle>Clinical nursing research</jtitle><addtitle>Clin Nurs Res</addtitle><date>2016-10</date><risdate>2016</risdate><volume>25</volume><issue>5</issue><spage>549</spage><epage>559</epage><pages>549-559</pages><issn>1054-7738</issn><eissn>1552-3799</eissn><coden>CNREFD</coden><abstract>The World Health Organization and Centers for Disease Control and Prevention no longer recommend aspiration during intramuscular (IM) injections. The purpose of this study was to investigate the technique registered nurses (RNs) use during IM injections and incidence of blood aspiration. This descriptive study surveyed 164 RNs. Results noted that 74% of the sample continue to aspirate at least 90% of the time. Of the participants who continue to aspirate, only 3% aspirate for the recommended 5 to 10 s. Forty percent reported having aspirated blood at least once, whereas 6 RNs (4%) noted blood aspiration ≥13 times. Blood aspiration occurred most frequently in the dorsal gluteal (15%) and deltoid (12%). Based on the findings, it is recommended that RNs use a decision-making process to select the safest technique for IM injections. If a parental medication has different administration rates, dose, viscosity, or other concerns when given IM versus intravenously (IV), aspiration during IM administration should be implemented.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>25784149</pmid><doi>10.1177/1054773815575074</doi><tpages>11</tpages></addata></record> |
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| ispartof | Clinical nursing research, 2016-10, Vol.25 (5), p.549-559 |
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| source | MEDLINE; Applied Social Sciences Index & Abstracts (ASSIA); SAGE Complete A-Z List |
| subjects | Adult Blood Decision making Drugs Evidence-Based Nursing Humans Injections Injections, Intramuscular - methods Injections, Intramuscular - nursing Middle Aged Nurses Nursing Nursing care |
| title | Blood Aspiration During IM Injection |
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