Injections: Subcutaneous and Intramuscular
- When medication administration is necessary and the medication must be given via the SQ (not auto-injector) or IM route or as an alternative route in selected medications.
- Receive and confirm medication order or perform according to standing orders.
- Prepare equipment and medication expelling air from the syringe.
- Explain the procedure to the patient and reconfirm patient allergies.
- The most common site for subcutaneous injection is the arm. Injection volume should not exceed 1 cc.
- The possible injection sites for intramuscular injections include the arm, buttock and thigh. Injection volume should not exceed 1 cc for the arm Injection volume should not exceed 2 cc in the thigh or buttock.
- The thigh should be used for injections in pediatric patients and injection volume should not exceed 1 cc.
- Expose the selected area and cleanse the injection site with alcohol.
- Insert the needle into the skin with a smooth, steady motion
- SQ: 45-degree angle skin pinched
- IM: 90-degree angle skin flattened
- Aspirate for blood
- Inject the medication.
- Withdraw the needle quickly and dispose of properly without recapping.
- Apply pressure to the site.
- Monitor the patient for the desired therapeutic effects as well as any possible side effects.
- Document the medication, dose, route, and time on/with the patient care report (PCR).