Blood Aspiration During IM Injection

Clinical Nursing Research
Christine M ThomasLois Rajcan

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.

References

Jan 1, 1971·Scientific American·N Howard-Jones
Sep 25, 1999·Nursing Standard·B Workman
Mar 16, 2000·Journal of Advanced Nursing·M A Rodger, L King
Aug 13, 2002·Applied Nursing Research : ANR·Leslie H Nicoll, Amy Hesby
Aug 10, 2007·Archives of Disease in Childhood·Moshe IppPatricia C Parkin
Nov 26, 2010·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Anna TaddioVibhuti Shah

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Citations

Mar 3, 2017·Journal for Nurses in Professional Development·Helen McGee
Jul 12, 2018·British Journal of Nursing : BJN·Megan A Infanti MrazLois Rajcan
Aug 26, 2021·Revista brasileira de enfermagem·Alanna Michella Oliveira de Albuquerque da SilvaDiane Fernandes Dos Santos
Aug 19, 2021·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Can LiKwok-Yung Yuen

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Methods Mentioned

BETA
Blood

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