It's been 8 years. How's your career going?

@@seasonings2taste115 yes omg😮😮😮

Its so scary what is on the internet, having credentials also i hope people will have better teaching than this!

Exactly.

Not sure why they didn’t just use a shorter needle

There will be different guidelines depending on what country you work in! In the UK it generally isn't recommended at the moment.

"Short sticks" alcohol cleaning is not evidence based - hence why some regions here in Sweden dont do it. It is however super important for longer sticks, like pvk (pvc?)

you need to open your mind a bit

The guidelines are changing. It's been seen that the ethanol in spirit may dissolve part of the components of the vaccine this destroying it and may reduce its effectivity. Which is why it's not recommended to always clean the area with spirit

@@user-wq6hr9xi2n mf.4

please understand me ? is there for same places when we are making IM injection SC injection because you have injected same places

We would like to use your video for training purposes, please let me know how much do you charge for us to use your videos? Thanks you can email me at vix102@hotmail.com

If you don't clean the area there is chance for infective endocarditis

@@stianajohn2195 The assumption is that the area is already clean. Its a confusing way to say it though.

Evidence based practice states not to aspirate anymore

Actually now you do, aspirate sq for example if you are giving morfin sq

withapulse the patient is fine. The patients arm did not move once throughout this injection. 😒

Me too lol

that's what I thought....with intramuscular injections, I was taught to do the Z track by slightly pulling the skin.

What's the z track method?

Z track is not done for all IM

Buo400💉💉💉💉💉💉💉

to say the truth in case of IM injections not really necessary to pushing air out. But large air bubble can damage. But too much mistakes are present in this video

Good tip

In which case

Very good question! I'm an intern doctor and the best possible answer to this question is.. generally no. Cannulas and drip sets have filters so that air usually isn't getting in the patient's vein. Now even if some amount, a few mLs of air goes inside the patient's vein, it'll just get adsorbed by the blood or removed by the lungs. Venous air embolisms don't kill unless you're talking about a massive amount of air getting in like maybe 100-200 mLs. In I.M. and S.C injections.. probably not that risky either. Arterial air embolisms are serious business though.. it's said 1 mL of air in arteries can cause infarcts. Keep in mind I'm just beginning so I may be a bit off. But those are the stats.

@@mannagarwal5390 Thanks for sharing this information. I wonder why arterial air is more dangerous. Do you know?

@@Isiltarie Hey, if you are still interested: arterial blood vessels go in the direction of getting thinner and thinner until they reach the capillary. Also the walls of the arterial vessels are thicker and the blood is moving at a much more rapid velocity. Just a med student though.

COM 366?

Peter Cieslar

More than 10ml I guess but we usually give 5ml. 3rd year students.. Hehe..

@@cutlet9227 thank you

lol.Thats a normal side effect of that shit.

No skin cleaning required if skin looks clean

ShudanLaklo Actually we often don’t even get the theory lesson - we are just expected to learn by a ‘see one, do one’ technique then get experience. Certainly at my medical school we had to just learn injections from videos such as this then ask a nurse to watch us do it in real life to check technique. I’m not sure how else you can learn simple practical procedures. I know this is an old comment but I’m just getting quite tired of this nastiness I keep picking up from (a handful of) nurses. We are all in the same boat when it comes to learning this sort of thing, can’t we just support each other without this oneupmanship about who has it worse?

+James B i said the same thing

+James B as someone curently going throuh university studying to become a nurse I can verify what Janet Jaderko says it isnt actually necessary unless you can see that the person is physically dirty.

Yeah because you can see germs with your eyes...

Corey H your body is covered in a germ and bacteria that your body is already adapted to. The non visible germs are very unlikely to cause an infection. the needle is pretty fine and isnt in for a long period of time. the risk is slimmer than the needle.

The main problem is that is takes 20 minutes for the alcohol from the swab to kill the bacteria we would be concerned about according to research. Supposedly, it is only useful for removing visible dirt. So, using an alcohol swab makes the nurse feel better, but according to the most recent research does nothing to assist the patient. However, old habits die hard and trying to get nurses who were taught in nursing school to use alcohol swabs to stop using them when administering injections is almost impossible if they are available.

Not with subcutaneous injections

no no no always always always aspirate on IM injection!!!

APhA does not recommend aspirating for IM injections as of 2018

+Abdulla Ahmed It's not hard to understand her lol

+Abdulla Ahmed its not hard at all to understand her...

With IM yes but not with SC