Aspiration During Intramuscular Injection: A Case Study

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Healthcare Problem
The topic under discussion here is should healthcare professionals continue to aspirate during intramuscular (IM) injections. Administering injections is a basic nursing activity and can be a great source of anxiety for the individual on the receiving end. Can we change that or help to relieve the pain and anxiety by changing our practice? Aspirating during IM injection leads to increased duration of injection time. Does this lead to more pain and anxiety? And will we be able to maintain patient safety if we stop aspirating when we administer medications intramuscularly?
Current practice varies between institutions and between healthcare professionals Aspiration has long been taught in the nursing profession as the golden rule and many nurse and medical
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Its premise was to look at data that was gathered and identify how often blood was aspirated during an IM injection and to decide if there is enough scientific evidence to change a practice that is being questioned. Their results stated that “it is clear that aspiration should be recommended in certain instances. It is possible that aspiration should not be recommended 100% of the time secondary to the concerns regarding aspiration during unsafe conditions.” The second research study is a systematic literature review with the title ‘Aspirating during the intramuscular injection procedure: a systematic literature review’. The purpose behind the paper was to review evidence so recommendations could be made to impact practice. The results concluded that most nurses were not aspirating per the previous recommendations. They also state that not aspirating makes injections less painful and quicker. The conclusion suggests Nurses must be supported in all settings, by clear guidance which rejects traditional practice and facilitates evidence-based practice, Sisson, H

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