As below. Same in Canada lah.Could this be why some are ending up with heart problems? What is the practice in Singapore?
Yeah but the problem is that patients dont like having the needle in their arm for too long. Pain! Pain!
Want fast fast.
So the proper method they will say stupid Dr! Lousy nurse! Do so long! Stick needle in still dunno do what then jab.
I saw! I saw! Whereas my son say they just jab less than 1 second! Mine at least 3 sec!
Patient autonomy.
The chance of inadvertent IV is very low. But nevertheless is there. But how to prove?
Whereas you spend 3 sec vs 1 sec the patient will complain.
Patient autonomy wins.
The problem with doing that is you then cause unhappiness for other HCWs. Cos you are saying what they do is dangerous.The patient is not making an informed choice unless they are knowledgeable about such things
Ideally the doc/nurse etc should say "Do you want a 1 sec jab that has risks or a 3 second jab that is safer"? Then the patient can choose.
If they want more details then explain.
No. It is all about patient comfort. Patient is first.I always ask the nurse to aspirate because that was what my old school doctor friends advocated way back
Now i guess it is all about efficiency.
No. It is all about patient comfort. Patient is first.
The risks are so low. Theoretical almost. How likely you kena a vessel in the deltoid muscle? Very low chance.
Jab buttock for depot injections. Where you want to inject the medicine and have it be like a depot for a longer effect.Based upon the numbers the risk of Myocarditis is very low too so it may correlate with hitting a blood vessel.
Do they still jab the buttocks for anything nowadays? I can recall that's what happened in school but can't remember for what.
@dredd @porcaputtana
Jab buttock for depot injections. Where you want to inject the medicine and have it be like a depot for a longer effect.
A common example is Depo-provera
https://my.clevelandclinic.org/health/drugs/4086-depo-provera®-birth-control-shot
Otherwise generally deltoid can liao. Even Depo Provera also they say can inject into deltoid.
I know some Drs still do Diclofenac shots to the gluts.
Actually gluteal injection is more dangerous than deltoid cos you could hit the sciatic nerve too. Although with the needles we use usually not so long you would have to be totally have no training to accidentally hit it these days.
Scare of 大老屎 kind will show the toa karchng so better administer on bellyIs there a reason why vaccines aren't administered on the buttocks?
@dredd @porcaputtana
do us all a favour and get MOH to rectify this to eliminate the chances pf myopericarditis.
if you spend time to cordon off a butt naked patient and have a chaperone for female patient you will have 82% vaccinated by 2035Is there a reason why vaccines aren't administered on the buttocks?
This is the funniest part. Everybody knows that between what was trained and what is being practised is a huge big diference.1. Singapore nurses are all trained to aspirate before injecting . Our standards much higher than their NHS rubbish.
there are no major arteries at the lateral side of the deltoidThis is the funniest part. Everybody knows that between what was trained and what is being practised is a huge big diference.
And it applies to every vocation, profession, gender, age group, race and demographic.
Then why the need to teach aspiration during IM injections?there are no major arteries at the lateral side of the deltoid
not even a large enough arteriole for IA bolus shot
the UK nurses must be damn cock. Or he is making up stories to stay relevant on YouTube . Or both.