✦ = 3–6 points
✶ = 7–9 points
1–15. Follow steps 1–15 of Procedure
54-10 for administration of an
16. ✦ After withdrawing the medication
from the vial, change to a fresh
needle. This will eliminate any
irritating medication that may be
within the needle from coming into
contact with the patient’s tissue
until the needle is placed into the
muscle layer (Figure A).
17. ✶ When ready to administer the
medication, pull the skin of the
buttock to one side and hold it
in place with your nondominant
hand. You may wish to use a
dry gauze sponge if the skin is
slippery (Figure B).
18. ✶ With your dominant hand and
using a dartlike grip on the syringe,
insert the needle up to the hub
quickly into the gluteus medius
muscle. Do not move the needle
once it is in place (Figure C).
19. ✶ While still maintaining a ﬁrm
hold on the taut skin with your
nondominant hand, pull back on
the plunger of the syringe to check
for blood return with the ﬁngers of
the hand holding the syringe. To
do this simply move your ﬁngers
up the syringe, while keeping the
needle steady within the patient’s
buttocks, until your thumb and
index ﬁnger reach the top of the
plunger. If blood appears in the
hub of the syringe, then use the
correct technique to withdraw the
syringe, discard, and begin with
step 1 again.
20. ✶ If there is no blood return, then
very slowly inject the medication
into the muscle.
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