![]() Change to the 23 g 25 mm needle or 25 g 16 mm needle.Draw the medication up into the syringe using the large bore needle.Check the correct drug/dose/time/interval/route/patient.Make sure there is a written medication order on the medication chart.Refer to the Australian Immunisation Handbook 10th edition 2013.įollow this procedure when administering IM injections to newborns: The use of short needles for administering IM vaccines may lead to inadvertent SC injection and increase the risk of significant local adverse events, particularly with aluminium-adjuvanted vaccines (for example, hepatitis B, DTPa, DTPa-combination or dT vaccines). * If using a narrow 25 gauge needle for an IM vaccination, ensure vaccine is injected slowly over a count of five seconds to avoid injection pain and muscle trauma. Preterm babies (< 37 weeks' gestation) up to two months of age and/or very small infants Recommended needle size, length and angle for administering vaccines antiseptic swab if used must be allowed to dry before injection given.23 gauge 25 mm needle or 25 gauge 16 mm needle for preterm babies two months or younger (see table below).large-bore needle for withdrawing medication from ampoule.correct drug/dose/time/route/patient practices.Įquipment: required for IM injection includes:.Nursing and medical staff must be familiar with the principles of the administration of medications to an infant. Medications are injected into the bulkiest part of the vastus lateralis thigh muscle, which is the junction of the upper and middle thirds of this muscle. The anterolateral thigh is the preferred site for IM injection in infants under 12 months of age. Intramuscular (IM) injections in neonates may be required to administer medications or vaccines. We recommend that you also refer to more contemporaneous evidence in the interim. Please note that all guidance is currently under review and some may be out of date.
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