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Intramuscular injection CLIMAT pathway: a clinical practice guideline
Megan A Infanti Mraz1, Christine Thomas1, Lois Rajcan2
1Associate Professor, Department of Nursing, West Chester University of Pennsylvania, USA.
British Journal of Nursing (Mark Allen Publishing)
|July 12, 2018
Summary
Aspiration during intramuscular (IM) injections, a nursing practice since the 1960s, is controversial. This guideline clarifies when aspiration is necessary for safe IM injections, following recent study findings.
Area of Science:
- Nursing Practice
- Clinical Guidelines
- Injection Techniques
Background:
- Intramuscular (IM) injections have been a nursing staple since the 1960s.
- The practice of aspiration during IM injections remains controversial and understudied.
- A 2016 study confirmed that blood aspiration can occur during IM injections.
Purpose of the Study:
- To introduce a clinical practice guideline for safe and effective aspiration during IM injections.
- To provide a follow-up to the 2016 study findings on blood aspiration during IM injections.
- To clarify considerations for when aspiration may be unnecessary.
Main Methods:
- Development of a clinical practice guideline.
- Presentation of practices and considerations for aspiration during IM injections.
- Utilization of a visual clinical pathway and narrative guideline.
Main Results:
- The guideline acknowledges the correct practice of aspiration.
- Considerations for when aspiration might be unnecessary are identified.
- A visual and narrative approach is used to present the guideline.
Conclusions:
- The guideline aims to ensure safe and effective aspiration practices in nursing.
- It addresses the controversy and understudied nature of aspiration in IM injections.
- Provides clear recommendations for healthcare professionals.
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