Friday, June 28, 2013




I.M. Injections
There is a change in preferred IM injection sites to no longer use the dorsogluteal site. 
This poster is on the door of the medicaiton room in North Charleston. I wanted to place a picture on the blog for reference. 
Key Points:

¢  The dorsogluteal IM injection site will be removed as a medication administration option from McKesson and EPIC EMRs. 

¢  In accordance with evidence-based practice guidelines, the dorsogluteal site is not          recommended for intramuscular (IM) injection in the pediatric and adult patient populations.

¢      Rationale: The dorsogluteal site is associated with the following:

         ¢      Sciatic nerve injury
         ¢      Muscle fibrosis
         ¢      Unnecessary pain
         ¢      Inadvertent subcutaneous administration
         ¢      Weakened or amplified medication effects due to increased or decreased absorption


How will this affect your practice?
¢  Clinicians should no longer use the dorsogluteal site for administering IM injections as             recommended by evidence based practice guidelines.