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For this next demonstration, we're going to
show you how to do intramuscular injection,

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so we have our needles here and our syringe
for this demonstration just using sterile

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water, which will act as our injection fluid.

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And we've got some alcohol wipes.

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I'm wearing gloves for this, but you really
do need to have a look at local policies to

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where you're working because some places do state that
you don't have to wear gloves to do this

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technique. So just be mindful of that when
we're carrying out this procedure.

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So to start off with, we grab our syringe and
we open the pack.

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Just make sure it's in date, which is all
on the back of the pack there.

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And this one is put that one side.

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And then we need drawing up needle, which is
a large gauge needle, again, in date put the

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put to one side and we pop that on the needle securely.

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That's ready for drawing up now.

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So I'm going to take the lid off this, the
water, but if you were using medications, you

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would snap the vial off, make sure it's in
date, make sure you've got the right substance

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and check alongside the treatment chart.

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Ok, so unsheathe the needle.

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And you probably can't see from your angles,
but this is quite a wide bore needle and it's

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purely for use to be drawing up, fluids and
medications is not to be used to inject the

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patient. So tilting the vial on one side, we
pop into the fluid

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and we draw up.

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Now, I'm just drawing a random amount.

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But obviously you would draw up how much you
needed of the medication that was required

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from the prescription chart.

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I'm just banging on the side of the syringe
to allow any air bubbles to rise up to the

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top of the needle.

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And then I'm just going to squeeze the rest
of the fluid out and then make sure that

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there's none left.

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There we go, and then there's just a little
bit of the fluid come out, so at this point

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we'd make sure that we've got the right
amount of fluid in there that we needed.

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We take that needle off now because we've
finished drawing up and we place in the sharps

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bin and then we take a giving needle, if you
like the needle that we're going to

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administer the drug into the patient by.

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Again, we've checked the data on the back.

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And we pop that needle in place.

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Now, these are safety needles, they are
widely used in practice now.

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So basically this bit here is the sheathe that
you put over the needle once you've injected,

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OK, and it's important never to resheathe the
needle as well.

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So that he's all ready for giving now.

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So for this demonstration purposes, I'm going
to use this apparatus here, however,

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beforehand we would chat with a patient that
it's OK to inject the patient where they wish

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to be injected. There are variant sites we
use in clinicalskills.net

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So please do have a look at that if you have
access to that at the variant sites that you

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can use for injection.

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Ok, so we've done all that and everything's
good, we've got the right substance, we have

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the right patient and the right route.

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So we're doing and I am now we've got some
alcohol wipes here.

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And basically, the alcohol why is to cleanse
the area.

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Now, again, this is down to local policy
because there is evidence to suggest that

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actually cleansing the area isn't necessary.

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So it is down to the local policy where
you're working and practicing as to what you

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would you adhere by. But I will show you what we
need to do for cleansing the area.

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So it's an alcohol rub, if local policy
states that you need to use it and we just

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rub the area.

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And then we give it a few seconds to dry.

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And then we unsheathe the needle.

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And then we use a Z technique, so basically
we pull down two to three centimeters

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pressure on and pull the skin down, once
we've done that, we go in a 90 degree angle

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and we go straight in.

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Now, this is an IM injection, so we will
pull back to make sure that there's no blood

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that comes back into the syringe.

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If there is, you need to withdraw that
syringe and start again from fresh because

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then it's contaminated.

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It's gone into the wrong area.

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You hit in a vein or worse still, an artery.

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OK, so this is clear.

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There's nothing in it. OK, so we can then
proceed to inject the fluid in.

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Should go quite slowly, but certainly
constantly, and then once we've done that, we

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take the needle out and we relax the skin
and this allows the entrapment of the fluids

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under the skin surface.

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Ok. Sheath the needle, but you should always
have a sharps bin right next to you and

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dispose of straightaway.

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Now you can put pressure on their using a
cotton wool ball or gauze just for a few

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seconds, and if your patient is willing, you
can get them to do that as well.

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But this technique does limit the chance of
either the medication leaking out or bleeding

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afterwards. Ok, there we go.

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So disposal of your gloves take those off if
you do need to wear them and then sanitize

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your hands. It should be a full hand wash
with soap and water.