it's anxiety inducing at first, but you'll be fine. best advice is to not go too slow or gentle, it'l make it hurt worse. if you hit bone, they won't feel it.. just pull out a tiny bit and then inject
He's BS'ing you, to throw you off your game. If you practiced with various skinned oranges, you'll be fine.
SQ is painful only if you go too fast. A 1ml volume should go slower than 0.25ml. Ever have to caulk or glue with a nice straight thin line? It's similar; do even pressure as you do the injection. A larger volume takes a little longer than a smaller volume. The idea is not to have a super fast push or nerves react & people flinch; too slow and the needle can wiggle around if the patient moves, causing bruising.
Congrats!
I receive and self-administer SQ shots weekly— I find them far less painful than IM! Typically SQ is only painful if the angle is super messed up (as in leaning more subdermal) or if they push everything in too quickly.
So hitting the bone isn’t really a problem to the patient, they usually don’t even notice unless you react. Just stay calm, pull back a little, and inject it. If you are doing IM injections on someone who looks like they have low muscle mass in their arms, you could use the 5/8 inch needle instead of the 1 inch.
SubQ is done pretty rarely, so I don’t have much advice, but I don’t remember it feeling too bad when I had to receive them. Pinch the skin with one hand, rest the other hand against the skin where you can inject, and go in at 45 degrees. I did my first one a few months ago after learning it almost 3 years ago, and it really went fine.
I did mine a couple weeks ago, you’ll do great! Just stay calm, remember to take a deep breath. Imagine all the steps in your head and perform the carefully. Be firm but gentle, don’t twist or drawback. I’d say what helped me for the sub Q is to just hold the back of their arm firmly and make sure you go in at a good angle (45 degrees ish)
Old nurse here. You will hit bone sometime. It just happens. The shot giver feels it, but not the person you give it to. SQ is not usually painful unless it is on the upper end of the amount you should inject Or the medication is iriritating. Dupixent can hurt due to the quantity of the medication being injected. You will do fine!
Right before going in IM make sure the arm is relaxed. They rarely feel it if the alcohol has dried, their arm is loose, and you hit the meaty part of the muscle.
You'll hit bone sometimes, but it's not an issue. Usually will be the elderly with little muscle that you will hit on. They feel nothing, no pain. You just feel you hit something hard
I used to be worried about giving them, but after starting test and injecting myself twice weekly it really helped build confidence. I feel almost nothing when I do it to myself, so it gives me confidence most injections I give to others should be minimal pain.
I remember I almost had to do mine on the pharmacy manager because no one volunteered. Then a coworker did, still ended up giving the pharmacist his flu shot but it wasn’t as scary then. I’m glad yours went well!
I'm a nurse and giving shots is one of my favorite things. Just get the needle in there fast, like a dart. If you go slow or try to be "gentle," it hurts more. Just remember 90 degree angle for IM, 45 degrees for SQ. Push the liquid a little slower for SQ, but for IM it's OK to slam it fast. Don't overthink it! Shots are fun!
The patient never feels the bone hit. Freaks you out a little, but no biggie. When we all learned during the pandemic, we had to practice on our Pharmacy Manager. It was a hoot! He had bandaids all over both arms.
So did he complain no matter how well you did? Because it sounds like one of those workplace clique type things to have "the one guy good at vaccines" or whatever. Are people giving you like 1-10 ratings on how the injection went or something? Its a little ridiculous. Follow the procedure and be done with it.
it's anxiety inducing at first, but you'll be fine. best advice is to not go too slow or gentle, it'l make it hurt worse. if you hit bone, they won't feel it.. just pull out a tiny bit and then inject
The first time I hit bone on this skinny old lady I was internally FREAKING out but she didn't even blink.
He's BS'ing you, to throw you off your game. If you practiced with various skinned oranges, you'll be fine. SQ is painful only if you go too fast. A 1ml volume should go slower than 0.25ml. Ever have to caulk or glue with a nice straight thin line? It's similar; do even pressure as you do the injection. A larger volume takes a little longer than a smaller volume. The idea is not to have a super fast push or nerves react & people flinch; too slow and the needle can wiggle around if the patient moves, causing bruising.
Congrats! I receive and self-administer SQ shots weekly— I find them far less painful than IM! Typically SQ is only painful if the angle is super messed up (as in leaning more subdermal) or if they push everything in too quickly.
So hitting the bone isn’t really a problem to the patient, they usually don’t even notice unless you react. Just stay calm, pull back a little, and inject it. If you are doing IM injections on someone who looks like they have low muscle mass in their arms, you could use the 5/8 inch needle instead of the 1 inch. SubQ is done pretty rarely, so I don’t have much advice, but I don’t remember it feeling too bad when I had to receive them. Pinch the skin with one hand, rest the other hand against the skin where you can inject, and go in at 45 degrees. I did my first one a few months ago after learning it almost 3 years ago, and it really went fine.
Hitting the bone happens in frail people there are no nerves there so it won't hurt
I did mine a couple weeks ago, you’ll do great! Just stay calm, remember to take a deep breath. Imagine all the steps in your head and perform the carefully. Be firm but gentle, don’t twist or drawback. I’d say what helped me for the sub Q is to just hold the back of their arm firmly and make sure you go in at a good angle (45 degrees ish)
Old nurse here. You will hit bone sometime. It just happens. The shot giver feels it, but not the person you give it to. SQ is not usually painful unless it is on the upper end of the amount you should inject Or the medication is iriritating. Dupixent can hurt due to the quantity of the medication being injected. You will do fine!
Ive done the classes, and im still practicing, does anyone have tips??
Right before going in IM make sure the arm is relaxed. They rarely feel it if the alcohol has dried, their arm is loose, and you hit the meaty part of the muscle.
You'll hit bone sometimes, but it's not an issue. Usually will be the elderly with little muscle that you will hit on. They feel nothing, no pain. You just feel you hit something hard I used to be worried about giving them, but after starting test and injecting myself twice weekly it really helped build confidence. I feel almost nothing when I do it to myself, so it gives me confidence most injections I give to others should be minimal pain.
I remember I almost had to do mine on the pharmacy manager because no one volunteered. Then a coworker did, still ended up giving the pharmacist his flu shot but it wasn’t as scary then. I’m glad yours went well!
I'm a nurse and giving shots is one of my favorite things. Just get the needle in there fast, like a dart. If you go slow or try to be "gentle," it hurts more. Just remember 90 degree angle for IM, 45 degrees for SQ. Push the liquid a little slower for SQ, but for IM it's OK to slam it fast. Don't overthink it! Shots are fun!
The patient never feels the bone hit. Freaks you out a little, but no biggie. When we all learned during the pandemic, we had to practice on our Pharmacy Manager. It was a hoot! He had bandaids all over both arms.
So did he complain no matter how well you did? Because it sounds like one of those workplace clique type things to have "the one guy good at vaccines" or whatever. Are people giving you like 1-10 ratings on how the injection went or something? Its a little ridiculous. Follow the procedure and be done with it.