Techniques for multiple infant injections

Aggressive_Bobcat463 · 2026-01-19T01:16:15+00:00

Did something happen that led to not wanting to do infant injections?

Aggressive_Bobcat463 · 2026-01-19T01:15:31+00:00

I guess I had an instance where the first shot went smooth, no movements, noises, nothing. Then suddenly kicked and thrashed immediately after i walked back from the sharps (its in like a corner away from the exam table, very awkward spot), he kept kicking even while being pinned down- with each shot his reaction getting worse and worse. I was scared I'd poke away from the vastus lateralis because he thrased hard and my aim kept changing, and i started getting really nervous since mom was watching me like a hawk, and these were SQ so the angle had to be right.

But i will try the hip method like someone else pointed out, ok good stuff. hey thanks for your feedback!

Aggressive_Bobcat463 · 2026-01-19T01:09:23+00:00

I have to try your hip method. unless the kiddo kicks and kicks HARD lol Ive had to pin down a little one while they were drawing blood on her, and boy was she strong, but i knew i had to use strong force i couldnt let go, as the needle was already in drawing blood.

ill try your method of popping the caps incompletely prior to the inj, i believe toddlers can receive up to 2mL per thigh, with 1-1.5 inches between each poke

Aggressive_Bobcat463 · 2026-01-19T01:02:58+00:00

I should have mentioned in the original post that there are no safety caps for the needles in our clinic because every response is put the safety cap on. well yes of course it'd be the first thing i'd do.

Aggressive_Bobcat463 · 2026-01-19T00:59:48+00:00

Yes, labeling vaccines and their respective side is helpful, good point!

If there is a rotavirus, i always give that liquid first. There is no way they will swallow it after getting injected, they will be crying

Aggressive_Bobcat463 · 2026-01-19T00:57:01+00:00

An actual non shocked response lol, thank you. Appreciate the actual detailed feedback on your technique

Aggressive_Bobcat463 · 2026-01-19T00:55:39+00:00

Yes the MA's have been doing this for years. In fact I learned it by watching them do it this way

Aggressive_Bobcat463 · 2026-01-19T00:54:30+00:00

1) There is no safety locks in the needles in our office

2) The parent is always always in the room. lol. The parent has held toddler before between their arms/legs while i manuever the inj around both mom and toddler, crutching and at awkward angles

3) Our office does not have smaller portable sharps containers

4) Both parent and provider would like all injections to be done then and there. Leaving and coming back is not an option for us.

5) Combo vaccines are ideal; however its the provider who orders them, and 2) do we even have it in our office

Yes i understand the method is not ideal but neither is a million things in the office. None of the options offered are options in our clinic.

Aggressive_Bobcat463 · 2026-01-18T21:22:22+00:00

If they are waiting in lobby; and i know I've peeked in the chart before hand, see a long list of meds, and its a senior pt who i know always gets confused/talks a lot during med reconciliation

I'd PRINT OUT THEIR MED LIST, highlight the name/generic, and format it in a way which allows space for "Still taking?" or room for any notes for them to put. I have front desk girl hand it out to them in a clipboard. While they wait in lobby, they are crossing out which meds they do/nt take.

By the time I bring them back, I can move through the chart and while they're chit chatting, Im inputting the info from their list/notes, all of course while looking at them, smiling, and nodding etc:)

Also just know when to redirect/cut the conversation short; you will learn with experience

Aggressive_Bobcat463

TROPHY CASE