Janet source rebuild

Intramuscular Medication Safety

A PowerPoint-faithful rebuild of Janet's IM injection deck: indications, contraindications, site choice, landmarking, patient dignity, and medication verification.

Source: Intramuscular injections (IM).pptx

Source intent

IM route is a clinical decision

Why IM?

Medication needs deep muscle absorption or oral route is unsafe/unavailable.

Which site?

Age, body habitus, volume, product, condition, and local policy.

What risk?

Bleeding, infection, allergy, tissue condition, shock, muscle atrophy.

Source visuals

Landmarking visuals belong in the rebuilt deck

Extracted IM injection landmarking visual Extracted IM injection landmarking visual Extracted IM injection landmarking visual

Extracted landmarking visuals are draft reconstruction assets pending rights/provenance review.

Ventrogluteal

Teach hand placement, not just site name

Palm on greater trochanter, thumb toward umbilicus, index finger toward anterior superior iliac spine, middle finger toward iliac crest; inject into the V between index and middle fingers.

Deltoid and vastus lateralis

Volume and tissue condition change the decision

Deltoid

Often limited volume; locate below acromion and avoid poor muscle mass or unsafe tissue.

Vastus lateralis

Anterior lateral thigh middle third; useful when gluteal/deltoid sites are unsuitable.

Safety checklist

Before the injection, verify the whole situation

OrderMedication, dose, route, timing, indication. PatientIdentity, allergies, consent/cooperation, distress. MedicationMonograph, viscosity, needle, volume, site. BodyPlatelets, anticoagulation, infection, atrophy, shock. MilieuPrivacy, staff safety, least-restrictive support. AfterMonitor effect, adverse reactions, documentation.

Web adaptation

Make landmarking accessible

  • Labelled diagrams with long descriptions.
  • Site-selection cases by medication and patient factors.
  • Order/monograph/policy verification checklist.
  • Dignity and safety prompts for urgent IM scenarios.
The web version should not rely on image-only identification. Every diagram needs text alternatives and a nonvisual path through the decision.