What should I do if the needle breaks during an injection in the buttocks?

When performing an intramuscular injection, if the patient is nervous, the muscles will be in a tense state, and it will be difficult to inject the needle. On the other hand, if the patient moves around, the needle may break. Although this situation is very rare, once it occurs, it can cause great harm to the patient. At this time, the needle should be removed in time. If it enters the muscle tissue, an X-ray can be taken for examination.

Procedure

1. Wear a mask and wash your hands

2. Item preparation: Prepare 70%-75% alcohol, 2%-2.5% iodine, sterile cotton swabs, curved trays, disposable syringes, injection drugs, bottle openers, grinding wheels, injection cards, waste containers, quick hand disinfectants, and sharps collectors in the treatment tray. Prepare sterile items (such as sterile gloves, sterile forceps, tweezers, etc.) as needed.

3. Place the items on the treatment cart or tray and carry them to the patient's bedside.

4. Check the name, bed number (check with the patient and bedside card), drug name, dosage, concentration, time, usage, check whether the drug is expired, check whether the drug is turbid or precipitated, and whether the bottle mouth is loose or cracked

5. Explain the purpose to the patient, obtain cooperation, and wash hands.

6. If the liquid medicine is in an ampoule: disinfect the ampoule with alcohol, use a grinding wheel to scratch it, then disinfect the scratched part of the ampoule with alcohol, break the ampoule open by hand, open and close the cotton swab cylinder and use tweezers correctly

7. If the liquid medicine is in a sealed bottle: sterilize the bottle opener, aluminum cap, open the aluminum cap, sterilize the bottle stopper

8. The disinfection method is correct.

9. Take the syringe and check its validity period, whether the packaging is leaking, and whether the needle has barbs;

10. The dosage of the liquid medicine to be drawn is accurate and the method of drawing the medicine is correct;

11. Put it in a bent plate for later use, and be careful not to contaminate the needle and piston;

12. Assist patients to take a comfortable position;

13. Choose the injection site

14. Gluteus maximus injection positioning method: cross method, connecting line method;

15. Skin disinfection: area 4×6 cm, correct disinfection method, deiodine clean (2 times), wait for dryness

16. Three checks and seven comparisons during handling

17. Exhaust

18. Use the thumb and index finger of your left hand to fix the injection site, tighten the skin, hold the syringe with your right hand, make the injection needle at a 90-degree angle to the skin, and quickly pierce the muscle layer vertically to a depth of 2/3 of the needle body.

19. Fix the needle and pull the piston. If there is no blood return, push the piston with your right hand to slowly inject the medicine.

20. After the injection, fix the needle plug, press the needle hole with a dry cotton swab, quickly remove the needle, press the cotton swab for a while, help the patient to take a comfortable position, help the patient to tidy up his clothes, and move the bed.

22. Three checks and seven comparisons after operation

23. Arrange your belongings, discard the syringe into the sharps container, and wash your hands again.

Precautions

1. If the needle accidentally enters a blood vessel and a small amount of blood is drawn back, pull out the needle slightly, draw back blood and then inject again; if a large amount of blood is drawn back, quickly remove the needle, press the local area with a sterile dry cotton ball, and prepare the medicine for injection again.

2. Do not insert the entire needle stem to prevent the needle stem from breaking at the root. In case the needle breaks, keep the local area and limb still, quickly clamp the broken end with a vascular clamp and pull it out. If it is completely buried in the muscle, a surgeon will be required to remove it surgically.

3. For patients who receive long-term intramuscular injections, the injection sites should be changed alternately to reduce the occurrence of nodules.

4. When injecting the same amount of two drug solutions, pay attention to incompatibility and inject them at different sites.

5. Choose the appropriate syringe and needle according to the amount, viscosity and irritation of the drug solution. For example, oily drugs require a thick needle, and drugs less than 1 ml can only be injected with 1 ml, 0.5 ml or special syringes, etc.

6. Gluteus maximus injection is not suitable for infants and young children under 2 years old because of the risk of damaging the sciatic nerve. Gluteus medius or gluteus minimus injection can be used instead.

7. Avoid injecting into scars, nodules, inflammations, skin diseases and old needle holes. Injections are also given to areas of congestion and hematoma.

8. Decide whether to massage the area depending on the properties of the medicine.