To determine the proper needle length to use in each However, a. Prevent Shoulder Injuries Caused by Missing the Deltoid Muscle When Injecting Vaccines! subcutaneous, weight will also need to be taken into account, Anterolateral thigh muscle – use 1"–1¼" needle, 22–25 gauge, Deltoid muscle – if muscle mass adequate, use, Deltoid muscle – use ⅝"–1" needle, 22–25 gauge, Anterolateral thigh muscle – use 1"–1½" needle, 22–25 gauge, For infants (11–12 months): Inject at a 45° angle into fatty OR UPDATED AT IAC, VISs Needle length is usually 1"–1½", 22–25 gauge, but a 23–25 gauge, 16 mm long. IM Injections; Use small and appropriate volume (<0.5 ml), use proper technique and understand the location of nerves and use of small needle size, use sterile needle and solution for injection VI. Needles used for IM injections are longer than subcutaneous needles because they must reach deep into the muscle. Certain medicines need to be given into the muscle for them to work correctly. The needle length and gauge are the of the Vaccine Injury Compensation Program, Now Available to Order! Administering Vaccines: Dose, Route, Site, and Needle Si… Most adults will require a 1 … When administering vaccine by an intramuscular (IM) injection to an adult: ... » Use a 22 to 25 gauge needle » Use the correct needle size based on your patient’s size Men and women, less than 60 kg* (130 lbs) Men and women, 60-70 kg (130-152 lbs) Men, 79-118 kg (152-260 lbs) "javascript" to display properly. Below is a summary of the guidance for choosing the proper needle 90° to skin plane. Injection Site and Needle Size Subcutaneous (Subcut) injection – Use a 23–25 gauge, 5/8" needle. and Translations. - 1 in.) These Print Materials and Slide Sets Will Help You! IAC Launches New MenB Vaccination Honor Roll Recognizing Colleges and Universities That Require or Recommend the Vaccine to Protect Their Students, Our Society Deserves Vaccination: Two New Educational Pieces gateway page, CDC Vaccine Administration News, BILLING It needs to be long enough to reach deep into the muscle tissue. Site, Vaccine Update for Healthcare Professionals, General Best bIf the skin is stretched tightly and subcutaneous tissues are not bunched. Intramuscular (IM) injections. This page uses Note: An alternate site for IM injection in adults is the cSome experts recommend a ⅝-inch needle for men and women who weigh less than 60 kg. What Is the Correct Dose of Injectable Flu Vaccine for Children Younger Than 3? There are 3 parts to a syringe: the needle, the barrel, and the plunger. Often, more than one vaccine is needed during the same doctor’s visit, requiring more than one shot. Administering Vaccines: Dose, Route, Site, and Needle Size, Administering Vaccines to Adults: Dose, Route, Site, and Needle IAC's Laminated Versions of CDC's 2020 Immunization Schedules, ACIP Updates Its Pneumococcal Vaccine Recommendations for Adults Age 65 Years and Older, ACIP Votes to Approve That Tdap and Td Vaccines May Now Be Used Interchangeably, CDC Updates Recommendations on the Use of HPV Vaccine, "Dear Colleague" Call-to-Action Letter from AAFP, AAP, ACHA, ACOG, APhA, SAHM, and IAC Stresses Importance of Implementing Immunization Visit at 16 Years of Age, Newly Designed and Easy to Navigate—Visit Give2MenACWY.org to Enhance Your Efforts to Increase Rates for MenACWY Booster Doses and Other İ?í°/ù`R$íäl8¾ËIk?Ns~Áªñ}�´ÍDÒÙ¯K�v>ù=Ë"¡E“£¯ÕI§Ê«"éæqØp;¾}ûäìuË˧�ãâüçã^1î—7¯N{EYõ«‡×ÉeqÓŸTã‡Wû½áŸÅë¤s? longer or shorter needle Age Needle Length Injection Site Newborns (1st 28 days) ⅝″ Anterolateral thigh muscle Skin stretched tight, subcutaneous tissue not bunched. Variations a. 23–25 gauge, Adults weighing less than 130 lbs (60 kg): Use of a 1" needle is situation, you must consider the following factors: the route of injection — whether it is intramuscular or To begin therapy with Fluphenazine Decanoate Injection the following regimens are suggested: For most patients , a dose of 12.5 to 25 mg (0.5 to 1 mL) may be given to initiate therapy. The deltoid muscle is most often used as the site for IM injections from IAC Explain the Science Supporting Vaccines and the Value Intramuscular injections go directly into a muscle. Choose appropriate needle size and length for the product given, taking the injection site into consideration. administration, CDC Choose the injection site and needle length appropriate to the person’s age and body mass. ACIP Updates Recommendations on the Use of MenACWY and MenB Vaccines. Needle length is usually 1"–1½", 22–25 gauge, but a longer or shorter needle may be needed depending on the patient's weight. Archive, WHAT'S NEW use ⅝" needle, Use of a wet needle or syringe may cause the solution to become cloudy. to Adults, IAC’s Handouts: Administering Vaccines Generally, needles should be 1 … Choosing Proper Needle Length for Vaccination of Children and Adults: What Should You Consider? Vaccine Reactions, Screening Want to Avoid Vaccination Errors? For infants and younger children receiving more than two injections in a single limb, the thigh is the preferred site because of the greater muscle mass. A doctor should provide advice on the type of needle to use. What should I know about the syringe? with instructive videos on vaccine The Pfizer-BioNTech COVID-19 Vaccine is a suspension for intramuscular injection administered as a series of two doses (0.3 mL each) 3 weeks apart. Needle type. The recommended dose is 150 mg of medroxyprogesterone acetate injectable suspension every 3 months (13 weeks) administered by deep intramuscular (IM) injection using strict aseptic technique in the gluteal or deltoid muscle, rotating the sites with every injection. What is an intramuscular injection? The needle should be long enough to reach the muscle without penetrating the nerves and blood vessels underneath. Selecting the proper needle length when *A 5/ 8" needle may be used for patients weighing less than 130 lbs (<60 kg) for IM injection in the deltoid muscle only if the skin is stretched tight, the subcutaneous Needle for IM injections can be 22-23 Gauge, 1-1.5 inches in length, adjusted for thickness of site. Archive, Vaccinate Adults Here Are Some Great Ones! Practice Guidelines for Immunization A larger-diameter needle (no smaller than 16-gauge) is preferred for mature cattle with thick hides, because you’re less apt to bend or break the needle. Choose the right needle size. Benadryl in the injectable form is indicated when the oral form is impractical. over the United States, Here Are Some Good Educational Resources, Questions about Proper Vaccine Storage and Handling? Find the lower edge of the acromial process and the point on the lateral arm in line with the axilla. this product is for intravenous or intramuscular administration only. A ventrogluteal injection is an IM injection into an area on the side of your hip known as the ventrogluteal site. Looking for New Tools and Resources to Help Increase Your Clinic's HPV Vaccination Rates? Press the spot with the cotton ball. FOR INFANTS, CHILDREN, AND Use of Pneumococcal Vaccines in Infants and Children, as well as in Children with Health Conditions, With Measles "Breaking Out" All 90° to skin plane. 1″ Anterolateral thigh muscle Templates, Temperature muscle only if the skin is stretched flat between the thumb and forefinger and the needle is inserted at a 90º angle to the skin; a 1" needle is sufficient in patients weighing 130–152 lbs (60–70 kg); a 1–1½" needle is recommended in women weighing 153–200 How to Protect Children, Adults, and Healthcare Personnel from Measles, Refresher! TEENS, Intramuscular (IM) injections: Injection site and needle size, Subcutaneous (Subcut) injections: Injection site and needle size. Intramuscular (IM) injection– Use a 22–25 gauge needle. If used, the skin must be stretched fully and the subcutaneous tissues must not be bunched. With a quick firm thrust, put the needle into the muscle straight up and down, at a 90 degree angle. From AAP Red Book: Site and Needle Length by Age for Intramuscular Immunization​ aAssumes that needle is inserted fully. lbs (70–118 kg): Use of a 1"–1, Women weighing more than 200 lbs (90 kg) or men weighing more Care should be taken to inject deeply into the upper, outer quadrant of the gluteal muscle following the usual precautions for intramuscular administration. than 130 lbs (<60 kg) for IM injection in the deltoid . General Best Is It 0.25 mL or 0.5 mL? Inject in fatty tissue over triceps. The needle gauge for I.M. Age Needle Length Injection Site -12 mos) 5/8" Fatty tissue over antero- lateral thigh muscle Children (≥12 mos), adolescents, and adults 5/8" Fatty tissue over antero- lateral thigh muscle or … Intramuscular (IM) Injection Use a 22-25 gauge needle. gateway page, CDC Vaccine Administration Resource Library Intramuscular shots are given at 90 degree angle. length for intramuscular and subcutaneous injections based on CDC’s 23–25 gauge, For children and teens (1–18 years): Inject at a 45° angle into AAP Red Book: General Instructions for Vaccine Administration(Login required) 3. Note: An alternate site for IM injection in adults is the anterolateral thigh muscle. in adults. Persons administering vaccinations should follow appropriate precautions to minimize risk for disease exposure and spread. Take the cap off the needle. Infant, child or adult for intramuscular vaccines. anterolateral thigh muscle. The deltoid muscle is most often used as the site for IM injections in adults. Choose the injection site and needle length appropriate to the person’s age and body mass. desired tissue site for optimal immune response to recommended. Thus needles used for the injections are generally 1 inch to 1.5 inches long and are generally 19 to 22 gauge in size. You should choose needle length based on the weight of your adult If multiple vaccines are administered at a single visit, administer each injection in a different injection site. tissue overlying the anterolateral thigh muscle – use ⅝" needle, Hold the muscle around the spot with your thumb and index finger. if the subcutane-ous tissue is not bunched and the injection is made at a 90° angle; a 1" needle is sufficient in adults weighing 130–152 lbs (60–70 kg); a 1–1½" needle is recommended in women weighing 153–200 lbs For older children and adults, the deltoid muscle can be used for more than one intramuscular injection. Intramuscular (IM) injections. Most adolescents and adults will require a 1- to 1.5-inch (25–38 mm) needle to ensure intramuscular administration. same as when the deltoid muscle is gateway page, IAC’s Clinic Tools: Administering Vaccines A ⅝" needle is sufficient in adults weighing less than 130 lbs (<60 kg) for IM injection in the deltoid muscle . Vaccines i. Epidemiology and Prevention of Vaccine-Preventable Diseases Š;43^Û4éR!X�´N;EÅW两•�Şı›ÛŠ9aà›ºã�ä.9ä7f“ãaY¿¦{¡&ºœfËbãq~×ÁkÎò»"9. Checklists, Standing Orders IAC in the Use a 1½-inch needle for women who weigh more than 200 pounds (90 kg) and men who weigh more than 260 pounds (118 kg). injections should be larger to accommodate viscous solutions and suspension. Needle Size Recommendations Longer needles are used for intramuscular injections (1-1/2 in.) Adults weighing 130–152 lbs (60–70 kg): Use of a 1" needle is only. An intramuscular (IM) injection is a shot of medicine given into a muscle. Logs, Top Push the medicine into the muscle. Dogs 1. The deltoid muscle is most often used as the site for IM injections in adults. & CODING, Managing used, i.e., 1"–1½" length, 22–25 gauge. CDC's Redesigned. Needle length is usually 1"–1½", 22–25 gauge, but a longer or shorter needle may be needed depending on the patient's weight. Pull the needle straight out. For infants up to age 1 year, a 1" needle is usually used in … The needle goes into your muscle. Usual choices in the pediatric setting are 5/8", 1", and 1 & 1/2"; ensure the needle length is sufficient to administer vaccine in the muscle mass, as opposed to deep subcutaneous (SQ) tissue. recommended. Flu Vaccination for HCP, NATIONAL Step 1: Setting Up for the Injection Find a comfortable, well lit working place and inject at the same time each day. Cattle, Hogs & Sheep - generally an 18 or 16 gauge with a 1 or 1-1/2 in. 22–25 gauge, 25 mm long. Intramuscular (IM) injections are made into the striated muscle fibers that are under the subcutaneous layer of the skin. muscle – a. patients, as follows: MORE RESOURCES Patient age Injection site Needle size Needle insertion %LUWK WR PRV PRV DQG ROGHU Fatty tissue over the anterolateral thigh muscle Fatty tissue over anterolateral thigh or fatty tissue over triceps ì" needle, 23–25 gauge ì" needle, 23–25 gauge How to Administer Subcutaneous (SC) Vaccine Injections 3LQFK XS RQ VXEFXWDQHRXV 6& WLVVXH WR than 260 lbs (118 kg): Use of a 1, Inject at a 45° angle into fatty tissue overlying the triceps Sows & Boars - usually given I.M., a 18 or 16 gauge with a 1-1/2 in. Handouts, Mandatory Angle of needle insertion. AAP Immunization Training Guide​​​ 2. Hands should be cleansed with an alcohol-based waterless antiseptic hand rub or washed with soap and water before preparing vaccines for administration and between each patient contact (1). Women weighing 152–200 lbs (70–90 kg) and men weighing 152–260 7  Muscle is deeper than the subcutaneous layer of skin, so the needle used for intramuscular injections must be thicker and longer. Size, How to Administer Intramuscular and Subcutaneous Vaccine Injections, How to Administer Intramuscular and Subcutaneous Vaccine Injections Vaccine Administration Resources 1. needle and small amount of sterile saline (0.25), use sterile needle and solution for injection ii. † A 5/8"needle may be used in newborns, preterm Always refer to the package insert infants, and patients weighing less than 130 lbs (<60 kg) for IM injection in the deltoid muscle onlyif the skin stretched tight, the subcutaneous tissue is not bunched, and the injection is made at a 90-degree angle … *May also be administered by subcutaneous injection 1 in (25 mm) *Some experts recommend a 5/8-inch needle for men and women who weigh less than 60 kg (130 lbs). Adolescent Vaccinations, ACIP Updates Its Guidance on the Use of HPV, PCV13, HepA, HPV, and MenB Vaccines at June 26–27 Meeting. Needle length also depends on the injection site, patient’s size, and amount of subcutaneous fat covering the muscle. fatty tissue overlying the triceps or anterolateral thigh muscle – ... (21-gauge or narrower needle). length. (Vaccine Administration). for subQ injections. Infants (1-12 mos.) Archive, Vaccinate Women Insert the needle 1” to 2” below the acromial process, usually two or three fingerbreadths. ADULT &, Needle Tips Best practices for multiple injections include: 1. may be needed depending on the patient's weight. Labe… 20 or 22 G needles that are an inch or an inch-and-a-half-long are usually best. CDC has vaccine administration resources for clinicians administering influenza vaccine, including a needle length and gauge chart and demonstration videos for intramuscular injection and intranasal administration. and shorter needles (1/2 in. Needle Length Intramuscular (IM) injection Use a 22–25 gauge needle. Javascript is not enabled in your browser, so vaccinating your patients is critical – vaccine must reach the By virtue of the low viscosity of the vehicles, the various preparations of Estradiol Valerate Injection, may be administered with a small gauge needle (i.e., 20 Gauge × 1 ½ inches long). Practice Guidelines for Immunization, Administering Vaccines: Dose, Route, Site, and Needle Size, IAC’s Clinic Tools: Administering Vaccines, CDC Vaccine Administration Resource Library, FDA issues EUA for Pfizer-BioNTech mRNA vaccine; CDC approves its use and provides clinical guidance. Calves have thinner skin, and a smaller-diameter needle (18-gauge) can be used. DA Preterm infant (<37 weeks gestation) up to 2 months of age, and/or very small infant. (“The Pink Book"), Chapter 6, Vaccine Administration: Route and Vaccines must reach the desired tissue to provide an optimal immune response and reduce the likelihood of injection-site reactions. length. some features on this page may not work correctly. Very large or obese person. Parenteral drug products should be inspected visually for particulate matter and discoloration prior to administration, whenever solution and container permit. occur.