posted Mon, 03/30/2015 - 04:51
2635
+ 6 Propper sterilization practices for or younger members
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Ok newbs this is geared more towards you but can be a good refresher for the vets as well. I cant stress how important it is to sterilize the area where your about to break the sking and poss introduce all kind of nasty germs into the body that can couse a world of hurt, here are a few tips that will minimalize the chance of that happining.
1 always take isopropol alcohol and a cotton ball and swab the tops of the vials (LETAIR DRY)
2 swab the area of the skin about to be pinned (LET AIR DRY)
3 draw up your oil into the syring.. remove drawing needel replace with a new fresh clean one that you pin with.
4slow and steady as you go in , once in asperate the plunger if all is good the slowly press the oil in(do not slam it in there and this will or could cause damage or pip)
theses are just a few tips for the newer members and if you folow it you will have a better experience and less chance of an infection.
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5 Don't breathe on the pin! Pull up the oil AWAY from your face!
And GODS SAKE don't blow on the site to dry it!
Incredibly important to do ALL of the above tips each and every time we pin.
Let me just share a little story with you guys while i am here and with it being a recent event for myself it is all very clear in my mind.
Lots of you know by now, either from being told by myself or picking it up from the eroids jungle drums that i have just spent a lengthy spell in hospital being treated for Septicemia.. (Blood poisoning) not from gear use but from a poxy fucking dirty animal bite... i wont go into detail here this is not the point i am trying make.
From having MRI scans for liver and kidney failure the doctors also found 3 sterile abscesses... one in my left delt, one in my left glute and the third one in my right Ventro.
They reckoned from the density of these things (only small, not massive things) i must have had them from between 5 to 10yrs?...... fact is i had not a single clue i had these things, no pain,no discomfort, no nothing.
Anyway... the massive dosages of Penicillin they had me on has shifted these things thank fuck..... so now i am even more paranoid and OCD about pinning procedures than i have been in the past.
Great post bro..... and YES even 33yr vet users like myself still need a wake up call when sterility is paramount.
+3
I honestly had no idea a sterile abscess could last so long. That is a trip..Thanks for sharing brother.
what was her name the hooker that bit you
Hog lips!.................. she was a big fkn dirty Sow bro
Not sure why people get their panties in a bunch about aspirating. A little pull on the plunger is all it takes. If that's too hard for people, then they shouldn't be in the game. Oil in the blood stream, which goes to the lungs, causes a cough (some compounds are more irritating than others). Anyone who has ever taken pharma test-u, knows this is a requirement in the instruction pamphlet.
Also, glad you mentioned letting the alcohol dry. Alcohol's drying effect is what kills the bacteria. Good post.
+2
AnonI don't really ever remember to aspirate anymore, but I only pin quads, ventro glute and delts. I've read the literature that states there aren't any large blood vessels in those areas so aspiration is not necessary. But I know a lot of guys pin dorsal glute, which is not usually recommended for IM injections because of the sciatic nerve and large blood vessels. Therefore I do believe aspiration in dorsal glute is necessary.
And no offense to anyone in the healthcare field or any of the posts below, but just because the CDC recommends something doesn't make it the fucking gospel. The term healthcare professional is a relative term in my opinion, I know what works best for me and thats all that matters.
I do all of the above apart from swabbing the area I'm about to pin, a little lazy on that one i guess. You know I'd be kicking myself if I ever got an infection or worse, shit its only a mere few seconds to do it, and from today on i will be.
Another tip if I may, you can always buy pre-packaged sterile pads if you'd prefer. I noticed that using cotton swabs on my flip tops left fuzzies all over the top of the vials. I use sterile pads to avoid the fuzzies now.
Great post GJ, and a great reminder, which is appreciated.
I always change needles. If nothing else it offers a sharper needle.
Swonky...Great post brother. It blows my mind to see the way a few of my buddies to their injections. No alcohol involved, straight open up a pin, draw their oil, and boom inject. Makes me cringe. For me, every pin is a ritual and everything has to be perfect. Or I wont even do it. I guess I am weird, butbive yet to have an infection. So I must be doing something right. Great sticky material here brother.
Intramuscular injections are not sterile. That would require using medical gowns and gloves that are specially wrapped that do not touch anything in the environment. The process to inject steroids is called ASEPTIC technique. Alcohol wipes to swab the vial and skin are cheaper and easier than cotton balls. Switching out needles between drawing and pinning is not usually necessary unless you draw with a bigger guage needle than you choose to inject yourself with. Aspirating for intramuscular injections is uneccessary.
IM injections. Aspiration prior to injection of medication through the IM route remains a part of most guidelines4,35,38–40. Nursing curricula and guidelines4,38,39 clearly recommend aspiration as an essential step in IM injection technique. Guidelines originating in the UK recommend aspiration prior to IM injection of medications35, as well as specifically as part of the Z-track technique of administering IM injections.
I pulled this from CDC website after reading there are different medical opions on this but i dont know abot you but ever hit a vien shooting Tren? i would asperste anytime to not have that tren cough
Thought the cdc changed protocol on aspirating in 2014. That's what I was taught in school. Stupid for them to don't know if they went back on it but on ambulance we always aspirate anyways what's 1 second lol
Im not trying to be argumentative but your post is false. This is directly from the CDC website:
According to the CDC, aspiration is not indicated for IM injections of vaccines and immunizations, nor is it required for subcutaneous injections of immunizations, heparin, and insulin.
"For routine injections in the deltoid or vastus lateralis muscles, aspiration is not necessary as the sites do not contain large blood vessels." The few nurses that write in books advocating aspiration are ignorant of basic anatomy. You dont need a z-technique for steriod injections. Its nearly impossible to leave a needle bore into a vein in a muscle belly when you inject 90 degrees to the skin properly and there is no proof that "tren cough' has anything to do with a bolus of product entering a canulated vein during an injection.
If you want to be combative with authority and references then see below:
CDC. (2014). http://www.cdc.gov/vaccines/pubs/pinkbook/downloads/appendices/d/vacc_ad...
Crawford, C.L., Johnson, J.A. (2012). To aspirate or not: An integrative review of the evidence, Nursing, 42 (3), p20-25
Perry, A.G., Potter, P.A., Ostendorf, W.R. (2014). Clinical nursing skills & techniques (8th ed.). St. Louis: Mosby and Mosby Skills
Rusty is correct.......... you are forgetting BA/BB which is what we DO NOT want running through our veins.............. well i dont!............ you might like it though so carry on.
Plus!.... if Granny Banner or Granny CENSORED just had a piss in the bathtub that that last brew came from!.... well bro i dont want that in my veins either lol
RustyhookerVaccines are aqueous. Huge difference. Get oil, solvent, ba/bb into to blood quickly and there's issues. Like folks not on tren getting tren cough....
Boom tren cough will drop a brother lol
No it's not false I wentbright there copied and pasted it over
we can debate this all day but imo and the general opinion is that you do need to change your needle from the one that you drawed up your oil to the one you pin with... and asperations are absolutle neccasry
Respectfully junkie, do we want to follow and advocate 'general opinion' whatever that means, or the correct accepted medical procedures used every day by healthcare professionals like myself. Switching needles after drawing is fine, but it is a matter of personal preference and NOT necessary. Aspiration with a needle properly placed into a muscle body is just not needed.
Your quote above says nothing about glutes or ventroglutes. One of my best friends is an ed nurse, he advised to always aspirate, especially with the glutes and ventro's with an abundance of large blood vessels. I'm not trying to argue as to what the fkn cdc says about it, just doesn't make any sense to advise against a safety procedure.
Z track technique - why wouldn't you use it? (rhetorical) ... It does 2 things, 1. Keeps the oil from running out and dripping back down the skin, which is just plain old wasteful and more importantly 2. Prevents it from going into the subqutaneous tissue which can be very irritating and cause unnecessary inflammation and pip.
I don't think switching needles is a safety or cleanliness issue and can actually do the opposite just having an extra step. HOWever, and this point is related to all the steps we take that healthcare professionals don't, switching the needles is for comfort, less pain, muscle tearing etc due to the dulling caused by piercing the rubber stopper. Most meds are not thick oils and most meds are not injected as often as steroids are.
I always aspirated and only got the air bubble. I did it out of habit...then one day hit blood. I was actually surprised. Never hit blood since, but still aspirate.
RustyhookerAir dry! Awesome! In class we'd blow onto a quip and grow cultures. Nasty things would grow just from blowing air.
its the little things we asume people know that can get them into trouble. feel free to add if i have overlooked something
Just a heads up to any newbs like myself on ROTATING SITES, I did glutes only my first three weeks n the third injection on my left side left alot of pip n a good sized knot... Not a pleasurable experience to say the least...You should have At LEAST 4 sites of injection, n rotate left glute, right glute, left delt, right delt, (thighs,etc), etc... this will save you a lot of pain n walking like ur 80 bros!! Just wanted to throw this in hopefully it helps