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Pediatric Intramuscular Injections: Guidelines for Best Practice

Rishovd, Abby DNP, PNP

MCN, The American Journal of Maternal/Child Nursing: March/April 2014 - Volume 39 - Issue 2 - p 107–112
doi: 10.1097/NMC.0000000000000009
Feature: CE Connection

The administration of injections is a fundamental nursing skill; however, it is not without risk. Children receive numerous vaccines, and pediatric nurses administer the majority of these vaccines via the intramuscular route, and thus must be knowledgeable about safe and evidence-based immunization programs. Nurses may not be aware of the potential consequences associated with poor injection practices, and historically have relied on their basic nursing training or the advice of colleagues as a substitute for newer evidence about how to administer injections today. Evidence-based nursing practice requires pediatric nurses to review current literature to establish best practices and thus improved patient outcomes.

Nurses deliver the vast majority of intramuscular injections to pediatric patients, usually in the form of vaccines. Dr. Kaniaris gives you the latest, most important evidence on how to administer IMs to children.

Abigail Rishovd is a Pediatric Nurse Practitioner at Caring Hearts Pediatrics, Hartsville, SC. She can be reached via email at

For more than 150 additional continuing nursing education activities on pediatric topics, go to

The author and planners have disclosed no potential conflicts of interest, financial or otherwise.

© 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins.