The site of the subcutaneous injection depends on the age of the child. Usually the dorsum of the upper arm or the anterior thigh is used in newborns, infants, and toddlers
Administering a Subcutaneous Injection
1- Select the syringe size based on the volume or dose of medication to be delivered. The needle must be just long enough to penetrate the subcutaneous tissue, which lies below the skin and fat surface and above the muscle. Needles with a length of. (26 to 25 gauge) are recommended for infants and children.
2- Choose the appropriate site .
Equipment and SUPPLIES:
1- Syringe filled with medication .
2- Alcohol swab .
3- Gauze pad or cotton ball
4- Small band-aid
1- Have another nurse, an assistant, or the parent restrain the child while the injection is being given.
2- Don gloves.
3- Locate the site. Clean with alcohol using an outward circular motion.
4- Pinch the skin between the thumb and index finger.
5- Remove the cap from the syringe. Insert the needle quickly at about a 45-degree angle. Release the skin and pull back the plunger.
RATIONALE: Use a 45-degree angle to inject into the subcutaneous tissue rather than into the underlying muscle.
6- If no blood is aspirated, inject the medication, withdraw the needle at the angle at which it was inserted, massage the area with a gauze pad or cotton ball (alcohol will sting), and return the child to a position of comfort. Apply band-aid if there is a drop of blood present.
7- Do not recap the needle. Discard it in a puncture-resistant container according to standard precaution recommendations .