![]() AcknowledgementsĪll images and videos were created by the Royal Children’s Hospital Creative Studios for the purpose of this guideline. The evidence table for this guideline can be accessed here. The Australian Immunisation Handbook () Evidence table How to don and remove Personal Protective Equipment (PPE).Warm or cold compresses can be applied to the area for comfort.Provide education to the patient and their family on signs and symptoms to monitor for, e.g., pain, redness, abscess, bruising at the site or anaphylaxis.The patient may require longer observation periods depending on the medication they receive Advise patients to remain in the hospital/ on the ward for 15–20 minutes following their injection.Kids Health Info: Allergic and anaphylactic reactions for more information Monitor for immediate adverse reactions, e.g., fever, rash, vomiting, shortness of breath.Remove the needle and apply a cotton ball.Inject the medication at a slow and steady pace.Do not aspirate or drawback as this can increase pain and discomfort in children.Inject the needle to the hub at a 90-degree angle.Stretch the skin flat (Z-tracking if applicable).Clean site with an alcohol swab (if required).Consider the use of comfort techniques such as distraction, buzzy bee, ice or a countdown. ![]()
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