HelloÂ Nursing Colleagues!Â I was given your website by Michelle Followell CRNI with Midwest Vascular Access, LLC to see if anyone can help me with a project. I am searching for any literature to substantiate it is not necessary to aspirated for blood return when giving a subcutaneous injection. I was taught some 24 years ago in school it is not necessary and is a safe practice based on there are no large vessels in subcutaneous tissue to worry about giving a drug IV. When I taught in an LPN program we taught both schools of thought. I am now working on this for the company I work for. I work asÂ program specialist in a call center that deals only with patient's who inject the drug Enbrel. We are trying to change our scripting to alleviate removing the air bubble from the pre-filled syringe and aspirating for blood but the manufacturer is reluctant for legal reasons. They want something that says it is a safe practice which I understand from their standpoint. Interestingly enough, with our SureClick autoinjector the same amount of air is in it as the pre-filled syringe and we have scripting that states it is ok to inject a small amount of air into the subcutaneous tissue and obviously one can not aspirated for blood with any autoinjector. Please feel free to contact me. Any and all suggestions will be helpful. Have a wonderful holiday weekend. I look forward to your responses. Thank you in advance.
Jim Kinsman RN
Accredo-Clinical Business Solutions
12900 Foster, Suite 300
Overland Park, KS 66213
913.339.7176 / 800.321.6622 x7176