Im SQ Admin PDF
Im SQ Admin PDF
Im SQ Admin PDF
Administer these vaccines via IM (intramuscular) route: DTaP, DT, Td, Hib, hepatitis A, hepatitis B, influenza, PCV7. Administer IPV & PPV23 either IM or SQ.
Patients age
Needle insertion
Needle size*
7/8 to 1 needle,
23-25 gauge
7/8 to 1 needle,
23-25 gauge
Toddlers (>36
months of age),
children, and
adults
1 to 2 needle,
23-25 gauge
80-90 angle
skin
subcutaneous tissue
muscle
acromion
deltoid muscle
(shaded area)
IM injection site
vastus lateralis
elbow
(shaded area)
Insert needle at 80-90 angle into densest portion of deltoid muscle above armpit and below acromion.
When you administer these vaccines, follow the age recommendations indicated
in the current Minnesota immunization schedules.
Needle size*
5/8 to 3/4 needle,
23-25 gauge
Needle insertion
Insert needle at 45 angle to the skin.
Pinch up on SQ tissue to prevent injection into
muscle.
Children and
adults
45 angle
skin
subcutaneous tissue
muscle
Insert needle at 45 angle into fatty area of anterolateral thigh. Make sure you
pinch up on SQ tissue to prevent injection into muscle.
Minnesota Department of Health - 6/01
elbow
Insert needle at 45 angle into outer aspect of upper arm. Make sure you pinch up
on SQ tissue to prevent injection into muscle.