What is the correct procedure when administering an iron injection via the Z-track method?

In the Z-track method for administering an iron injection, the correct procedure involves pinching the skin and ensuring that it remains in that pinched position during the injection. This method is designed to prevent the medication from leaking back into the subcutaneous tissue, which can cause irritation or discoloration. By pinching the skin, the healthcare provider creates a pathway that directs the medication into the muscle, while also minimizing discomfort and potential staining from the iron.

Massaging the injection site after administration is not appropriate with the Z-track method, as it could cause the medication to migrate back into the tissues above the muscle, negating the benefits of the technique. Similarly, inserting the needle at a 45° angle and injecting while the skin is pinched are not standard practices in Z-track injections. The typical angle of insertion for Z-track injections is usually 90 degrees rather than 45, ensuring that the needle penetrates the muscle directly.

Overall, pinching the skin and maintaining that position not only supports the effectiveness of the injection but also promotes patient comfort and reduces the risk of complications associated with improper administration.