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Traditionally the dorsogluteal (DG) muscle was used for IM injections but this muscle is in close proximity to a major blood vessel and nerves, with sciatic nerve injury a recognised complication (Small, 2004)

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This layered approach often leads to more efficient and sustained results

Before administering any injection, patients should thoroughly wash their hands with soap and water

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( Im unable to do this -I just lose the contents of the ampoule ) i have to extract the B12 using a separate syringe ( 2 ml) to which i attach a long needle -1 1/2 inch