SCIG Needle Position

January 11, 2008

First thanks to everyone who has been responding to my SCIG questions.

You've all been so helpful and are making me feel like I, the needle

phobic mother, can do this and my son and husband can live through it.

I'm getting some differing information on how the needle can be set into

the skin. We are using a 6mm soft set and the inserter pen. When we

have been putting it in we have been going straight and that's what we

were originally told. The vivaglobin info shows an angle. I think at an

angle we have less chance of hitting anything. And no matter who says

what my husband is very concerned, to the point of going to IVIG instead

of sub q, about hitting a muscle or anything that causes pain for my

son.

I had told our Immunologist about this group, she knew of it and

recommended I ask on the group because she said you guys are the panel

of experts.

So do go in on an angle or straight? Do you find one better than another

based on site area.

Thanks,

Michelekw/2inPA

January 11, 2008

Hey,

We go straight in. I have found that if we don't-he leaks. Make sure you can

pinch an inch, and go straight in. Don't freak out, most problems can be fixed

easily. Once you do SubQ a few times, there will be nothing to it. How many

sites do you use? I forgot. We use 9mm needles over 3 sites. is almost 5ft

and gets 40 mls every week. We have had to close off two of his sites before.

Hope this helps!

@...: mjand2at162@...: Fri, 11 Jan 2008

10:51:38 -0500Subject: RE: SCIG Needle Position

First thanks to everyone who has been responding to my SCIG questions.You've all

been so helpful and are making me feel like I, the needlephobic mother, can do

this and my son and husband can live through it.I'm getting some differing

information on how the needle can be set intothe skin. We are using a 6mm soft

set and the inserter pen. When wehave been putting it in we have been going

straight and that's what wewere originally told. The vivaglobin info shows an

angle. I think at anangle we have less chance of hitting anything. And no matter

who sayswhat my husband is very concerned, to the point of going to IVIG

insteadof sub q, about hitting a muscle or anything that causes pain for myson.

I had told our Immunologist about this group, she knew of it andrecommended I

ask on the group because she said you guys are the panelof experts. So do go in

on an angle or straight? Do you find one better than anotherbased on site

area.Thanks,Michelekw/2inPA

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January 11, 2008

We only use 1 site 16ml. He's 5 44lbs, and 43 inches tall. Last week

when we did it, we pinched, went straight in, let the pinch go and

taped, then removed the needle. He jumped around till the needle was

out. My husband had a fit because he felt it was hitting a muscle or

something while I was trying to get the tape on. Then our vivaglobin

contact said to keep the pinch till you tape and remove the needle.

Then let the pinch go. We already had one time it leaked because the

tube bent. We do this again today at 3:00 with a new nurse.

RE: SCIG Needle Position

First thanks to everyone who has been responding to my SCIG

questions.You've all been so helpful and are making me feel like I, the

needlephobic mother, can do this and my son and husband can live through

it.I'm getting some differing information on how the needle can be set

intothe skin. We are using a 6mm soft set and the inserter pen. When

wehave been putting it in we have been going straight and that's what

wewere originally told. The vivaglobin info shows an angle. I think at

anangle we have less chance of hitting anything. And no matter who

sayswhat my husband is very concerned, to the point of going to IVIG

insteadof sub q, about hitting a muscle or anything that causes pain for

myson. I had told our Immunologist about this group, she knew of it

andrecommended I ask on the group because she said you guys are the

panelof experts. So do go in on an angle or straight? Do you find one

better than anotherbased on site area.Thanks,Michelekw/2inPA

_________________________________________________________________

Get the power of Windows + Web with the new Windows Live.

http://www.windowslive.com?ocid=TXT_TAGHM_Wave2_powerofwindows_012008

January 11, 2008

There are a few sq needle set options out there. Remember that every child has

something that works for them. It is difficult to generalize to other kiddos.

Anyway, we use the Norfolk sets (you can google if you want a sample) and put

them in at a 90 degree angle--as straight as possible. (They are circular and

we pull the sides back so that it looks like a stingray. I've never had a

problem with them.)

Think of the little 6mm as think earning posts...not needles. : )

mom to Dani, CVID

January 11, 2008

Good luck, we don't use an inserter, so I can't help you with that one. Kinda

hard with only one site, but would love one poke! Let us know how it goes

for you, I will be praying!

www.caringbridge.org/visit/alexsmith

@...: mjand2at162@...: Fri, 11 Jan 2008

13:11:11 -0500Subject: RE: SCIG Needle Position

We only use 1 site 16ml. He's 5 44lbs, and 43 inches tall. Last weekwhen we did

it, we pinched, went straight in, let the pinch go andtaped, then removed the

needle. He jumped around till the needle wasout. My husband had a fit because he

felt it was hitting a muscle orsomething while I was trying to get the tape on.

Then our vivaglobincontact said to keep the pinch till you tape and remove the

needle.Then let the pinch go. We already had one time it leaked because thetube

bent. We do this again today at 3:00 with a new nurse. -----Original

Message-----From: [mailto: ] On

BehalfOf laura smithSent: Friday, January 11, 2008 11:03 AMTo:

@...: RE: SCIG Needle PositionHey,We go

straight in. I have found that if we don't-he leaks. Make sure youcan pinch an

inch, and go straight in. Don't freak out, most problemscan be fixed easily.

Once you do SubQ a few times, there will be nothingto it. How many sites do you

use? I forgot. We use 9mm needles over 3sites. is almost 5ft and gets 40

mls every week. We have had toclose off two of his sites before. Hope this

helps! @...: mjand2at162@...: Fri, 11

Jan2008 10:51:38 -0500Subject: RE: SCIG Needle PositionFirst thanks to

everyone who has been responding to my SCIGquestions.You've all been so helpful

and are making me feel like I, theneedlephobic mother, can do this and my son

and husband can live throughit.I'm getting some differing information on how the

needle can be setintothe skin. We are using a 6mm soft set and the inserter pen.

Whenwehave been putting it in we have been going straight and that's whatwewere

originally told. The vivaglobin info shows an angle. I think atanangle we have

less chance of hitting anything. And no matter whosayswhat my husband is very

concerned, to the point of going to IVIGinsteadof sub q, about hitting a muscle

or anything that causes pain formyson. I had told our Immunologist about this

group, she knew of itandrecommended I ask on the group because she said you guys

are thepanelof experts. So do go in on an angle or straight? Do you find

onebetter than anotherbased on site area.Thanks,Michelekw/2inPA

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caregivers of children diagnosed witha Primary Immune Deficiency. Opinions or

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January 11, 2008

Im a pediatric nurse so the most important thing is to tell your son what your

expectations are and that it is very important for him to sit still until you

tell him to that he can move. It is very important so that you have control over

the experience that he be able to listen to your commands. I always set up the

day that my son got his IVIg as the day that he was KING of the DAY. This meant

he could eat whatever he wanted, and he was able to get one toy under $5.00. (

this was with IV and every 3wks not weekly) What I am saying is that it is good

to set up an incentive for him to listen to you rather than a punishment.

I do not pinch at all except to find a site that is fatty enough to be the right

site.We always go in straight usually on the love handles, lower abdomen or

upper buttock by the waist in the back around from the love handles. We know

that these are fatty areas so it is not a problem to go straight in. Pinching is

just a way to know that there is enough tissue to work on that area. Once it is

in then you tape it immediatly and there is no letting go of the tissue. I am

not sure why someone would be teaching you to pink as you insert the needle.

Most nurses have not had mutch experience with subQ but with vaccines so I am

still unsure why they would teach you to pinch while inserting. We went in at an

angle in the arms so that you do not hit a muscle or bone but in the other area

it is less likely since you check it out ahead of inserting the needle. There is

genereally plenty of fatty areas on most kids even if they are thin. Also I

think it is better

to just have one of you do it your way rather than one telling the other what

to do. It would make me very nervous if my husband was watching over me even as

a nurse. Please feel free to call me if you want. 1-918-455-1503. I am going to

take my daughter to work and should be back in about 10 minutes.

BARBIE

RE: SCIG Needle Position

First thanks to everyone who has been responding to my SCIG

questions.You' ve all been so helpful and are making me feel like I, the