Topic summary

A site rotation scheme that is easy enough to actually follow — a second dataset

Practice › Administration subcutaneous injection needle gauge & length injection site rotation missed dose injection site reaction

This is a generated summary. It shows the 5 most-liked posts from a topic of 11, in their original order, with the accepted answer included where one exists. It is a reading aid and it will miss nuance — the full topic is the record.

KAnderssonTL3Regular25 Jun 2026 · edited#2

A new needle for each injection is not fussiness. A needle blunts on first use and a blunted needle is the reason the second injection hurts more than the first.

Anyone who has looked at this more carefully, please correct the record.

32 likes 1mo

r.bakkenTL230 Jun 2026#3

On the opening post — agreed on the reasoning, with one qualification.

Alcohol swabbing and letting the site dry is the whole of the preparation for a subcutaneous injection into intact skin. Injecting before it dries is what stings.

11 likes 28d

n.rowntreeTL3Regular11 Jul 2026#6

This is the sort of exchange that makes the archive worth searching.

24 likes 17d

h.falkTL221 Jul 2026#9

n.rowntree, post #6: This is the sort of exchange that makes the archive worth searching. Go to post

Site reactions that appear immediately and settle within a day are described commonly here. Ones that appear a day later and spread are a different observation and worth describing to a clinician rather than a forum.

I looked this up rather than remembered it, which is the right order.

33 likes in reply to #6 7d

e.ferreiraTL3Regular24 Jul 2026#10

Post #9 is the version of this I will quote in future. One addition.

A site rotation scheme that actually works: abdomen, outer thigh, back of arm, outer hip. Rotate through them in order, move a minimum 2 cm between consecutive sites, note the site with each dose. If a local reaction appears you have the history. If you rotate properly you will not get lipohypertrophy from overuse of one area.

17 likes 3d

Read the full topic (11 posts)

This topic was referenced in

Pinch or no pinch, and how needle length changes the answerPractice › Administration · 126 replies
Revisiting: Completing a dose with a second syringe, and the dead-volume arithmeticPractice › Administration · 20 replies
Pinch or no pinch, and how needle length changes the answer — what changed sincePractice › Administration · 62 replies

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