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Non-invasive procedure. A medical procedure is defined as non-invasive when no break in the skin is created and there is no contact with the mucosa, or skin break, or internal body cavity beyond a natural or artificial body orifice. For example, deep palpation and percussion are non-invasive but a rectal examination is invasive.
Intramuscular (IM) injections deposit medication deeply into vascular muscle tissue, thus allowing rapid absorption. The deltoid, vastus lateralis, and ventrogluteal muscles are acceptable sites for IM injections. Previously, the dorsogluteal site was widely accepted and used, but current evidence has demonstrated that it is not acceptable due to its high risk for injury. When preparing to give an IM injection, examine the site to determine that there is adequate muscle tissue. Avoid any areas with lesions, trauma, inflammation, or bony prominences. To prevent tissue damage, rotate IM injection sites when injections are regularly scheduled.