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[Applause] in this video I will describe how to select the equipment needed to prepare vaccine for an intramuscular injection for children birth through eighteen years of age this route is abbreviated by M steps include gathering necessary supplies and selecting an appropriate syringe and needle CDC recommends providers prepare vaccines just prior to administration providers should prepare vaccines in a designated area that is not adjacent to any area where potentially contaminated items are placed before preparing or administering any vaccine always start with proper hand hygiene CDC has hand hygiene guidelines and resources for health care personnel available online to begin preparation gather the appropriate supplies this includes a syringe and needle prepackaged sterile alcohol wipes and bandages a marker or label will be needed to identify the vaccine once it is in the syringe a 1 or 3 milliliter syringe is used to administer an IM injection typically vaccines are