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choose an injection site free of lesions and discoloration select a site three to four finger widths below the antecubital space and one hand width above the wrist if you cant use the patients forearm inspect his upper back if necessary use a site that would be appropriate for a subcutaneous injection position the patients arm so that his elbow and forearm are supported on a flat surface apply clean gloves use an antiseptic swab to clean the site beginning at the center and circling outward about two inches or 5 centimeters remove the cap and hold the syringe between the thumb and forefinger of your dominant hand with the bevel of the needle pointing up stretch the skin taut at the injection site by pulling gently with the thumb and forefinger of your non-dominant hand hold the needle very close to the patients skin insert it slowly at a 5 to 15 degree angle until you feel resistance advance the needle through the epidermis to a depth of about 1/8 of an inch or three millimeters y