Skin-spreading needle insertion

A two-hand needle insertion technique whereby the skin is stretched to facilitate needle insertion.

Method:

1. While holding the handle of the needle between the thumb and forefinger of the right hand, bring the needle tip to rest lightly on the skin surface above the point.
2. Stretch the skin on either side of the point with the thumb and forefinger of the left hand.
3. Insert the needle using a quick, firm downward movement with the right hand while keeping the skin spread taut with the left hand.

Application: By increasing the surface tension of the skin, areas of loose or folded skin (such as on the abdomen and on elderly patients) are more easily penetrated. See needle insertion.