Administering An Intradermal

Control No.
_____
Republic of the Philippines
UNIVERSITY OF EASTERN PHILIPPINES
University Town, Northern Samar
Website: uep.edu.ph Email: ueppres06@gmail.com
COLLEGE OF NURSING AND ALLIED HEALTH SCIENCES
ADMINISTERING INTRADERMAL (ID)/INTRACUTANEOUS INJECTION
DEFINITION
 The injection of a small amount of medication/fluid into the dermal layer of the skin
just beneath the epidermis
PURPOSE
 Indicated for diagnosing allergies and tuberculin testing.
 Used to administer vaccinations and local anesthetics.
SITES
 Inner aspect of the forearm
 Subscapular region of the back
 Right deltoid (for BCG Vaccine only).
EQUIPMENT
 Sterile 1 – ml syringe
 Needle (25 to 27 gauge)
 Antiseptic or alcohol swabs
 Medication ampule or vial
 Medication card
 Disposable Gloves (agency protocol)
PROCEDURE RATIONALE
1. Follow the general for giving injection:  To identify whether medication is to be
given to an individual client on your shift.
a. Asses the medication record used  Prevent errors in drug administration.
in your facility.
b. Check the medications listed against  Ensure accuracy and prevents
the physician’s order using the rights medication error.
in the Drug Administration
c. Review information regarding the  Knowledge on the drug/medicine to be
medication. used /ordered can help health care
provider to be more competent.
d. Assess the size and general built of  To choose the correct size of needle for
the client. the injection.
e. Assess the status of the client.  Determine the need for assistance to
turn or restrain the client during the
procedure.
f. Wash hands and prepare materials  For infection control.
needed.
g. Withdraw the correct dosage of  Facilities proper aspiration of the
medicine using the techniques ordered medicine.
describe for drawing up from a vial or
an ampule or for mixing medication in
a syringe.
h. Recheck your dosage calculation  To prevent medication error
i. Identify and explain the procedure to  To establish correct identity and reduce
the client, provide privacy. level of anxiety.
j. Assist client into a comfortable  Relaxation minimizes discomfort and
position. Divert client’s attention by diverting client’s attention reduces
talking about an interesting subject. anxiety.
k. Wear clean gloves on your non-  Protect yourself from potential blood
dominant hand and select the spill.
appropriate site of injection
l. Clean the site with alcohol  Circular motion and mechanical action
swab/alcoholized cotton ball using a of swab removes secretions containing
circular motion and moving from the microorganism.
middle of the site outward. Allow skin
to air-dry.
m. While holding a clean dry cotton ball  Dry cotton ball remains accessible
between fingers on non-dominant during procedure. Prevents
hand, pull cap from the needle, contamination of needle.
touching only the inside of the cap.
2. Using your non-dominant hand make the  An injection is less painful if the skin is
skin taut in an appropriate manner in the taut when pierced and allows the needle
injection site chosen. to enter the skin more easily.
3. Hold the 1 ml/tuberculine syringe with  Intradermal tissues will be penetrated
gauge 25-27 needle at a 10-15 angle, when the needle is held as near parallel
with bevel of the needle facing up. to the skin as possible.
4. Insert the needle just until the bevel is no  Facilitate proper introduction of the
longer visible. Do not aspirate. medicine.
5. Inject the medication slowly while watching  Small wheal/bleb indicates the
for small wheal/bleb to appear. medication was deposited in the derms.
6. Withdraw the needle while applying the  Supporting tissues around injection site
gentle pressure using the dry cotton ball. minimize discomfort. Massage can
Do not message the site. disperse medication into the tissues and
altering test result.
7. Encircle the wheal/bleb with a skin  Encircling the part of the wheal/bleb
marking pen if the site must be assessed serves as basis of reading.
for reaction or sensitivity.
8. Discard the uncapped needle and syringe  Decreases of the risk of accidental
in a safe receptacle. needle prick
9. Remove gloves and wash hands  Prevent transmission of microorganism.
10.Documental procedure done.  Maintains continuity of care.
11.Assesses the site at the appropriate time  Determines reaction or sensitivity to
of interval (after 30 minutes) drug.
Control No._______

PERFORMANCE EVALUATION CHECKLIST
PROCEDURE Able to Able to Unable to

Perform Perform Perform
(2) with (0)
Assistance
(1)
1. Follow the general for giving injection:
a. Asses the medication record used in your
facility.
b. Check the medications listed against the
physician’s order using the rights in the Drug
Administration
c. Review information regarding the medication.
d. Assess the size and general built of the
client.
e. Assess the status of the client.
f. Wash hands and prepare materials needed.
g. Withdraw the correct dosage of medicine
using the techniques describe for drawing up
from a vial or an ampule or for mixing
medication in a syringe.
h. Recheck your dosage calculation
i. Identify and explain the procedure to the
client, provide privacy.
j. Assist client into a comfortable position.
Divert client’s attention by talking about an
interesting subject.
k. Wear clean gloves on your non-dominant
hand and select the appropriate site of
injection
l. Clean the site with alcohol swab/alcoholized
cotton ball using a circular motion and
moving from the middle of the site outward.
Allow skin to air-dry.
m. While holding a clean dry cotton ball between
fingers on non-dominant hand, pull cap from
the needle, touching only the inside of the
cap.
2. Using your non-dominant hand make the skin taut
in an appropriate manner in the injection site
chosen.
3. Hold the 1 ml/tuberculine syringe with gauge 25-
27 needle at a 10-15 angle, with bevel of the
needle facing up.
4. Insert the needle just until the bevel is no longer
visible. Do not aspirate.
5. Inject the medication slowly while watching for
small wheal/bleb to appear.
6. Withdraw the needle while applying the gentle
pressure using the dry cotton ball. Do not
message the site.
7. Encircle the wheal/bleb with a skin marking pen if
the site must be assessed for reaction or
sensitivity.
8. Discard the uncapped needle and syringe in a
safe receptacle.
9. Remove gloves and wash hands
10.Documental procedure done.
11.Assesses the site at the appropriate time of
interval (after 30 minutes)
Remarks:___________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
Grade: _____________
______________________________ ___________________
Clinical Instructor Student’s Signature
Control No._____
PERFORMANCE EVALUATION CHECKLIST

Able to Able to Perform Unable to

PROCEDURE perform with Assistance Perform
Assessment
1. Check medications listed against physician’s order
2. Review information regarding the medication.
3. Assess the size and general built of the client.
4. Assess the need for assistance.
Planning
5. wash hands.
6. prepare needed materials and medicine
prescribed observing the rights of the
medication.
7. recheck dosage calculation.
Implementation
8. Identify and explain the procedure to the
Client. Provide for privacy.
9. Assist client into a comfortable position and
distract him/her by talking about an
Interesting subject.
10. Wear clean gloves on non-dominant hand
and select appropriate site of injection.
11. Clean the site with alcohol swab/ cotton ball
with alcohol using a circular motion, moving
from the middle of the site outward.
12. Allow the skin to Air-dry.
13. Hold dry cotton ball between fingers of non-
dominant hand and pull cap from needle.
14. Using non-dominant hand, make the skin
taut.
15. Hold the syringe at a 10-15® angle, with the
bevel facing up and insert till it is no longer
visible.
16. Inject the medication slowly while watching
for a small wheal to appear.
17. Withdraw needle and gently pat the
injected site with dry cotton ball.
18. Circle area of injection using skin marking
pen.
19. Discard the uncapped needle and syringe in
a safe receptacle.
20. Remove gloves and wash hands.
Evaluation
21. Assess the site at the appropriate time of
interval preferably after 30 minutes.
Documentation
22. Document procedure done and its result
Remarks:_____________________________________________________________________________
_____________________________________________________________________________________
Grade: ___________
_________________________ _________________________
Clinical Instructor Student’s Signature

Administering An Intradermal

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Control No.

COLLEGE OF NURSING AND ALLIED HEALTH SCIENCES

ADMINISTERING INTRADERMAL (ID)/INTRACUTANEOUS INJECTION

Republic of the Philippines

COLLEGE OF NURSING AND ALLIED HEALTH SCIENCES

PERFORMANCE EVALUATION CHECKLIST

ADMINISTERING INTRADERMAL (ID)/INTRACUTANEOUS INJECTION

PROCEDURE Able to Able to Unable to

COLLEGE OF NURSING AND ALLIED HEALTH SCIENCES

PERFORMANCE EVALUATION CHECKLIST

Able to Able to Perform Unable to

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