Remedios Trinidad Romualdez Memorial Schools Makati Medical Center S.Y.

2008-2009 Skills Laboratory Name:______________________ Year & Section: ______________ Rating:________ Date:__________

Administering Intradermal Injection

INDICATIONS: 1. Skin testing for medication allergies prior to starting antibiotic therapy 2. Skin testing to assess for the likelihood of previous exposure to tubercule bacilli. - Tuberculin purified protein derivative (5 TU PPD) or Mantoux Test COMMON SITES: Other ID sites: Intradermal layer of the volar surface of the forearm. dorsal forearm upper back upper chest Medication (MAR) Medication Administration Record Sterile syringe and needle ( size depends on medication being administered and patient ) Alcohol swab Dry Sponge Acetone and 2x2 sterile gauze square (optional) Disposable clean gloves

EQUIPMENT:

PROCEDURE PREPARATORY PHASE 1. Assemble equipment and check the physicians order 2. Explain procedure to the patient. 3. Perform hand hygiene. Don disposable gloves. PERFORMANCE PHASE 4. If necessary, withdraw medication from ampule or vial

Done

Not Done

Comments

5. Select an area on inner aspect of forearm that is not heavily pigmented or covered with hair. 6. Cleanse the area with an alcohol swab by wiping with a firm circular motion and moving outward from the injection site. Allow skin to dry. If skin is oily, clean area with pledget moistened with acetone. 7. Use nondominant hand to spread the skin taut over injection site. 8. Remove needle cap with nondominant hand by pulling it straight off. 9. Place needle almost flat against the patients skin, bevel side up. Insert needle into the skin so that point of needle can be seen through skin. Insert needle only about 1/2 inch. 10. Slowly inject agent while watching for a small wheal or blister to appear. If none appears, withdraw needle slightly. 11. Withdraw needle quickly at the same angle it was inserted. Encircle the wheal with a black ink; indicate the medication & time it will be read. AFTER CARE 12. Do not massage the area after removing the needle. 13. Do not recap the needle. Discard needle and syringe in the appropriate receptacle. 14. Assist patient into a position of comfort. 15. Remove gloves and dispose of them properly. Perform hand hygiene. 16. Chart administration of medication as well as the site of administration. Charting may be documented on the MAR, including location. Some agencies recommended circling the injection site with black ink. 17. Observe the area for signs of reaction at ordered intervals, usually at 24-72 hour periods. Inform the patient the patient of this inspection. 30 minutes for allergic reaction TOTAL Clinical Instructor:___________________________ (Signature over printed name)