Name: ___Julianne B. dela Cruz_______________________________________________ Date: ___Jan.

5, 2021__

Evaluator/Signature: ________________________________________________________ Grade: _____________

ADMINISTERING INTRADERMAL INJECTIONS

Definition: Intradermal injection is the administration of drug into the dermal layer of the skin just beneath the epidermis. Usually only a small amount of a liquid is used (0.1
mL). common sites for intradermal injections are the inner lower arm, the upper chest, and the back beneath the scapula. The left arm is commonly used for TB
screening and the right arm is used for all other tests.

Purpose:

● To test for medication allergies

● For tuberculosis (TB) screening

Equipment:

● Medication chart or the medication ticket

● Vial or ampule of the correct medication
● Sterile 1-ml syringe calibrated into hundredths of a milliliter and a 25- to 27- gauge needles that is ¼ to 5/8 inches long
● Antiseptic swabs
● Sterile gauze squares
● Non-sterile gloves
● Epinephrine (on hand)

MATERNAL AND CHILD HEALTH NURSING COMPETENCY WORKBOOK 41

Special Considerations:

1. Check the medication chart and the medication ticket.

● Check the label of the ampule carefully against the medication chart/ticket to make sure the correct medication is being prepared.
● Follow the three checks for administering medications. Read the label on the medication (1) when it is taken from the medication cabinet, (2) before withdrawing
the medication, (3) after withdrawing the medication.
● Check for allergies.
2. Organize the equipment.

PERFORMED
PROCEDURE RATIONALE REMARKS
YES NO
1. Wash hands and observe other appropriate infection control To avoid/ reduce transmission of microorganisms
procedures.

2. Prepare the drug dosage from a vial or ampule.

For preparation of medicine

3. Provide for client privacy. To reduce patient’s anxiety and to promote comfort

4. Prepare the client. Check the client’s identification band. To ensure that the right client receives the right medication

5. Explain that the medication will produce a small bleb like a Information facilitates acceptance of and compliance with
blister. The client will feel a slight prick as the needle enters the the therapy
skin. Some medications are absorbed slowly through the
capillaries into the general circulation, and the bleb gradually
disappears. Other drugs remain in the area and interact with the
body tissues to produce redness and induration (hardening),
which will need to be interpreted at a particular time, eg. in 24 or
48 hours. This reaction will also gradually disappear.
6. Select a site. Avoid sites that are tender, inflamed or swollen or those with
lesions because this may interfere with the results

MATERNAL AND CHILD HEALTH NURSING COMPETENCY WORKBOOK 41

 PERFORMED
PROCEDURE RATIONALE REMARKS
YES NO
7. Put on gloves as indicated by agency policy.
To protect both patient and nurse

8. Cleanse the skin using a gauze square or moist swab. Start at the To clean and or prepare the skin for injection.
center and widen the circle outward. Allow the area to dry Recommendations differ about the necessity of cleaning the
thoroughly. skin prior to injections

9. Remove the needle cap while waiting for the antiseptic to dry. To save time. Allowing the antiseptic to dry prevents
irritations

10. Expel any air bubbles from the syringe. Small bubbles that Small amount of air will harm the tissue
adhere to the plunger are of no consequence.

11. Grasp the syringe in your dominant hand, holding it between The possibility of the medication entering the subcutaneous
thumb and four fingers, with your palm upward. Hold the needle
at a 150 angle to the skin surface, with the bevel of the needle up.

12. With the non-dominant hand, pull the skin at the site until it is Tauting the skin allows for easier entry of the needle
taut, and thrust the tip of the needle firmly through the epidermis
into the dermis.

13. Stabilize the syringe and needle then inject the medication This verifies that the medication entered the derms
carefully and slowly so that it produces a small bleb on the skin.

14. Withdraw the needle quickly while providing counteraction on Dry sterile gauze is used since alcohol interferes with some
the skin, and wipe the injection site gently with a dry sterile diagnostic skin tests. Massage can disperse the medication
gauze pad. DO not massage the area. into the tissue or out through the needle insertion site

MATERNAL AND CHILD HEALTH NURSING COMPETENCY WORKBOOK 41

 15. Dispose of the syringe and needle safely.
Do not recap needle in order to prevent needle stick injuries

PERFORMED
PROCEDURE RATIONALE REMARKS
YES NO
16. Remove gloves.
To prevent cross contamination

17. Circle the injection site with ink to observe for redness or
induration. To note any changes in size of the wheel

18. Document all relevant information.

To have basis if there are discrepancies

Learner’s Reflection: (What did you learn most of the activity? What is its impact to Instructor’s Comments:
you?)

I learned about the proper way to administer intradermal medications and its purpose.

MATERNAL AND CHILD HEALTH NURSING COMPETENCY WORKBOOK 41