Administering Intradermal Injections

A. Direction: Write your answers on the space provided.

Assessments:

Possible Nursing Diagnoses:

1.

2.

Materials:

B. Directions: Provide your assessment findings/rationale on the box. You are rated based on the
performance rubrics.

PROCEDURE RATIONALE RATING REMARKS

1. Verify the practitioner's order.

2. Wash hands.

3. Prepare gather supplies based

on the 5 rights of medication
administration.
4. Introduce yourself and verify
client’s identity.

5. Explain the procedure to the

client.

6. Verify allergies listed on the

medical record.

7. Don on gloves.

8. Select injection site on the

forearm if no other sites
required by the doctor’s order or
agency policy.

Sites for ID are areas with

subcutaneous fat less likely to
interfere with administration
and absorption.

If forearm unsuitable for use,

 select an alternative site.

Forearm is the standard initial

starting point and has the least
amount of subcutaneous tissue.
9. Position client with forearm
supinated.

10. Disinfect the site of injection

using alcohol swab or cotton
balls soaked with alcohol.
11. Taut the skin on the site of
injection with the non-dominant
hand.
12. Insert needle just below the
skin at 10- to 15-degree angle
with dominant hand.
13. Advance needle another 1/8
inch after entering skin surface.

14. Inject medication slowly and

steadily to form a bleb.

15. Remove needle at the same

angle of injection.

16. If blood is present remove by

dabbing with a second alcohol
swab. Do not rub area.
17. Observe skin for local redness
or swelling.

18. Draw a 1-inch circle around the

bleb.

19. Place the client to a comfortable

position. Instruct the client not
to rub, cover or apply products
on the area.
20. Discard equipment and wash
hands.

21. Do after care. Discard needles

in puncture-proof- container.

22. Evaluate and document care.

● Reassess patient at 5 and
15 minutes after
administration as
subsequent reactions may
occur
● Read site within 48 to 72
hours of injection/after 30
minutes for antibiotics.
TOTAL SCORE

Reference: (Kozier, Erb, Berman, & Snyder, 2014)

INSTRUCTOR : __________________________ AVERAGE: _______________________

DATE : __________________________