SCHOOL OF NURSING

General Luna Road, Baguio City Philippines 2600

Telefax No.: (074) 442-3071 Website: www.ubaguio.edu E-mail Address: nursing@ubaguio.edu

ADMINISTERING PARENTERAL INJECTIONS

Name of Student: _______________________________ Date: _____________________

Section / Group: ______________________________ Clinical Instructor: ______________________________

Direction:
Please check the appropriate box below to describe verbalized or demonstrated competence level using the following
criteria:
0 = Missed or did not perform the step 1 = Performed the procedure incorrectly 2 = Performed the procedure correctly
PROCEDURE 0 1 2 Comments
WITHDRAWING MEDICATION FROM A VIAL
1 Check the physician’s order.
2 Wash hands. Prepare the equipment needed.
Check the label of medication to be withdrawn with medication record or cards,
3
using the principles of the 10 R’s of drug administration.
4 Perform dosage calculations if needed.
Remove the metal or plastic cap from the top of vial, without touching the rubber
5
stopper.
6 Swab the rubber top with alcohol swab.
Remove the cap from the needle by pulling it straight off. Draw back an amount of
7
air into the syringe that is equal to the specific dose of medication to be withdrawn.
Pierce the rubber stopper in the center with the needle tip and inject measured air
8 into the space above the solution. (DO NOT INJECT AIR INTO THE SOLUTION).
The vial may be positioned upright on a flat surface or inverted.
With non-dominant hand, Invert the vial, keeping needle inserted; control syringe
9
with dominant hand and keep plunger down with thumb.
Pull/ withdraw the needle tip slightly so that the bevel is below the fluid level and
1 aspirate the appropriate amount of solution, while holding the syringe at eye level
0 and vertically. BE CAREFUL NOT TO TOUCH THE BODY (INNER PART) OF THE
PLUNGER.
If air bubbles enter syringe, gently flick syringe barrel with fingers of dominant hand
1
while keeping a finger on end of plunger; continue holding vial with non-dominant
1
hand.
1 Move the needle past the fluid into the air space, Push plunger in until air is out of
2 syringe. Withdraw additional solution if needed.
After the correct dose is withdrawn, remove the needle from the vial and carefully
1 replace cap over the needle. If a filter/ aspirating needle has been used to draw up
3 the medication and the medication needs to be administered through a needle,
remove the filter needle and replace it with a new needle.
1 Recheck amount of solution in syringe, comparing with drug volume required.
4 Compare drug label with medication record or card.
1 If a multi-dose vial is being used; label the vial with the date and time opened, and
5 store the vial containing the remaining medication according to agency policy.
1
Discard or restore all equipment appropriately. Perform hand hygiene.
6
Direction:

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SN I-NHETL01-01
 SCHOOL OF NURSING
General Luna Road, Baguio City Philippines 2600

Telefax No.: (074) 442-3071 Website: www.ubaguio.edu E-mail Address: nursing@ubaguio.edu

Please check the appropriate box below to describe verbalized or demonstrated competence level using the following
criteria:
0 = Missed or did not perform the step 1 = Performed the procedure incorrectly 2 = Performed the procedure correctly
PROCEDURE 0 1 2 Comments
INTRADERMAL INJECTION
1
Prepare medication correctly using appropriate equipment and correct medication.
7
1
Identify client and check medication card again.
8
1
Explain the procedure and purpose of the drug.
9
2
Expose and locate the injection site (forearm).
0
2 Cleanse injection site with alcohol sponge in a circular motion and moving outward.
1 Allow the skin to dry.
2
Remove needle cap and expel air bubbles.
2
2
Use free hand to taut skin.
3
2 Insert needle, bevel up at 10° angle just under the skin, slowly inject the agent
4 while watching foe a small wheal or blister (bleb) to appear.
2
Release the skin, and remove needle at the same angle inserted.
5
2 Gently wipe/ remove blood or excess medications from the skin if any. DO NOT
6 MASSAGE the area.
2
Encircle wheal with black or blue pen noting medication and time.
7
2 Observe client’s reaction to injection for at least 30 minutes or as ordered. Makes
8 client comfortable.
2
Dispose equipment properly; wash hands.
9
3
Record procedure on client’s chart.
0
INTRAMUSCULAR INJECTION
3
Wash hands.
1
3 Prepare medication correctly using appropriate equipment; adhering to the rights of
2 drug administration.
3
Identify the client and check medication card again.
3
3
Explain the procedure and purpose of the drug.
4
3
Select injection site appropriate for client’s size and age.
5
3
Assist client into position for comfort and easy visibility of injection site.
6
3
Clean site with alcohol.
7
3
Remove needle cap and expel air bubbles.
8
3 Use free hand to hold/ pinch skin.
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SN I-NHETL01-01
 SCHOOL OF NURSING
General Luna Road, Baguio City Philippines 2600

Telefax No.: (074) 442-3071 Website: www.ubaguio.edu E-mail Address: nursing@ubaguio.edu

9
4
Insert needle at 90° angle.
0
Aspirate by pulling back gently on the plunger of the syringe to determine whether
4 the needle is in a blood vessel. Withdraw needle if blood appears and discard the
1 medication, syringe & needle. Prepare a new sterile set-up and inject at another
site.
4
If NO blood is aspirated, inject medication slowly. Needle withdrawn quickly.
2
4
Apply gentle pressure at the site with small, dry cotton.
3
4
Observe client’s reaction to injection and makes client comfortable.
4
4
Dispose equipment properly and wash hands.
5
4
Record procedure on client’s chart.
6

Direction:
Please check the appropriate box below to describe verbalized or demonstrated competence level using the following
criteria:
0 = Missed or did not perform the step 1 = Performed the procedure incorrectly 2 = Performed the procedure correctly
PROCEDURE 0 1 2 Comments
SUBCUTANEOUS INJECTION
4
Wash hands.
7
4 Prepare medication correctly using appropriate equipment; adhering to the rights of
8 drug administration.
4
Identify the client and check medication card again.
9
5
Explain the procedure and purpose of the drug.
0
5
Select injection site appropriate for client’s size and age.
1
5 Assist client into position for comfort and easy visibility of injection site. Provide
2 privacy.
5
Clean site with alcohol.
3
5
Remove needle cap and expel air bubbles.
4
5
Use free hand to hold/ pinch skin. (For Heparin injections, DO NOT PINCH).
5
5 Insert needle at 45° angle. (Or 90° depending on the length of the needle being
6 used).
5
Aspirate if recommended and observe barrel of syringe for blood return.
7
5
If blood does not return, inject drug slowly and smoothly.
8
5 Remove needle at same angle at which it was inserted. Observe client’s reaction to

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SN I-NHETL01-01
 SCHOOL OF NURSING
General Luna Road, Baguio City Philippines 2600

Telefax No.: (074) 442-3071 Website: www.ubaguio.edu E-mail Address: nursing@ubaguio.edu

9 injection and make client comfortable.

6
Dispose equipment properly.
0
6
Wash hands.
1
6
Document on client’s chart.
2
TOTAL = 124 POINTS

_________________________________________________ _____________________________________________
Name and Signature of Student Name and Signature of Clinical Instructor

Prepared by:

SN Clinical Instructors

Noted by:

Helen D. Alalag, RN, MAN

Program Chair, BSN and HCS

Approved by:

Jocelyn A. Apalla, RN, MAN, MCD

Dean, School of Nursing

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SN I-NHETL01-01