The University of the West Indies

Faculty of Medical Sciences

The UWI School of Nursing, Mona
Year II
BScN

Administration of Medication- Intramuscular Injection

Checklist
Student’s Name: ________________________________

Scores: Satisfactory (1point), Unsatisfactory/omitted task (0 point)

DATES Lab Clin Clin

TASKS ATTEMPTED 1st 2nd 3rd 4th 5th 6th 7th
S U S U S U S U S U S U S U
1. Ensure the drug is prescribed

2. Wash hands then Prepare necessary

equipment
3. Check the patient’s chart for allergies and
check for completeness of the medication
order
4. Perform hand identify patient.

5. Conduct assessment relevant to drug being

administered
6. Perform hand hygiene
7. Select the correct medication from stock and
check it against the kardex. FIRST CHECK

8. Check the label of the medication container

against the kardex including expiry date.
(Right drug). Perform drug calculation
(Right Dose) SECOND CHECK
9. Withdraws medication from ampoule or vial
and expel air bubbles, if necessary. Change
Needle to one of appropriate size and length

10. Recheck the label and medication(s) with the

medication administration kardex.

11. Safe keep the medicine while (medication

tray) while transferring it to the bedside
12. Provide privacy Identify the patient

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DATES Lab Clin Clin
TASKS ATTEMPTED 1st 2nd 3rd 4th 5th 6th 7th
S U S U S U S U S U S U S U
appropriately. (Right Patient). Recheck the
label and medication(s) with the medication
administration kardex. Third Check

13. Educate the patient about the action of the

drug and what to expect. (This can also be
done when the patient was first identified)

14. Don gloves (as indicated)

15. Identifies and selects appropriate

administration site. Assist patient to an
appropriate position. Cleanse the area with
alcohol swab. Allow to dry

16. . Removes needle cap. Expels air bubbles, if

necessary

17. Uses non-dominant hand to pull skin taut.

Insert the needle quickly at a 72o to 90o angle

18. Pull back plunger to check for blood. Inject

the medication slowly and withdraws the
needle smoothly at the same angle it was
inserted.

19. Apply gentle pressure to the site with a dry

cotton swab. Do not massage the area.

20. Assist the patient to a position of comfort.

21. Dispose of needle and syringe according to

institution’s policy. Do not recap used needle.

22. Remove gloves (if used).

23. Perform hand hygiene

24. Record/document the administration of the

medication in the kardex and the patient’s

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DATES Lab Clin Clin
TASKS ATTEMPTED 1st 2nd 3rd 4th 5th 6th 7th
S U S U S U S U S U S U S U
docket/chart
25. Evaluate the patient’s response to the
medication (within an appropriate time
frame)

Evaluators’ Comments:

1st Date: ___________________

Name & Signature

2nd Date: ___________________

Name & Signature

3rd Date: ___________________

Name & Signature

4th Date: ___________________

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 Name & Signature

5th Date: ___________________

Name & Signature

6th Date: ___________________

Name & Signature

7th Date: ___________________

Name & Signature

Student’s Signature:

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