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Checklist of IM Injection

This document provides a checklist for intramuscular injections with instructions and requirements. It includes: 1. Definitions and purposes of intramuscular injections along with appropriate injection sites. 2. General instructions for maintaining aseptic technique, using the correct syringe and needle, observing medication rights, and positioning the patient. 3. Required equipment like syringes, needles, gloves, ampoule files, trays, and disposal containers. 4. Steps for administering injections including preparing medications, inserting needles, aspirating, and disposing of supplies. The rationale is to maintain safety and prevent medical errors or complications.

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Sharon Lawrence
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© © All Rights Reserved
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Download as DOCX, PDF, TXT or read online on Scribd
1K views

Checklist of IM Injection

This document provides a checklist for intramuscular injections with instructions and requirements. It includes: 1. Definitions and purposes of intramuscular injections along with appropriate injection sites. 2. General instructions for maintaining aseptic technique, using the correct syringe and needle, observing medication rights, and positioning the patient. 3. Required equipment like syringes, needles, gloves, ampoule files, trays, and disposal containers. 4. Steps for administering injections including preparing medications, inserting needles, aspirating, and disposing of supplies. The rationale is to maintain safety and prevent medical errors or complications.

Uploaded by

Sharon Lawrence
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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St. Francis College of Nursing, Indore (M.

P)
Check List of Intramuscular Injection

Definition- When medication is injected into deep muscles is known as Intramuscular


Injection.

Purpose: -

• It is simple and accessible.


• Absorption of drug is more rapid.
• Slightly irritant drug can be given.
• Administration of vaccines.
Site
General instructions:-

STEPS PURPOSE
• Check for doctor’s prescription. To prevent medical Error

• Strict aseptic technique to be followed. To prevent cross infection

• Syringes should be airtight. To prevent air entry

• A needle should be sharp and patent To easy penetration of skin

• Change the needle after withdrawing the To maintain sharpness of


medicine from the rubber stopper container. needle, or easy to penetrate
the skin
• Observe rights of administration of medicines. To Prevent medical error

• Never use a drug whose expiry date is over. To prevent complications

• Always make the patient relaxed and provide To relive anxiety


comfortable position while giving injection.
• Always give a test dose before administration To check sensitivity
of all types of serum, and certain antibiotics
such as penicillin etc.
• Never inject any air while giving injection. To prevent air block

• Select the appropriate site. To give injection

• Rotate the site of injection To prevent tissue fibrosis.

• Use the correct technique for giving injection. To prevent complications

• After injecting always withdraw, to make sure To check needle is in right


that it is not in a blood vessel in case of IM and position
SC injections.
• Massage the area at the site of injection except For proper absorption
in case of an ID injection.
• Injection should be charted and signed To prevent duplication of
immediately after it is administered by the work
nurse.
• Observe for any untoward reaction of drugs To prevent complication
after administration.
Articles Required:
S. Articles Rationale
No.
1 A tray containing To administer drug
Sterile syringe & needle of various
sizes
2 Sterile cotton swab/ gauze pieces in
To clean the site before giving
a sterile container injection
3 Patient’s Kardex To write the medication prescribed for
the patient.
4 Drug ordered with dilutors To administer drug to the patient
5 Gloves To maintain asepsis
6 Ampoule file To cut open the ampoule and open the
vial
7 Sterile small covered tray (knife To carry the prepared medicine to the
dish) patient
8 A kidney tray and a paper bag To dispose used swabs, ampoules and
vials.
9 A puncture- proof container To dispose of the disposable needles
S. Steps of Procedure Rationale Scientific Yes No
No. Principles
1 wash hands/use hand rub/ To reduce microbiology
sterilium transmission of
infection After
2 check each medicine with the To ensure the right Care
medication card drug

3 Preparation of medicine from


ampules:
-Tap top of the ampoule lightly Dislodge the fluid Physics
and quickly with fingers until that collects above
fluid leaves the neck. the neck so that all
medicines move
into the lower
Place a small gauze piece or chamber.
gauze pad against the neck of the Anatomy
ampule. Protects the finger
a. Tapping ampule moves of the nurse from
fluid down neck. trauma.
b. Gauze pad placed just
above neck of ampule.
c. Snapping neck away from
hands. Microbiology

File the neck of the ampoule and Prevents shafting


snap the neck quickly and firmly of glass toward the
Chemistry
away from hands. nurse or into the
ampoule.
Insert the syringe needle into the
Centre of the ampoule. (Do not Outside the rim of Physics
let the needle tip or shaft touches the ampoule is
the rim of ampoule. unsterile.

Aspirate the medicines from the Withdrawal of


ampoule by pulling back the piston creates a
piston gently. negative pressure
and helps in the Physics
aspiration of
medicine into the
syringe.
If air bubbles are aspirated, do
not expel air into the ampoule. Air pressure will Physics
force the fluid out
of the ampoule and
the medicine will
To expel the excess of air be lost.
bubbles, remove the needle from
the ampoule and hold it pointing Holding the
upward. syringe vertically Microbiology
will make the
medicine come
down and air
S. Steps of Procedure Rationale Scientific Yes No
No. Principles
01 Assist the client to assume a To give a sense of Psychology
comfortable position well being
02 Discard the needle and syringe in To prevent reuse of Microbiolog
an appropriate container the needle and y
 Needle in a puncture-proof syringe.
container To disinfect the
 Syringe in a bowl of syringe before
disinfectant disposal.
03 Remove gloves (if wear) and To reduce Microbiolog
wash hands/use hand transmission of y
rub/sterilium micro-organisms
04 Record in the medicine chart and To prevent error of Microbiolog
the nurses record by writing the administration and y
name of the medicine, dose, ensure accuracy
route and site, time and signature
05 Observe patient for any adverse To prevent
effect complication
Total =20

Name of the Students-


Remarks-

Signature of Evaluator Signature of Student

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