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Administering-an-Intramascular-Injection

This document is a checklist for administering an intramuscular injection as part of nursing practice. It outlines the necessary preparations, procedures, and assessments required to ensure safe and effective medication administration. Additionally, it includes a grading scale for evaluating performance and documentation requirements post-injection.

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andreyvilla66
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10 views

Administering-an-Intramascular-Injection

This document is a checklist for administering an intramuscular injection as part of nursing practice. It outlines the necessary preparations, procedures, and assessments required to ensure safe and effective medication administration. Additionally, it includes a grading scale for evaluating performance and documentation requirements post-injection.

Uploaded by

andreyvilla66
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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SKILLS LABORATORY CHECKLIST

Fundamentals of Nursing Practice

Name Date
Course & Sec RLE Group

ADMINISTERING AN INTRAMUSCULAR INJECTION


Correctly Incorrectly Not
Preparation Remarks
Done Done Done

Assess:
▪ Client allergies to medications.
▪ Specific drug action, side effects, and adverse reactions.
▪ Client’s knowledge of and learning needs about the medication.
▪ Tissue integrity of the selected site.
▪ Client’s age and weight, to determine site and needle size.
▪ Client’s ability or willingness to cooperate.

Determine:
▪ Whether the size of the muscle is appropriate to the amount of
medication to be injected.
Assemble equipment and supplies:
▪ MAR or computer printout
▪ Sterile medication (usually provided in an ampule or vial)
▪ Syringe and needle of a size appropriate for the amount of
solution to be administered.
▪ Antiseptic swabs
▪ Clean gloves.
Check the MAR:
Check the label on the medication carefully against the MAR to make
sure that the correct medication is being prepared.
Follow the “three checks” for administering the medication and dose.
Read the label on the medication:
▪ When it is taken from the medication cart;
▪ Before withdrawing the medication; and
▪ After withdrawing the medication
Confirm that the dose is correct.
Organize the equipment.
Procedure
Perform hand hygiene, and observe other appropriate infection
control procedures.

Prepare the medication from the ampule or vial for drug withdrawal.

Whenever feasible, change the needle on the syringe before the


injection.
Invert the syringe needle uppermost, and expel all excess air.
Provide for client privacy.
Prepare the client.
Check the client’s identification band
Assist the client to a supine, lateral, prone, or sitting position,
depending on the chosen site.
Obtain assistance in holding an uncooperative client.

Explain the purpose of the medication and how it will help, using
language that the client can understand. Include relevant information
about effects of the medication.
Select, locate, and clean the site.
Select a site free of skin lesions, tenderness, swelling, hardness, or
localized inflammation, and one that has not been used frequently.
If injections are to be frequent, alternate sites. Avoid using the same
site twice in a row.
Locate the exact site for the injection.
Put on clean gloves.
Clean the site with an antiseptic swab. Using a circular motion, start
at the center and move outward about 5 cm (2 inches).

Transfer and hold the swab between the third and fourth fingers of
your non-dominant hand in readiness for needle withdrawal, or
position the swab on the client’s skin above the intended site. Allow
the skin to dry prior to injecting medication.

Prepare the syringe for injection.


Remove the needle cover and discard without contaminating the
needle.
If using a prefilled unit-dose medication, take caution to avoid
dripping medication on the needle prior to injection. If this does occur,
wipe the medication off the needle with sterile gauze.
Inject the medication using Z-track technique.
Use the ulnar side of the non-dominant hand to pull the skin
approximately 2.5 cm (1 inch) to the side.
Holding the syringe between the thumb and forefinger, pierce the skin
quickly and smoothly at a 90-degree angle, and insert the needle into
the muscle.
Hold the barrel of the syringe steady with your non-dominant hand,
and aspirate by pulling back on the plunger with your non-dominant
hand. Aspirate for 5-10 seconds, if blood appears in the syringe,
withdraw the needle, discard the syringe, and prepare a new
injection.
If blood does not appear, inject the medication steadily and slowly
(approximately 10 seconds per milliliter) while holding the syringe
steady.
After injection, wait for 10 seconds.
Withdraw the needle.
Withdraw the needle smoothly at the same angle of insertion. Release
the skin.
Apply gentle pressure at the site with a dry sponge.

If bleeding occurs, apply pressure with dry, sterile gauze until it stops.
Activate the needle device, or discard the uncapped needle and
attached syringe into the proper receptacle, Remove glass
Document all relevant information
Include the time of administration, drug name, dose, route, and the
client’s reactions.
Assess the effectiveness of the medication at the time it is expected
to act.

Grade:
Rating Scale:
Excellent : 96-100 Good : 80-84
Very Satisfactory : 90-95 Fair : 75-79
Very Good : 85-89 Poor : 74 & below

Clinical Instructor

Signature over Printed Name

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