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Student _______________________________________________

Date _________________________

Instructor _____________________________________________

Date _________________________

PERFORMANCE CHECKLIST SKILL 22-4 ADMINISTERING INTRAMUSCULAR INJECTIONS

NP

ASSESSMENT

1. Checked accuracy of MAR or computer printout versus medication order.

2. Assessed patients medical, medication, and
allergy histories.
3. Reviewed medication reference information.
4. Observed patients response toward receiving
injections.
5. Assessed indications/contraindications for
intramuscular injection.
6. Assessed patients symptoms.
7. Assessed patients medication knowledge.
NURSING DIAGNOSIS

1. Developed appropriate nursing diagnoses

based on assessment data.
PLANNING

1. Identified expected outcomes.

IMPLEMENTATION

1. Performed hand hygiene. Prepared medication for one patient at a time. Compared label
of medication versus MAR twice.
2. Took mediation to patient at the correct time.
Performed hand hygiene.
3. Provided for patients privacy.
4. Verified patients identity correctly.
5. Compared label on medication versus MAR.
6. Explained procedure to patient.
7. Applied clean gloves.
8. Exposed injection site only.
9. Assessed integrity of muscle while selecting
injection site.
10. Assisted patient to comfortable position
according to injection site.
11. Relocated site using anatomical landmarks.
Mosby items and derived items 2010 by Mosby, Inc., an affiliate of Elsevier Inc.
Some material was previously published.

Comments

Job Name:

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NP

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Comments

12. Cleaned injection site. Used a vapocoolant if

needed. Allowed to dry.
13. Held swab correctly between third and fourth
fingers.
14. Removed needle cap by pulling it straight off.
15. Held syringe between thumb and index finger
(as a dart), palm down.
16. Administered Injection
a. With nondominant hand, spread skin tightly
and grasped muscle, or used Z-track method
and administered injection at 90-degree angle.
b. With nondominant hand, grasped lower
end of syringe barrel (with Z-track method,
continued to spread skin taut), then moved
dominant hand to plunger.
c. Aspirated to check for blood return. If
blood aspirated, withdrew needle; if not,
injected medication slowly.
d. Withdrew needle quickly while placing antiseptic swab on skin above injection site (with
Z-track method, kept needle inserted for 10
seconds, then withdrew and released skin).
17. Applied gentle pressure. Did not massage site.
18. Assisted patient to comfortable position.
19. Discarded in proper receptacle uncapped needle
or needle enclosed in safety shield and syringe.
20. Removed gloves and performed hand hygiene.
21. Remained with patient. Observed for allergic
reaction.
EVALUATION

1. Returned to room. Reevaluated patient for

discomfort at injection site.
2. Inspected injection site.
3. Evaluated patients response to medication.
4. Evaluated patients understanding of purpose
and effects of medication.
5. Identified unexpected outcomes.
RECORDING AND REPORTING

1. Documented administration correctly on medication record.

2. Reported to nurse in charge or physician undesirable effects from medication.
3. Recorded patients response to drugs, if indicated.
Mosby items and derived items 2010 by Mosby, Inc., an affiliate of Elsevier Inc.
Some material was previously published.