STI College College of Nursing Intramascular / Intradermal

Procedure 1. Check the doctors order. Explain the procedures to the patient. 2. Get the medicine ticket. Check with the doctors order and solve for the dosage PRN. 3. Secure the ordered drug. Wash hands. 4. Pick the cotton balls with alcohol using the forceps and place them on the sterile tray. 5. Pick the syringe, injecting needle and withdrawing needle and place them on the sterile tray. 6. Prepare the drug for. AMPULES 1. Pick the syringe with your hand and attach the injecting needle and place it on the sterile tray. 2. Disinfect the file and neck of an ampule with a cotton ball with alcohol. 3. Protect your fingers with OS and file the neck of an ampule. 4. Wipe off the dust with cotton ball and break the top potion. 5. Withdraw the solution into the syringe. Recap the needle and place it on the sterile tray. 6. Place the prepared drug for injection on top of the medication ticket. VIAL LIQUID FORM 1. Alcoholize the file and break the seal with the file. Wipe the top part of the vial with cotton ball soaked with alcohol. 2. Pick the withdrawal needle and attach the needle to the syringe. 3. Withdraw the desired amount. Change the withdrawing needle with the injecting needle. 4. Place the prepared syringe on top of the medication ticket. VIAL POWDERED FORM 1. Place the syringe in the sterile tray. 2. Alcoholize the file and break the seal with the file. Wipe the rubber top with cotton ball soaked with alcohol. 3. Pick the withdrawal needle and attach the needle to the syringe. 4. Withdraw the desired amount of distilled water. 5. Disinfect the vial with powder using the cotton balls with alcohol. 6. Inject the distilled water into the powder vial. Remove the needle and the syringe. Rub with your palms the powder vial until the powder will be dissolved. 7. Disinfect the vial again. INTRADERMAL PREPARATION 1. Pick the tuberculin syringe and attach the withdrawal needle. 2. Withdraw first 0.9 ml distilled water then 0.1 ml of the medication. 3. Change the withdrawing needle with the injecting needle. 4. Place the syringe on the tray. 5. Place enough cotton balls with alcohol on the tray. 6. Bring the tray to the bedside. 7. Check the medication card with the patients name .call the name of Remarks Done Not Done

the patient. 8. Expose the site and disinfect using a cotton ball with alcohol. Get the syringe from the tray. Expel the air from the syringe. 9. Taut the inner aspect of the forearm. 10. The needle is inserted with the bevel upward at 10-15 degree angle. Do not aspirate. 11. Inject the drug by pressing the plunger slowly until a wheal or bleb is formed. 12. Withdraw the needle; do not press the site with a cotton ball soaked with alcohol. 13. Encircle the formed wheal or bleb using a blue or black pen. 14. Test results are read 30 minutes after the ID injection. INTRAMASCULAR PREPARATION 1. Expose the site and disinfect using a cotton ball with alcohol. Get the syringe from the tray. Expel the air from the syringe. 2. Grasp the patients flesh firmly between the thumb and the 1st two fingers of the left hand and inject the needle quickly. For obese patient, press the flesh firmly. 3. Hold the hub with the thumb and the forefinger of the left hand then pull the plunger to check if the needle did not hit a blood vessel. 4. Inject the drug by pressing the plunger with the thumb of the right hand. 5. Withdraw the needle quickly, and then press the site with cotton ball soaked with alcohol. Massage the site unless contraindicated. 6. Place the used syringe on top of the tray. Turn the medication card downward. 7. Readjust the patients clothing. 8. Check the site before leaving the patient. 9. Sign the medication sheet: time, drug, amount and the site of injection.

Score/Grade:

Name and Signature of Student

Name and Signature of Clinical Instructor