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Nursing Responsibilities for Intradermal Injections

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Nurses must follow several steps before, during, and after administering an intradermal injection to ensure patient safety and proper administration of medication. Before injecting, nurses m…

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Malathi Mohan
  • Before Administering Injection
  • During Administration
  • After Administration

NURSING RESPONSIBILITIES

ADMINISTERING INTRADERMAL INJECTION

BEFORE
Check prescription ordered, patient name, drug name,
dosage, time administering, patient MRN to prevent
medication error.
Identify label on vial/ampoule for drug name, dosage and
expiry name and drug color to ensure correct drug and dose.
Check the skin, injection site for rashes, haematoma or
any infection or not to choose appropriate injection site and
to reduce patient anxiety.
Prepare equipment such as injection tray, alcohol and dry
swabs, appropriate needle and syringe.
 Check label on the vial against the prescription in the MAR
to ensure correct medication and dose.
 Wash hand and maintain aseptic technique to prevent
cross infection.

DURING
 Greet patient and explain the procedure to gain
cooperation from patient and reduce anxiety.
 Identify patient, ask patient name then compare patient
name, ID then check MAR to ensure medication is given to
the right patient.
 Place patient in comfortable position to ensure patient
relaxation and minimize discomfort to the patient.
 Expose injection site to respect patient dignity.
 Location site: upper back, upper chest, upper arm and
forearm.
 With non-dominant hand and stretch skin over site to
ensure needle penetrates tight skin more easily.
 Cleanse injection site with alcohol swabs to minimize
microorganism.
 Insert needle under the skin at 15 angle with needle bevel
upward to ensure needle tip is in the dermis.
 Move dominant hand to the end of plunger without moving
syringe.
 Inject medication slowly to minimize discomfort.
 While injecting observe for small bleb (mosquito bite) at the
injection site to ensure that medication is deposited in
dermis.
 Withdraw needle slowly to prevent backflow of medication.

AFTER
 Advise patient do not touch/ rub the area/ do not apply the
soap, topical medication on the area.
 Assist pt to comfort position.
 Documentation
 Discard needle and syringe. Do not recap the needle.
 Clean the tray and trolley.
 Observe sign and symptom such as swelling. Redness and
pain at the site injection. If have any complication inform
doctor immediately.

NURSING RESPONSIBILITIES ADMINISTERING INTRADERMAL INJECTION BEFORE Check prescription ordered, patient name, drug name, d
Check label on the vial against the prescription in the MAR to ensure correct medication and dose. Wash hand and maintain
Expose injection site to respect patient dignity. Location site: upper back, upper chest, upper arm and forearm. With non
While injecting observe for small bleb (mosquito bite) at the injection site to ensure that medication is deposited in der

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