Scribd
Upload
43 views3 pages

Intramuscular Injection Performance Checklist

1. This document provides a checklist for performing an intramuscular injection with 27 steps. 2. The checklist includes required equipment like a syringe, needle, alcohol swab, gloves, and gauze pad. 3. It outlines each step of the procedure, including preparing the medication, checking identification, positioning the client, cleaning the injection site, administering the injection, and documenting the procedure.

Uploaded by

Rednax 0912
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
43 views3 pages

Intramuscular Injection Performance Checklist

1. This document provides a checklist for performing an intramuscular injection with 27 steps. 2. The checklist includes required equipment like a syringe, needle, alcohol swab, gloves, and gauze pad. 3. It outlines each step of the procedure, including preparing the medication, checking identification, positioning the client, cleaning the injection site, administering the injection, and documenting the procedure.

Uploaded by

Rednax 0912
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd

Cebu Institute of Technology

University
N. Bacalso Ave., Cebu City Philippines

COLLEGE OF NURSING AND ALLIED HEALTH SCIENCE

NAME OF STUDENT: _____________________________ DATE: ____________

INTRAMUSCULAR INJECTION
Performance Checklist

Equipment:
 Medication administration report (MAR)
 Medication as prescribed
 Sterile 3-ml syringe and long bevel, 20 to 22 gauge
 Alcohol swab
 to 2-inch needle
 Nonsterile gloves
 Sterile 2X2 gauze pad
PROCEDURE:
STEPS 1 2 3 4 5 Rationale
1. Check with the client and the chart
for any known allergies.

2. Wash hands.

3. Follow the five rights.

4. Prepare the medication from an am-


pule or vial;

6. Add 0.1 to 0.2 ml of air to the sy-


ringe.

7. Take medication to the client’s room


& place on a clean surface.

8. Check the client’s identification arm-


band.

9. Explain the procedure to the client.

10. Place the client in an appropriate


1
position to expose the site.
• Deltoid: sitting position.
• Ventro-gluteal:
• Side-lying: flex the knee; pivot the
leg forward from the hip about 20° so
it can rest on the bed.
• Supine: flex the knee on the injection
side.
• Prone: point toes inward toward
each other to internally rotate the fe-
mur.

11. Wash hands and don non-sterile


gloves.

12. Select and clean the site.

13. Assess the client’s skin for redness,


scarring, breaks in the skin, and pal-
pate for lumps or nodules

14. Select an appropriate site using


appropriate anatomic landmarks.

15. Cleanse the site with an alcohol


wipe using a firm circular motion;
cleanse from inside to outside; allow
alcohol to dry.
Prepare for injection.
16. Remove the needle cap by pulling
it straight off, and expel any air bub-
bles from the syringe.
17. Pull the skin down or to one side
(Z-track technique) with non-dominant
hand.
Administer the injection.
18. Deltoid: quickly insert the needle
with a dart like motion at a 90° angle
muscle.
Ventro-gluteal: quickly insert the nee-
dle using a dart-like motion and
steady pressure at a 90° angle to the
iliac crest in the middle of the V .
19. Aspirate by pulling back on the
plunger and observe for blood.

2
20. If blood appears, remove needle
and discard in a sharps container.

21. Inject medication slowly if there is


no blood present. about 10 sec/ml.

22. Wait 10 seconds after the medica-


tion had been injected, then smoothly
withdraw the needle at the same angle
of insertion.
23. Apply gentle pressure at the site
with a dry, sterile 2 × 2 gauze; do not
massage the injection site. Swab using
gentle pressure.
24. Discard the needle and syringe in a
sharps container; do not recap the
needle.
25. Position client for comfort; encour-
age client receiving ventro-gluteal in-
jections to perform leg exercises (flex-
ion and extension).
26. Remove gloves, wash hands.

27. Record on the MAR the dosage,


route, site, and time.

Evaluated by: ____________________________

You might also like