YEDİTEPE UNIVERSITY

FACULTY OF MEDICINE
ICP II
CLINICAL SKILLS LAB
Skill Checklists: INTRAVENOUS INJECTION

TOOLS: Medication, syringe, antiseptic, tampon, gloves, tourniquet

PARTICIPANT:
STEP
NO
PROCEDURE STEPS YES NO

Wash and dry your hands.

1
Put on gloves.
2
Remove syringe from its sterile packaging and attach needle onto it.
3
Tap the ampule to ensure that the medication is in the body part of
4
it.
Break the neck of the ampule pushing on the indicated point with
5
your thumb, using a tampon for support.
Remove cap of syringe and draw medication into it.
6
Hold the syringe perpendicular to the ground and lightly tap it to
7
move bubbles upward.
Lightly push the piston to remove the air bubbles.
8
Replace the cap with no touch tecnique.
9
Determine the vein to be used.
10
Tie the tourniquet about 10 cm above the area you would like to use
11
and make sure you do not disrupt the arterial circulation.
Clean the area with a tampon soaked in antiseptic solution starting
12
from above and wiping downwards.
After removing the cap of the syringe, stabilize the arm with your
13 passive hand and stretch the skin underneath the area you will inject
downwards with your thumb.
Hold the needle with its bevel facing upwards (sharp edge close to
14
skin) and insert with a 30 degree angle.
After penetrating skin, advance the needle parallel to skin for 3-5
15
mm and enter the vein.
Advance the needle 2-3 mm inside the vein.
16
Pull the piston back with your passive hand and make sure you have
17
entered the vein.
If you are inside the vein, remove tourniquet with your passive
18
hand.
Slowly inject medication while observing the vein.
19
After the injection, press on the area with a dry tampon and
20
withdraw the needle, maintaining the same angle.
Continue compressing the area with the tampon to achieve
21
hemostasis
Apply special bandage on the area.
22
Throw syringe into appropriate bin and other supplies into medical
23 waste bag.
Wash and dry your hands.
Before any IV medications are administered, a health care professional must follow the six “rights”
of medication administration. These are:

1.the right patient;

2.with the right medication;

3.at the right dose;

4.at the right time;

5.by the right route;

6. and following up with the right documentation.

Guidelines for a safer and more effective technique of superficial intravenous injecting:

1. Always inject with the blood flow, i.e. towards the heart.

2. Inject slowly to reduce the likelihood of damage to the vein and to lower the overdose risk. Do not flush out this
will significantly increase trauma to the vein.

3. Remove the needle slowly if the needle is removed too quickly, the vein may collapse.

4. Immediately apply pressure to the site bruising is caused by bleeding into the surrounding tissues. Immediate firm
pressure will limit the amount of bruising caused.

Each time you give injections always remember to :

check expiration date of the medication

compare medication with physician’s order

observe patient for reaction

document appropriately

Each time you give injections always remember to:

identify the patient

explain procedure and get consent

ask about medication allergies

ask if patient faints with injections