UPHSL/DJGTMU-ACAD -RDC-10B

06-02-2014-00
UNIVERSITY OF PERPETUAL HELP SYSTEM LAGUNA
UNIVERSITY OF PERPETUAL HELP-DR. JOSE G. TAMAYO MEDICAL UNIVERSITY
COLLEGE OF NURSING

Student's Name: ______________________________________________________ Rating:

Section/Group No. ___________________ Date:

RETURN DEMO CHECKLIST LEVEL 2

PARENTERAL ADMINISTRATION OF DRUGS
Administering Intradermal Injection
Legend:
4 Competent. (Performs consistently in an effective and efficient manner).
3 Progress Acceptable (Performance is usually effective and efficient but not always).
2 Needs Improvement (Progress in performance is too slow to judge satisfactorily. Task is not done properly to majority of the time).
Progress unacceptable ( No progress in performance has been demonstrated, and/or performance is consistently ineffective and
1
inefficient).
Goal: Medication is safely injected intradermally causing a wheal to appear at the site of injection.
4 3 2 1 Comments
Assessment
1 Gather equipment. Check each medication order against the original order in the
medical record according to facility policy. Clarify any inconsistencies. Check the
patient’s chart for allergies.
2 Know the actions, special nursing considerations, safe dose ranges, purpose of
administration, and adverse effects of the medications to be administered.
Considerhand
3 Perform the appropriateness
hygiene. of the medication for this patient.
4 Move the medication cart to the outside of the patient’s room or prepare for
administration in the medication area.
5 Unlock the medication cart or drawer. Enter pass code and scan employee
identification, if required.
Planning
6 Prepare medications for one patient at a time.
7 Read the CMAR/MAR and select the proper medication from the patient’s
medication drawer or unit stock.
8 Compare the label with the CMAR/MAR. Check expiration dates and perform
calculations, if necessary. Scan the bar code on the package, if required.
9 If necessary, withdraw medication from an ampule or vial (as described in Skills
5-3 and 5-4.)
10 When all medications for one patient have been prepared, recheck the label
with the CMAR/MAR before taking the medications to the patient.
11 Lock the medication cart before leaving it.
12 Transport medications to the patient’s bedside carefully, and keep the
medications in sight at all times.
13 Ensure that the patient receives the medications at the correct time.
14 Perform hand hygiene and put on PPE, if indicated.
Implementation
Identify the patient. Usually, the patient should be identified using two methods.
Compare information with the CMAR/MAR.
15
a) Check the name and identification number on the patient’s identification
band
b) Ask the patient to state his or her name and birth date, based on facility
16
policy
c) If the patient cannot identify him- or herself, verify the patient’s
17 identification with a staff member who knows the patient for
the second source.
18 Close the door to the room or pull the bedside curtain.
19 Complete necessary assessments before administering medications. Check
allergy bracelet or ask the patient about allergies. Explain the purpose and action
of the medication to the patient.
20 Scan the patient’s bar code on the identification band, if required.
21 Put on clean gloves.
Select an appropriate administration site. Assist the patient to the appropriate
22 position for the site chosen. Drape as needed to expose only area of site to be
used.
 (page 2) Administering Intradermal Injection
23 Cleanse the site with an antimicrobial swab while wiping with a firm, circular
motion and moving outward from the injection site. Allow the skin to dry.
24 Remove the needle cap with the nondominant hand by pulling it straight off.
25 Use the nondominant hand to spread the skin taut over the injection site.
26 Hold the syringe in the dominant hand, between the thumb and forefinger with
the bevel of the needle up.
Hold the syringe at a 5- to 15-degree angle from the site. Place the needle
27 almost flat against the patient’s skin, bevel side up, and insert the needle into the
skin. Insert the needle only about 1 8 inch with entire bevel under the skin.
28 Once the needle is in place, steady the lower end of the syringe. Slide your
dominant hand to the end of the plunger.
29 Slowly inject the agent while watching for a small wheal or blister to appear.
30 Withdraw the needle quickly at the same angle that it was inserted. Do not
recap the used needle. Engage the safety shield or needle guard.
Do not massage the area after removing needle. Tell patient not to rub or
31 scratch the site. If necessary, gently blot the site with a dry gauze square. Do not
apply pressure
32 Assist or to
the patient ruba the site. of comfort.
position
33 Discard the needle and syringe in the appropriate receptacle
34 Remove gloves and additional PPE, if used. Perform hand hygiene.
35 Document the administration of the medication immediately after administration.
36 Evaluate the patient’s response to medication within appropriate time frame.
37 Observe the area for signs of a reaction at determined intervals after
administration. Inform the patient of the need for inspection.
TOTAL = 148

STUDENT'S SIGNATURE: _________________________________

CLINICAL INSTRUCTOR'S SIGNATURE: ______________________