MADDA WALABU UNIVERSITY GOBA GENERAL HOSPITAL

COLLEGE OF HEALTH SCIENCES

NURSING DEPARTMENT

OBJECTIVE STRUCTURED CLINICAL ASSESSMENT (OSCE)

PROCEDURE NAME: CATEGORY: FUNDAMENTALS OF NURSING

MEDICATION ADMINISTRATION PROCEDURE NO: 02
Intradermal Injection
STUDENT NAME: _____________________________________________________ LEVEL: IV
ID NO: ___________________________ STUDENT CODE: _____________ DATE: _______________
-------------------------------------------------------------------------------------------------------------------------------------------------------------
No. KEY TASK 2 1 0 REMARK/S
1. Check the doctor order
2. Check with the client and the chart for any known allergies
3. Explain procedure to the patient
4. Follow the 10 rights
5 Prepare the medication from an ampoule or vial
6 Place the client in a comfortable position and provide privacy
7 Wash hands and don sterile gloves
8 Select and clean the site
 Assess the client’s skin for bruises, redness, or broken tissue
 Select an appropriate site using appropriate anatomic
landmarks
 Cleanse the site with an alcohol wipe using a firm circular
motion, cleanse from inside to outside and allow alcohol to
dry
9 Prepare the syringe for injection
 Remove the needle guard
 Express any air bubbles from the syringe
 Check the amount of solution in the syringe
10 Inject the medication.
 Hold the syringe in dominant hand
 With non-dominant hand, grasp the client’s dorsal forearm
and gently pull the skin taut on ventral forearm
 Place the needle close to the skin, bevel side up.
 Insert the needle at a 10° to 15° angle until resistance is felt,
and advance the needle approximately 3 mm below the skin
surface; the needle’s tip should be visible under the skin.
 Administer the medication slowly and observe the
development of a bleb.
 Withdraw the needle.
 Pat area gently with a dry 2 ×2 sterile gauze pad.
 Do not massage the area after removing the needle.
11 Discard the needle and syringe in a sharps container
12 Remove gloves, dispose of in appropriate dustbin and wash
hands.
13 Observe for signs of an allergic reaction.
14 Draw a circle around the perimeter of the bleb with a ball point
pen.
15 Document medication and site of injection on the MAR
SCORE SUMMARY
TOTAL
LEGEND: 2 – COMPLETELY PERFORMED 1 – PARTIALLY PERFORMED 0 – NOT PERFORMED
ASSESSOR: _______________________________________________ PROCEDURE GRADE: __________ %
MADDA WALABU UNIVERSITY GOBA GENERAL HOSPITAL
COLLEGE OF HEALTH SCIENCES
NURSING DEPARTMENT

OBJECTIVE STRUCTURED CLINICAL ASSESSMENT (OSCE)

PROCEDURE NAME: CATEGORY: FUNDAMENTALS OF NURSING

MEDICATION ADMINISTRATION PROCEDURE NO: 02
Intramascular Injection
STUDENT NAME: _____________________________________________________ LEVEL: IV
ID NO: ___________________________ STUDENT CODE: _____________ DATE: _______________
-------------------------------------------------------------------------------------------------------------------------------------------------------------
No. KEY TASK 2 1 0 REMARK/S
1. Check the doctors order
2. Check with client and the chart for any known allergies.
3. Wash hands
4. Follow the 10 rights
5. Prepare the medication from an ampule or vial
6. Check the client’s identification armband
7. Explain the procedure to the client and provide for privacy
8. Place the client in an appropriate position to expose the site
- Deltoid: sitting position
- Ventrogluteal:-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 femur
9. Don non sterile gloves
10. Select and clean the site
- Assess the client’s skin for redness, scarring, breaks in the
skin, and palpate for lumps or nodules.
- Select site using the anatomic landmarks.
- Cleanse the area with an alcohol swab, cleanse from inside
outward using friction; wait 30 seconds to allow drying.
11. Prepare for the injection.
 Remove the needle cap by pulling it straight off, and
expel any air bubbles from the syringe.
 Pull the skin down or to one side (Z-track technique)
with nondominant hand.
12. Administer the injection.
 Deltoid: quickly insert the needle with a dart-like motion
at a 90° angle
 Ventrogluteal: quickly insert the needle using a dartlike
motion and steady pressure at a 90° angle to the iliac crest
in the middle of the V.
 Aspirate by pulling back on the plunger, and observe for
blood.
 If blood appears, remove the needle and discard
 If blood does not appear, inject the medication slowly,
about 10 sec/ml.
 Wait 10 seconds after the medication has been injected,
then smoothly withdraw the needle at the same angle of
insertion.
 Apply gentle pressure at the site with dry, sterile 2 ×2
gauze; do not massage the injection site. Swab using
 gentle pressure.
 Discard the needle and syringe in a sharps container; do
not recap the needle
13. Position client for comfort; encourage client receiving
Ventrogluteal injections to perform leg exercises (flexion and
extension)
14. Remove gloves, wash hands
15. Record on the MAR the dosage, route, site, and time
16. Inspect the injection site within 2 to 4 hours and evaluate the
client’s response to the medication
SCORE SUMMARY
TOTAL
LEGEND: 2 – COMPLETELY PERFORMED 1 – PARTIALLY PERFORMED 0 – NOT PERFORMED

ASSESSOR: _______________________________________________ PROCEDURE GRADE: __________ %

 MADDA WALABU UNIVERSITY GOBA GENERAL HOSPITAL
COLLEGE OF HEALTH SCIENCES
NURSING DEPARTMENT

OBJECTIVE STRUCTURED CLINICAL ASSESSMENT (OSCE)

PROCEDURE NAME: CATEGORY: FUNDAMENTALS OF NURSING

MEDICATION ADMINISTRATION PROCEDURE NO: 02
Intravenous Injection
STUDENT NAME: _____________________________________________________ LEVEL: IV
ID NO: ___________________________ STUDENT CODE: _____________ DATE: _______________
-------------------------------------------------------------------------------------------------------------------------------------------------------------
No. KEY TASK 2 1 0 REMARK/S
1. Check the doctors order
2. Gather prepared equipment (medication labeled with the client’s
name, and time tape for fluids to infuse per hour)
3. Wash hands
4. Check the client’s armband
5. Explain the procedure to the client
6. Assess the puncture site
 Observe for redness and puffiness.
 Palpate for tenderness
7. Check patency of infusion site.
 Observe fluid infusing.
 Remove IV container from the pole and lower the container
below the level of infusion site
 Observe for backflow of blood into the hub of the venous
access device.
 Replace container on IV pole
8. Secure medication bag prepared and labeled by pharmacy and
check health care practitioner’s prescription and the MAR.
9. Check the client’s chart for allergies, and check the drug
compatibility chart.
10. Hang the secondary bag on IV pole.
11. Add the administration set to the secondary bag and prime the
tubing.
12. Affix a needle-less locking cannula to the end of tubing
13. Cleanse needle-less Y–site injection port of primary IV tubing
closest to infusion site with an alcohol swab; allow drying.
14. Insert needle-less locking cannula of secondary bag set into Y–
site injection port of primary set and secure in place with tape
15. Affix the extension hook to the primary bag on the IV pole so
that the primary bag hangs below the level of the secondary bag.
16. Open clamp of secondary tubing and adjust drip rate to desired
infusion rate
 Slowly close the regular clamp while observing the drip
chamber until the fluid is drip-ping at a slow, steady pace
 Count the drops for a 15-second interval and multiply by 4
 Recount the drop rate in 5 minutes.
17. Observe client for any signs of adverse reactions to the
medication.
18. When secondary bag and drip chamber are empty, close the
clamp on secondary system, readjust drip rate of primary
solution as indicated, and remove the secondary system.
19. Record medication infusion on the MAR and note any client
 responses in the nurses’ notes
SCORE SUMMARY
TOTAL
LEGEND: 2 – COMPLETELY PERFORMED 1 – PARTIALLY PERFORMED 0 – NOT PERFORMED

ASSESSOR: _______________________________________________ PROCEDURE GRADE: __________ %

 MADDA WALABU UNIVERSITY GOBA GENERALHOSPITAL
COLLEGE OF HEALTH SCIENCES
NURSING DEPARTMENT

PRE INTERNSHIP EXAMINATION 2017

OBJECTIVE STRUCTURED CLINICAL ASSESSMENT (OSCE)

PROCEDURE NAME: CATEGORY: FUNDAMENTALS OF NURSING

MEDICATION ADMINISTRATION PROCEDURE NO: 02
Oral Medication
STUDENT NAME: _____________________________________________________ LEVEL: IV
ID NO: ___________________________ STUDENT CODE: _____________ DATE: _______________
-------------------------------------------------------------------------------------------------------------------------------------------------------------
No. KEY TASK 2 1 0 REMARK/S
1 Check the doctors order
2 Explain the procedure to the patient
3 Wash hands
4 Prepare your tray and take it to the patients room
5 Begin by checking the order.(Read the label 3 times)
6 If the patient is allowed to sit assist him to sit
7 Place solution and tablets in a separate container
8 If suspension, shake the bottle well before pouring.
9 Take it to the patient’s bed side.
10 Keep the medication insight at all times.
11 Identify the patient carefully using all precautions (patient’s
name, bed number).
12 First give little water to moisten the mouth and then give the
medicine one at a time.
13 Remain with the patient until each medicine is swallowed.
14 Offer additional fluid as necessary unless contra-indicated.
15 Remove the towel and wipe the face with it.
16 Position the patient for good body alignment
17 Take all articles to the utility room. /wash dry all articles and put
them in their proper place.
18 Wash hands

TOTAL
LEGEND: 2 – COMPLETELY PERFORMED 1 – PARTIALLY PERFORMED 0 – NOT PERFORMED

ASSESSOR: _______________________________________________ PROCEDURE GRADE: __________ %

 MADDA WALABU UNIVERSITY GOBA General HOSPITAL

COLLEGE OF HEALTH SCIENCES

NURSING DEPARTMENT

OBJECTIVE STRUCTURED CLINICAL ASSESSMENT (OSCE)

PROCEDURE NAME: CATEGORY: FUNDAMENTALS OF NURSING

MEDICATION ADMINISTRATION PROCEDURE NO: 02
Subcutaneous Injection
STUDENT NAME: _____________________________________________________ LEVEL: IV
ID NO: ___________________________ STUDENT CODE: _____________ DATE: _______________
-------------------------------------------------------------------------------------------------------------------------------------------------------------
No. KEY TASK 2 1 0 REMARK/S
1 Check the doctors order
2 Check with client and the chart for any known allergies.
3 Wash your hands.
4 Follow the 10rights.
5 Prepare the medication from an ampule or vial.
6 Take medication to the client’s room and place on a clean
surface.
7 Check the client’s identification armband.
8 Place the client in a comfortable position; pro-vide for privacy.
9 Don non-sterile gloves.
10 Select and clean the site.
 Assess the client’s skin for bruises, redness, hard tissue, or
broken skin.
 Cleanse the site with an alcohol swab; cleanse from inside
outward.
11 Prepare for the injection.
 Remove the needle guard and express any air bubbles from
the syringe; check the dosage in the syringe.
 With dominant hand, hold the syringe like a dart between
your thumb and forefingers.
 Pinch the subcutaneous tissue between the thumb and
forefinger with the non dominant hand.
 If the client has substantial sub-cutaneous tissue, spread the
tissue taut.
 Administer the injection.
 Insert the needle quickly at a 45° angle.
 Release the subcutaneous tissue and grasp the barrel of the
syringe with nondominant hand.
 With dominant hand, aspirate by pulling back on the
plunger gently, except when administering an
anticoagulant injection.
 If blood appears, remove needle and discard in a sharps
container.
 Inject medication slowly if there is no blood present.
 Remove the needle quickly and lightly massage area with
alcohol swab; do not massage the injection site after the
administration of an anticoagulant.
 Do not recap the needle; discard the needle in a sharps
container.
12 Position client for comfort.
 13 Remove gloves and wash hands.
14 Record on the MAR the route, site, and time of injection.
15 Observe the client for any side or adverseEffects and assess the
effectiveness of the medication at the appropriate time
SCORE SUMMARY
TOTAL
LEGEND: 2 – COMPLETELY PERFORMED 1 – PARTIALLY PERFORMED 0 – NOT PERFORMED

ASSESSOR: _______________________________________________ PROCEDURE GRADE: __________ %