Administer Intradermal Injection

Medical Equipments:

• Medication administration record (MAR)
• Sterile tuberculin syringes and short bevel, 25-27 gauge, 3/8-1/2 inch needle
• Drug / medication
• Alcohol swab and sterile 2 x 2 gauze pad
• Disposable glove

Nursing Procedures:

1. Check the patient's allergies to any known medication
2. Wash your hands
3. Follow the five rights drug administrations
4. Prepare the medication from an ampule or vial and take the medication to the client's room and put on a clean surface
5. Check the patient's identification card or arm band
6. Inform the patient about the procedure
7. Position the patient as comfortable as possible and provide for privacy
8. Wash hands and don non sterile gloves
9. Assess the skin for bruises, redness, or broken tissue
10. Select an appropriate site using appropriate anatomic landmarks
11. Cleanse the site with an alcohol swab in a firm circular motion, cleanse from inside to outside, and allow alcohol to dry
12. Obtain the syringe for injection
13. Remove the needle guard
14. Remove any air bubbles from the syringe
15. Check the amount of solution in the syringe
16. Hold the syringe in dominant hand
17. With non dominant hand grasp the patient's dorsal forearm and gently pull the skin SEE PICTURE
    
18. Place the needle close to the skin with bevel side up. Insert the needle at a 10-15 degrees 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
19. Push the medication slowly and observe the development of a bleb (large flaccid vesicle). If it does not appear, withdraw the needle slightly
20. Withdraw the needle
21. Gently part area with a dray 2x2 sterile gauze pad
22. Avoid massage the area after removing the needle
23. The needle and syringes are discharged in a sharps box container
24. Remove glove and wash hand
25. Observe for signs of allergic reaction
26. Draw a circle around the perimeter of the bleb with a pen
27. Record the procedure and site of injection on medication administration record