Administering Intradermal Injections
A. Direction: Write your answers on the space provided.
     Assessments:
     Possible Nursing Diagnoses:
     1.
     2.
     Materials:
B. Directions: Provide your assessment findings/rationale on the box. You are rated based on the
performance rubrics.
                  PROCEDURE                             RATIONALE                    RATING   REMARKS
1.        Verify the practitioner's order.
2.        Wash hands.
3.        Prepare gather supplies based
          on the 5 rights of medication
          administration.
4.        Introduce yourself and verify
          client’s identity.
5.        Explain the procedure to the
          client.
6.        Verify allergies listed on the
          medical record.
7.        Don on gloves.
8.        Select injection site on the
          forearm if no other sites
          required by the doctor’s order or
          agency policy.
          Sites for ID are areas with
          subcutaneous fat less likely to
          interfere with administration
          and absorption.
           If forearm unsuitable for use,
      select an alternative site.
      Forearm is the standard initial
      starting point and has the least
      amount of subcutaneous tissue.
9.    Position client with forearm
      supinated.
10. Disinfect the site of injection
    using alcohol swab or cotton
    balls soaked with alcohol.
11. Taut the skin on the site of
    injection with the non-dominant
    hand.
12. Insert needle just below the
    skin at 10- to 15-degree angle
    with dominant hand.
13. Advance needle another 1/8
    inch after entering skin surface.
14.     Inject medication slowly and
      steadily to form a bleb.
15. Remove needle at the same
    angle of injection.
16. If blood is present remove by
    dabbing with a second alcohol
    swab. Do not rub area.
17. Observe skin for local redness
    or swelling.
18. Draw a 1-inch circle around the
    bleb.
19. Place the client to a comfortable
    position. Instruct the client not
    to rub, cover or apply products
    on the area.
20. Discard equipment and wash
    hands.
21. Do after care. Discard needles
    in puncture-proof- container.
22. Evaluate and document care.
    ● Reassess patient at 5 and
        15      minutes          after
        administration              as
        subsequent reactions may
        occur
    ● Read site within 48 to 72
        hours of injection/after 30
        minutes for antibiotics.
                                                   TOTAL SCORE
Reference: (Kozier, Erb, Berman, & Snyder, 2014)
INSTRUCTOR : __________________________            AVERAGE: _______________________
DATE   : __________________________