Place a “” in box against steps/task if it is performed SATISFACTORILY, an “X” if it is NOT PERFORMED SATISFACTORILY, or
N/O if NOT OBSERVED
SATISFACTORY : Performs the step or task according to the standard procedure or guidelines
UNSATISFACTORY : Unable to perform the step or task according to the standard procedure or guidelines
NOT OBSERVED : Step or task not performed by participant/student during evaluation by trainer/teacher
S. Check list for administering Intramuscular Injection
Status
No Step/Task
Articles Required
Syringe with the drug to be administered (without air)
Needle (Gauss 22, long and medium thickness) on syringe
Liquid disinfectant (alcohol/ spirit)
Cotton wool/swab
1 Assemble equipment.
2 Reassure the patient and explain the procedure.
3 Wash hands and use disposable gloves.
4 If necessary, withdraw medication from the ampoule or vial.
5 Use an alcohol swab to clean the skin where you will give the shot
6 Hold the muscle firmly and insert the needle into the muscle with a quick firm motion.
7 After you insert the needle swiftly at an angle of 90 degrees, release the muscle grasp.
Gently pull back on the plunger of the syringe to check for blood. (if blood appears when you pull
8 back on the plunger, withdraw the needle and syringe and gently press the alcohol swab on the
injection site. Start over with a fresh needle.)
9 If no blood appears, inject all the solution by gently and steadily pushing down the plunger.
Withdraw the needle and syringe and press an alcohol swab gently on the spot where the shot was
10
given.
11 Check the patient’s reaction and give additional reassurance, if necessary.
12 Clean up; dispose of waste safely; wash your hands.
Feedback: ☐ Satisfactory performance
☐ Needs Improvement