Nursing Responsibilities Administering Intradermal Injection
Nursing Responsibilities Administering Intradermal Injection
Nursing Responsibilities Administering Intradermal Injection
BEFORE
Check prescription ordered, patient name, drug name,
dosage, time administering, patient MRN to prevent
medication error.
Identify label on vial/ampoule for drug name, dosage and
expiry name and drug color to ensure correct drug and dose.
Check the skin, injection site for rashes, haematoma or
any infection or not to choose appropriate injection site and
to reduce patient anxiety.
Prepare equipment such as injection tray, alcohol and dry
swabs, appropriate needle and syringe.
Check label on the vial against the prescription in the MAR
to ensure correct medication and dose.
Wash hand and maintain aseptic technique to prevent
cross infection.
DURING
Greet patient and explain the procedure to gain
cooperation from patient and reduce anxiety.
Identify patient, ask patient name then compare patient
name, ID then check MAR to ensure medication is given to
the right patient.
Place patient in comfortable position to ensure patient
relaxation and minimize discomfort to the patient.
Expose injection site to respect patient dignity.
Location site: upper back, upper chest, upper arm and
forearm.
With non-dominant hand and stretch skin over site to
ensure needle penetrates tight skin more easily.
Cleanse injection site with alcohol swabs to minimize
microorganism.
Insert needle under the skin at 15 angle with needle bevel
upward to ensure needle tip is in the dermis.
Move dominant hand to the end of plunger without moving
syringe.
Inject medication slowly to minimize discomfort.
While injecting observe for small bleb (mosquito bite) at the
injection site to ensure that medication is deposited in
dermis.
Withdraw needle slowly to prevent backflow of medication.
AFTER
Advise patient do not touch/ rub the area/ do not apply the
soap, topical medication on the area.
Assist pt to comfort position.
Documentation
Discard needle and syringe. Do not recap the needle.
Clean the tray and trolley.
Observe sign and symptom such as swelling. Redness and
pain at the site injection. If have any complication inform
doctor immediately.