Intradermal
Intradermal
_____
Republic of the Philippines
UNIVERSITY OF EASTERN PHILIPPINES
University Town, Northern Samar
Website: uep.edu.ph Email: [email protected]
DEFINITION
The injection of a small amount of medication/fluid into the dermal layer of the skin just
beneath the epidermis
PURPOSE
Indicated for diagnosing allergies and tuberculin testing.
Used to administer vaccinations and local anesthetics.
SITES
Inner aspect of the forearm
Subscapular region of the back
Right deltoid (for BCG Vaccine only).
EQUIPMENT
Sterile 1 – ml syringe
Needle (25 to 27 gauge)
Antiseptic or alcohol swabs
Medication ampule or vial
Medication card
Disposable Gloves (agency protocol)
PROCEDURE RATIONALE
1. Follow the general for giving injection: To identify whether medication is to be
given to an individual client on your shift.
a. Asses the medication record used in Prevent errors in drug administration.
your facility.
b. Check the medications listed against Ensure accuracy and prevents
the physician’s order using the rights medication error.
in the Drug Administration
c. Review information regarding the Knowledge on the drug/medicine to be
medication. used /ordered can help health care
provider to be more competent.
d. Assess the size and general built of To choose the correct size of needle for
the client. the injection.
e. Assess the status of the client. Determine the need for assistance to
turn or restrain the client during the
procedure.
f. Wash hands and prepare materials For infection control.
needed.
g. Withdraw the correct dosage of Facilities proper aspiration of the
medicine using the techniques ordered medicine.
describe for drawing up from a vial or
an ampule or for mixing medication in
a syringe.
h. Recheck your dosage calculation To prevent medication error
i. Identify and explain the procedure to To establish correct identity and reduce
the client, provide privacy. level of anxiety.
j. Assist client into a comfortable Relaxation minimizes discomfort and
position. Divert client’s attention by diverting client’s attention reduces
talking about an interesting subject. anxiety.
k. Wear clean gloves on your non- Protect yourself from potential blood
dominant hand and select the spill.
appropriate site of injection
l. Clean the site with alcohol Circular motion and mechanical action
swab/alcoholized cotton ball using a of swab removes secretions containing
circular motion and moving from the microorganism.
middle of the site outward. Allow skin
to air-dry.
m. While holding a clean dry cotton ball Dry cotton ball remains accessible
between fingers on non-dominant during procedure. Prevents
hand, pull cap from the needle, contamination of needle.
touching only the inside of the cap.
2. Using your non-dominant hand make the An injection is less painful if the skin is
skin taut in an appropriate manner in the taut when pierced and allows the needle
injection site chosen. to enter the skin more easily.
3. Hold the 1 ml/tuberculine syringe with Intradermal tissues will be penetrated
gauge 25-27 needle at a 10-15 angle, when the needle is held as near parallel
with bevel of the needle facing up. to the skin as possible.
4. Insert the needle just until the bevel is no Facilitate proper introduction of the
longer visible. Do not aspirate. medicine.
5. Inject the medication slowly while watching Small wheal/bleb indicates the
for small wheal/bleb to appear. medication was deposited in the derms.
6. Withdraw the needle while applying the Supporting tissues around injection site
gentle pressure using the dry cotton ball. minimize discomfort. Massage can
Do not message the site. disperse medication into the tissues and
altering test result.
7. Encircle the wheal/bleb with a skin Encircling the part of the wheal/bleb
marking pen if the site must be assessed serves as basis of reading.
for reaction or sensitivity.
8. Discard the uncapped needle and syringe Decreases of the risk of accidental
in a safe receptacle. needle prick
9. Remove gloves and wash hands Prevent transmission of microorganism.
10.Documental procedure done. Maintains continuity of care.
11.Assesses the site at the appropriate time Determines reaction or sensitivity to
of interval (after 30 minutes) drug.
Control No._______
Remarks:___________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
Grade: _____________
______________________________ ___________________
Clinical Instructor Student’s Signature
Control No._____
Republic of the Philippines
UNIVERSITY OF EASTERN PHILIPPINES
University Town, Northern Samar
Website: uep.edu.ph Email: [email protected]