ADMINISTRATION OF INTRADERMAL MEDICATION

REQUIREMENTS #

1. A tray containing the following:
   • Medication
   • Prefilled medication syringe (if available)
   • Two or three syringes (1ml)
   • Needles (26-28 gauge)
   • Cotton wool swabs in gallipot
   • Antimicrobial solution
2. Treatment chat
3. Sharps container

STEPS #

1. Check for the right patient, right medication, right time, right dose against doctor’s order and treatment chart (manual or electronic) as well as the expiry date
2. Establish rapport (Refer to steps)
3. Explain procedure and reassure patient
4. Ensure patient’s right to know/consent and to refuse medication
5. Perform hand hygiene
6. Choose the correct needle size
7. Prepare and sent tray to the bed side
8. Check patient details and medication dosage against the treatment chart (manual or electronic)
9. Assemble syringe and needle using sterile technique
10. Draw medication with a syringe and avoid creating air bubbles
11. If it is a prefilled syringe with medication remove the cover of the syringe
12. Expose the chosen site
13. Clean the chosen site with a swab dipped in antimicrobial solution
14. Pull the skin towards your hand
15. Insert the needle just below the skin at an angle of 10-15°
16. Inject medication slowly and steadily while observing for bleb formation
17. Remove the needle and discard into a sharps container
18. If blood is present dab the area with a dry swab (avoid rubbing the area)
19. Draw a circle with marker around the bleb
20. Observe the area for localize inflammations
21. Reposition patient
22. Instruct patient not to rub or apply any pressure to the area
23. Document procedure on nurses’ notes and chart on the treatment chart (manual or electronic)
24. Dispose off used items and decontaminate tray
25. Perform hand hygiene
26. Check on patient after five (5) and fifteen (15) minutes for reactions
27. Report to appropriate officer