INTRA DERMAL INJECTION PROCEDURE

NURSING FOUNDATION PROCEDURE - INTRA DERMAL INJECTION SHORT

1. WELCOME VINAYAKA MISSIONS COLLEGE OF NURSING PUDUCHERRY DEPT. OF MEDICAL SURGICAL NURSING

2. INTRADERMAL(ID) Mr. Manikandan.T , RN ., RM., M.Sc (N)., D.C.A .,( Ph.D ) Assistant Professor, Dept. of Medical Surgical Nursing, VMCON, Puducherry .

3. INTRODUCTION Injection of a small amounts of material into the corium or substance of the skin, done in diagnostic procedures and in administration of regional anesthetics, as well as in treatment procedures. In certain allergy tests, the allergens is injected intradermally .

4. Definition administration of injection into the dermis layer of the skin. Purpose Used for testing procedures such as tuberculin screening and allergy test. Testing antibody formation

5. Precaution This is painful procedure and is used only with small amounts of solution The nurse should ensure that the needle is inserted into the epidermis, not subcutaneously, as absorption would be reduced Follow rights

6. SITES Ventral fore arm Upper and lower chest Upper arm Shoulder blade

7. EQUIPMENT Medication card Medication in vial/ampoule Clean gloves Sterile syringes and needles(tuberculin syringe or 1 ml syringe)(26-30g) Alcohol swab Kidney tray

8. TUBERCULIN SYRINGE

9. PROCEDURE Check order Explain procedure Wash hands Prepare medication from ampoule/vial Assemble all articles Position pt locate site(inner aspect of fore arm, upper aspect of chest, beneath scapula) Cleanse the site with alcohol swab in circular motion moving outward. Allow skin to dry Keep cotton in the tray for reuse when taking out the needle

10. Cont., Remove needle cap with non dominant hand Use dominant hand to spread skin taut over injection site Place needle flat against patient skin(15 degree) and insert needle Into the skin Insert needle only about 1/8 inch Slowly inject 0.01-0.1 ml watch for bleb/blister to develop if not present with draw needle slightly and inject medication Do not massage Do not recap Remove gloves Draw a circle using blue/ black pen around injection site record