Skill Checklists for Taylor's Clinical Nursing Skills: A Nursing Process Approach

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Copyright © 2011 by Wolters Kluwer Health | Lippincott Williams & Wilkins. Skill Checklists for Taylor's Clinical Nursing Skills:

SKILL 5-8

Administering an Intramuscular Injection (Continued)

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27. As soon as the needle is in place, use the thumb and forefin-
    ger of your nondominant hand to hold the lower end of the
    syringe. Slide your dominant hand to the end of the plunger.
    Inject the solution slowly (10 sec/mL of medication).


28. Once the medication has been instilled, wait 10 seconds
    before withdrawing the needle.


29. Withdraw the needle smoothly and steadily at the same
    angle at which it was inserted, supporting tissue around
    the injection site with your nondominant hand.
    30.Apply gentle pressure at the site with a dry gauze.Do not
    massage the site.


30. Do not recap the used needle. Engage the safety shield or
    needle guard, if present. Discard the needle and syringe in
    the appropriate receptacle.


31. Assist the patient to a position of comfort.


32. Remove gloves and additional PPE, if used. Perform hand
    hygiene.


33. Document the administration of the medication immediately
    after administration.


34. Evaluate the patient’s response to medication within an
    appropriate time frame. Assess site, if possible, within 2
    to 4 hours after administration.

ExcellentSatisfactoryNeeds Practice