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Administer A Subcutaneous Injection

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SKILLS LABORATORY CHECKLIST

Fundamentals of Nursing Practice

Name Date
Course & Sec RLE Group

ADMINISTERING A SUBCUTANEOUS INJECTION


Correctl Incorrectly Not
Procedure Remarks
y Done Done Done
1. Check the physician’s order.
2. Gather all equipment:
 medication
 sterile syringe with needle (1-3 mL)
 cotton balls with alcohol or anti-microbial
solution
 medication card
 waste container for soiled cotton balls
 hypodermic tray
3. Perform hand washing.
4. Check the label of the medication carefully
against the medication sheet, kardex, and
medication card. Read the label upon
drawing from the cabinet, before
withdrawing medication and after
withdrawing medication.
5. Withdraw medication from the vial or
ampule. Place the syringe on a medication
tray with the medication card.
6. Identify the client. Check the name of the
client at the door or bedside with the
medication card or address the client by
name.
7. Explain the purpose and nature of the
procedure to the client.
8. Place the client in a comfortable position and
locate an injection site that is free of lumps
or nodules.
 Outer upper part of the arm: Place the
arm on his side and ask the client to
relax.
 Outer upper part of the thigh: The client
may be put in a lying or sitting position
with the legs relaxed.
 Abdomen: Put the client in a semi-
recumbent position.
9. Cleanse the area of the skin to be injected by
using a firm, circular motion, moving out
from the center area with each stroke.
10. Grasp the area surrounding the injection site.
Hold in a cushion manner or spread the skin
at the site.
11. Hold the syringe with the non-dominant hand
between the forefinger and the thumb. Inject
the needle quickly at 45 degrees
12. Release the grasp on the tissue. Immediately
move your hand to support the lower end of
the syringe. Slide the dominant hand into the
tip of the barrel.
13. Pull back gently or withdraw the plunger of
the syringe to determine whether the needle
is in the blood vessel. Do not aspirate if you
are giving insulin or any form of heparin.
14. If blood appears, withdraw the needle and
discard the syringe. If no blood appears,
continue injecting the solution slowly.
15. Withdraw the needle quickly. Massage the
area gently with a sponge.
16. Discard the syringe and needle in the
appropriate receptacle.
17. Make the client comfortable.
18. Perform hand hygiene.
19. Document the medication given. Indicate the
time and the site.

Grade:

Rating Scale:

Excellent : 96-100 Very Good : 85-89 Fair : 75-79


Very Satisfactory : 90-95 Good : 80-84 Poor : 74 & below

Clinical Instructor

Signature over Printed Name

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