IM Injections osats

1

Present & communicates in a professional manner

2

Nursing Station/Pod: Perform 1st check of medication and verify 7 rights.

3

Medication Room: Verify provider order in MAR and check 7 rights of med administration at automated dispensing machine when obtaining ordered medication (2nd check), check expiration of medication

4

Gather supplies: select appropriate syringe and needle based on medication order and alcohol swabs.

5

Hand hygiene and don clean gloves. Clean top of vial with alcohol pad and prepare injection by withdrawing correct amount of medication into syringe using aseptic technique. Label syringe appropriately.

6

Perform hand hygiene/attend appropriately to standard or other precautions.

7

Enter room and introduce self. Provide for privacy.

8

ID the patient (two patient identifiers)/ask about allergies

9

Explain the procedure.

10

Perform 3rd check of medication and verify 7 rights by scanning the patient armband and then scanning the medication.

11

Perform hand hygiene and don clean procedure gloves (non-sterile)

12

Select appropriate site and position pt so injection site is accessible. Elevate bed for access.

Ventrogluteal: side with upper hip and knee slightly flexed

Vastus lateralis: supine or sitting

Deltoid: arm relaxed or resting on a firm surface with upper arm completely exposed

13

Verbalize injection site with appropriate landmarks. Remember to choose a site free of inflammation, lumps, nodules, tenderness, scar tissue

13.1 (Ventrogluteal)

place palm over greater trochanter, point index finger toward superior anterior iliac spine, fan other fingers across crest dorsally, give in V between index and second finger. (Use right hand for left hip, left hand for right hip.)

13.2 (vastus lateralis)

divide thigh into thirds both vertically and horizontally, give in middle lateral third of thigh

13.3 (deltoid)

palpate lower edge of acromion process, form triangle between axillary line and acromion process with point at axillary line, give at point of triangle

Alt: place one finger on acromion process, place 3 remaining fingers below, give just below fourth finger at midpoint of lateral upper arm

14

Thoroughly scrub injection site with alcohol pad from the center outwards. Allow site to dry without fanning

15

Remove needle cap

16

Hold skin taut between thumb and index finger with non-dominant hand and advise patient of injection. Stabilize syringe with dominant hand and insert the needle at a 90° angle to the skin surface. Insert the needle fully.

17

Administer IM med by pressing plunger slowly (5-10s/mL)

18

Remove needle smoothly along line of insertion. Engage needle safety device and dispose in a sharps container

19

If needed, gently blot site with gauze pad and apply adhesive bandage. Doff gloves.

20

Assist pt to comfortable position, provide for pt safety

21

Validate barcode scanning documentation correct

22

HH

23

State evaluation of therapeutic effects of med