Intradermal

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OBJECTIVE STRUCTURED ASSESSMENTS OF TECHNICAL SKILL (OSAT)

INTRADERMAL INJECTION
S.L. CHECK POINTS Y/N
1.
Check materials in the tray
 Medication syringe with sterile 25 gauge short and thin needles
 Nonsterile gloves
 Alcohol swab
 Sterile gauge
 Adhesive tape

2.
Communication with the patient
 Introduce his/herself
 Ask name of the patient
 Describe the procedure to patient in vernacular
 Ask patient about allergies or reactions to specific agents or medications
in the past
 Allay patient’s apprehension

3.

Safety concerns
 Check patient details
 Check prescription & ensure that the drug name, strength and dosage
form match with that on prescription
 Check the drug label for date of expiry

4.
Privacy consideration of the patient
 Draw bedside curtains

5.
Draws up drug to be injected from AMPOULE/ VIAL into syringe: Same as
Intramuscular injection.

6. Identification of area for needle insertion

Forearm, upper arm, upper back or upper chest.


Site should be free of any rashes, lesions or moles.

7. Preparation of site of the injection


 Perform hand hygiene and wear gloves
 Clean the site using alcohol swab in firm circular motion
 Allow the site to dry

8. Process of intradermal injection

Pull the cap from the needle.


Using the non-dominant hand, pull taut of skin of the site of injection
Using the dominant hand, hold the syringe between thumb and forefinger
with the bevel of the needle facing up
Needle is kept at an angle of 5-15 degrees to the skin surface (almost
parallel)
Insert needle about ¼ inch inside the skin such that the whole of bevel is
under the skin
Slowly inject the drug while watching for the bleb to appear (in case it is
intradermal injection for Mantoux test, circle the injection site for
identification
Withdraw the needle at the same angle as while inserting. Do not massage
the area.
Do not recap needles. Discard the syringe in dustbin for sharp waste
In case any blood oozes, pat with a dry sterile gauze piece
Communicate to the patient about completion of the procedure
Remove & discard the gloves
Perform hand hygiene
Evaluate the patient within appropriate time frame like for Mantoux test,
local anaesthetic agent

Time to perform procedure in ___________ seconds.

Number of attempts (needle sticks) required to perform _____________

Exceeds expectations Meets expectations Below expectations (NEEDS


(PROFICIENT) (COMPETENT) FURTHER WORK)

COMMENTS
________________________________________________________________________________

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