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    NCM 103 Administering Intramuscular Medication

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    Adrynnette Cruz-Lastimado
    The document provides safety tips and guidelines for administering intramuscular injections, including ensuring the 10 rights of medication administration are followed, wearing gloves, selecting appropriate injection sites, and monitoring patients after injection. Proper equipment for intramuscular injections is also outlined. Skills related to intramuscular injections cannot be delegated to nursing assistive personnel.

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    © All Rights Reserved
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    NCM 103 Administering Intramuscular Medication

    Uploaded by

    Adrynnette Cruz-Lastimado
    21 views16 pages
    The document provides safety tips and guidelines for administering intramuscular injections, including ensuring the 10 rights of medication administration are followed, wearing gloves, selecting appropriate injection sites, and monitoring patients after injection. Proper equipment for intramuscular injections is also outlined. Skills related to intramuscular injections cannot be delegated to nursing assistive personnel.

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    Ncm 103 Administering Intramuscular Medication

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    The document provides safety tips and guidelines for administering intramuscular injections, including ensuring the 10 rights of medication administration are followed, wearing gloves, selecting appropriate injection sites, and monitoring patients after injection. Proper equipment for intramuscular injections is also outlined. Skills related to intramuscular injections cannot be delegated to nursing assistive personnel.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    21 views16 pages

    NCM 103 Administering Intramuscular Medication

    Uploaded by

    Adrynnette Cruz-Lastimado
    The document provides safety tips and guidelines for administering intramuscular injections, including ensuring the 10 rights of medication administration are followed, wearing gloves, selecting appropriate injection sites, and monitoring patients after injection. Proper equipment for intramuscular injections is also outlined. Skills related to intramuscular injections cannot be delegated to nursing assistive personnel.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 16

    ADMINISTERING

    INTRAMUSCULAR
    INJECTION
    Prepared by: Mark Allan B. Juan, RN, LPT, MANc
    SAFETY TIPS TO REMEMBER!
    SAFETY TIPS TO
    REMEMBER!

    • Ensure that the 10 Rights of Medication


    Administration are observed. Follow the
    principles of sterile technique when
    administering an intramuscular injection.
    SAFETY TIPS TO
    REMEMBER!

    • Wear gloves to reduce the risk of contact with


    bloodborne pathogens.
    • Do not use an injection site in an area with
    bruising, induration, muscular atrophy, reduced
    blood flow, or signs of infection.
    SAFETY TIPS TO
    REMEMBER!

    • Ensure that the position for injection is not


    contraindicated by the patient’s medical condition.

    • To prevent administration of the medication


    directly into a blood vessel, aspirate when giving
    all intramuscular injections except vaccines.
    SAFETY TIPS TO
    REMEMBER!

    • Rotate intramuscular injection sites to decrease the risk


    of tissue hypertrophy.

    • In older adults and thin patients, do not administer a


    volume of more than 2 mL by intramuscular injection. In
    infants and small children, do not administer a volume of
    more than 1 mL.
    Equipment for Administering an Intramuscular Injection:

    • Syringe with needle appropriate for medication to


    be administered
    • Alcohol swab
    • Small gauze pad
    • Vial or ampule of medication
    • Clean gloves
    DELEGATION:

    The skill of administering an intramuscular injection cannot be


    delegated to nursing assistive personnel (NAP). Before delegating
    related skills, be sure to inform NAP of the following:

    • Outline expected therapeutic effects and potential side effects


    of the medication, and instruct NAP when to report them.
    • Instruct NAP to report any change in the patient’s condition.
    Video:
    https://www.youtube.com/watch?v=Lf
    wLF_l1aTE

    https://www.youtube.com/watch?v=d_
    hXwhQma5w
    Review Checklist: page 9
    FOLLOW-UP:
    • Return to the room 15 to 30 minutes after the injection; ask the
    patient if he or she feels any acute pain, burning, numbness, or
    tingling at the injection site.
    • Inspect the site, noting any bruising or induration. Apply a warm
    compress if necessary.
    • Observe the patient’s therapeutic response to the medication at
    times that correlate with the onset, peak, and duration of the
    medication. Watch for any adverse effects.
    • Confirm the patient’s understanding of the medication’s purpose,
    action, possible side effects, and self-administration technique if
    applicable.
    DOCUMENTATION

    • Document the medication administered by intramuscular


    injection, its concentration, dosage or strength, time, date, and
    site of administration. This documentation must be made on the
    MAR immediately after administration, not before.
    • Document any patient teaching and validation of the patient’s
    understanding.
    • Document and report to the health care provider any withheld
    doses and/or the patient’s response to the medication, including
    any side effects.
    Review Questions:

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