PARENTERAL DRUG ADMINISTRATION USING
MANNEQUINS: INTRAMUSCULAR
Intramuscular Injection
Materials needed:
Syringe with the drug to be administered (without air), needle (gauge 20 - 24, 1 – 1.5 inches in
length), syringe (1- 3 mL), liquid disinfectant, cotton swab.
Preferred sites: Ventrogluteal, deltoid, vastus lateralis
Step
Professionalism Identifies patient and introduces self and role to patient
Explains to patient and/or family what they are doing and why
Performs proper hand hygiene using soap/water or hand
sanitizer
Wears gloves.
Cleans up, washes hand and disposes needle in sharps container
without recapping.
Technique 1. Checks prescription. Checks drug label. Selects the correct
syringe and needle. Loads the syringe with drug
2. Chooses the right site for injection.
3. Disinfects skin, in a circular motion, from centre to periphery.
4. Asks the patient to relax the muscle.
5. Inserts the needle swiftly at an angle of 90
degrees angle (watching the depth).
6. Aspirates briefly; if blood appears, withdraws
needle, replaces it with a new one, and restarts
from disinfecting skin
7. Injects slowly (0.5 — 2 minutes)
8. Withdraws needle quickly supporting the skin and presses
sterile cotton swab onto the opening. Does not massage.
9. Checks the patient's reaction and gives additional reassurance,
if necessary.
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PARENTERAL DRUG ADMINISTRATION USING
MANNEQUINS: SUBCUTANEOUS INJECTION
Subcutaneous Injection
Materials needed
Syringe with the drug to be administered (without air), needle gauge 26-32, short and thin,
insulin syringe, liquid disinfectant, cotton swab, adhesive tape.
Preferred sites: Abdomen, upper hips, upper back, lateral upper arms and lateral thigh
Step
Professionalism Identifies the patient, introduces self and role to patient
Explains to patient and/or family what they are doing and why
Performs proper hand hygiene using soap/water or hand
sanitizer
Wears gloves.
Cleans up, washes hand and disposes needle in sharps container
without recapping.
Technique 1. Checks prescription. Checks drug label.
2. Selects the correct syringe and needle. Loads the syringe with
drug
3. Chooses the right site for injection.
4. Disinfects skin, in a circular motion, from centre to periphery.
9. 'Pinches' 1 inch fold of the skin.
10. Inserts needle at 450 angle (or upto 90◦ angle if 2 inches of skin
can be grasped)
1. Releases skin after needle goes in and supports the needle.
2. Injects slowly (0.5 — 2 minutes)
3. Withdraws needle quickly and presses sterile cotton swab
onto the opening. Does not massage the injection area.
4. Checks the patient's reaction and give additional
reassurance, if necessary.
Administering insulin using a pen device
Sites: Sides of the thighs, abdomen and anterior part of the thigh.
Materials required: insulin pen, pen needle, alcohol wipes, container for used equipment.
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Technique
Removes the cap of the insulin pen. Ensures if the insulin in the pen appears cloudy.
If yes, rolls the pen in his/her hands and turns it from side to side for one full minute
Wipes the rubber stopper with an alcohol wipe.
Pulls the paper tab off the pen needle, screws the new needle onto the pen, and
removes the outer cap and inner cap of the needle to attach the pen needle
Selects the dose of insulin that has been prescribed by turning the dosage knob.
Checks that the dose is correct. Set the pen down without letting the needle touch
anything.
Wraps the fingers around the insulin pen and Inserts the needle with a quick motion
into the skin at a 90- degree angle The needle should go all the way into the skin. The
thumb button should be touched only after the pen needle is fully inserted. Slowly
pushes the knob of the pen all the way in to deliver full dose
Counts to 10 after the plunger is fully depressed before removing the needle from the
skin
Replaces the pen cap and store it at room temperature and wash hands
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