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- 1. WELCOME VINAYAKA MISSIONS COLLEGE OF NURSING PUDUCHERRY DEPT. OF MEDICAL SURGICAL NURSING
- 2. INTRADERMAL(ID) Mr. Manikandan.T, RN., RM., M.Sc(N)., D.C.A .,(Ph.D) Assistant Professor, Dept. of Medical Surgical Nursing, VMCON, Puducherry.
- 3. INTRODUCTION Injection of a small amounts of material into the corium or substance of the skin, done in diagnostic procedures and in administration of regional anesthetics, as well as in treatment procedures. In certain allergy tests, the allergens is injected intradermally.
- 4. Definition administration of injection into the dermis layer of the skin. Purpose • Used for testing procedures such as tuberculin screening and allergy test. • Testing antibody formation
- 5. Precaution •This is painful procedure and is used only with small amounts of solution •The nurse should ensure that the needle is inserted into the epidermis, not subcutaneously, as absorption would be reduced •Follow rights
- 6. SITES Ventral fore arm Upper and lower chest Upper arm Shoulder blade
- 7. EQUIPMENT • Medication card • Medication in vial/ampoule • Clean gloves • Sterile syringes and needles(tuberculin syringe or 1 ml syringe)(26-30g) • Alcohol swab • Kidney tray
- 9. PROCEDURE • Check order • Explain procedure • Wash hands • Prepare medication from ampoule/vial • Assemble all articles • Position pt locate site(inner aspect of fore arm, upper aspect of chest, beneath scapula) • Cleanse the site with alcohol swab in circular motion moving outward. • Allow skin to dry • Keep cotton in the tray for reuse when taking out the needle
- 10. Cont., • Remove needle cap with non dominant hand • Use dominant hand to spread skin taut over injection site • Place needle flat against patient skin(15 degree) and insert needle Into the skin • Insert needle only about 1/8 inch • Slowly inject 0.01-0.1 ml watch for bleb/blister to develop if not present with draw needle slightly and inject medication • Do not massage • Do not recap • Remove gloves • Draw a circle using blue/ black pen around injection site