IM Skills Checklist
IM Skills Checklist
IM Skills Checklist
Purpose: To provide a medication the client requires (see specific drug action).
Equipment:
• Client’s MAR
• Sterile medication (usually provided in an ampule or vial or prefilled syringe)
• Syringe and needle of a size appropriate for the amount and type of solution to be administered
• Antiseptic swabs / wet and dry cotton balls, micropore tape
• Clean gloves (according to agency protocol)
NOT
Procedures YES Remarks
YET
ASSESSMENT
Allergies to medication.
IMPLEMENTATION
4. Prepare the medication from the vial or ampule for drug withdrawal.
5. Introduce yourself.
10. Select and locate the most appropriate site: deltoid area.
20. Hold the barrel of the syringe steady with your non-dominant hand.
21. Aspirate by pulling back on the plunger with your dominant hand for 5-10
22. If blood does not appear, inject the medication steadily and slowly.
Conduct appropriate follow-up such as desired effect (e.g., relief of pain, lowered body
temperature) any adverse effects (e.g., nausea, vomiting, and skin rash). Report
deviations from normal to the primary care provider. Complete documentation.
Document all relevant information.
Personal and Professional Attributes
5. Demonstrates confidence
RATING: _____________________________
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Student’s Signature over Printed Name Evaluator’s Signature over Printed Name