Control No.

_______
Republic of the Philippines
UNIVERSITY OF EASTERN PHILIPPINES
University Town, Northern Samar
Website: uep.edu.ph Email: uepnsofficial@gmail.com

COLLEGE OF NURSING AND ALLIED HEALTH SCIENCES

ADMINISTERING AN INTRAMASCULAR (IM) INJECTION

DEFINITION

● The administration of drug/medication into the muscle tissues.

PURPOSE

● Used to promote rapid drug absorption.

● Provides alternate route when is irritating to subcutaneous tissue.

SITE

● Dorsogluteal site : Place hand on iliac crest and locate the posterosuperior iliac spine.
Draw an imaginary line between the trochanter and the iliac; the
injection site is outer quadrant.
● Ventrogluteal site : Place palm of left hand on right greater trochanter so that index
finger points toward anterosuperior iliac spine; spread thumb and
middle fingers to form a V; injection site is the middle of the V.
● Vastus lateralis : Identify greater trochanter; place hand at lateral femoral condyle;
injection site is middle third of anterior lateral aspect.
● Deltoid : Locate the lateral side of the humerous from two to three
fingerwidths below the acromion process in adults or one finger
below the acromion process in children.

PROCEDURE RATIONALE
1. Follow the general procedure for giving ● See rationale 1.a-1.m of Intradermal
injections (1.a-1.m of Intradermal injection). injection.
2. Using the non-dominant hand, grasp skin, ● Needle penetrates tight skin easier than
or pinch a generous section of tissue firmly loose skin.
for thin or emaciated client. ● Pinching ensures sufficient muscle tissue.

3. Inject needle quickly and firmly at a 90° ● Quick injection minimizes discomfort
angle.
4. Transfer non-dominant hand to the barrel ● Injection requires smooth manipulation of
of the syringe to steady it and position syringe parts.
dominant hand to the end of the plunger.
5. Pull back the plunger (aspirate) to ● Aspiration of blood indicates intravenous
ascertain if needle is in a vein. If no blood placement of needle. If medication is
appears, slowly inject the medication. injected, vein maybe injured.
6. Quickly withdraw the needle while ● Stimulates circulation and improves drug
applying pressure with the cotton ball then distribution and absorption.
massage the site gently.
7. Do procedure #8-10 of Intradermal ● See rationale #8-10 of ID injection
injection.
 Control No._______
Republic of the Philippines
UNIVERSITY OF EASTERN PHILIPPINES
University Town, Northern Samar
Website: uep.edu.ph Email: uepnsofficial@gmail.com

COLLEGE OF NURSING AND ALLIED HEALTH SCIENCES

PERFORMANCE EVALUATION CHECKLIST

ADMINISTERING INTRAMASCULAR (IM) INJECTION

Procedure Able to Able to Unable

Perform Perform with to
(2) Assistance Perform
(1) (0)
Assessment
1. Check medications listed against physician’s order.
2. Review information regarding the medication.
3. Assess the size and general built of the client.
4. Assess the need for assistance.
Planning
5. Wash hands.
6. Prepare needed materials and medicine ordered
observing the rights of medication.
7. Recheck dosage calculation
Implementation
8. Identify and explain the procedure to the client. Provide
for privacy.
9. Assist client into a comfortable position and distract
him/her by talking about an interesting subject.
10. Wear clean gloves on non-dominant hand and select
appropriate site of injection.
11. Clean the site with alcohol swab/cotton ball with
alcohol using a circular motion, moving from the middle
of the site outward.
12. Allow the skin to air-dry.
13. Using the non-dominant hand, grasp skin, or pinch a
generous section of tissue firmly for thin or emaciated
client.
14. Inject the needle quickly and firmly at a 90° angle.
Release the skin.
15. Transfer non-dominant hand to the barrel of the syringe
to steady it and positon dominant hand to the end of the
plunger.
16. Pull back the plunger to ascertain that the needle is not
in a vein. If no blood appears, slowly inject the
medication.
17. Quickly withdraw the needle while applying pressure on
the injected site with a cotton ball.
18. Gently massage the injected site.
19. Place back client into a
20. Discard the uncapped needle and syringe in a safe
receptacle.
21. Remove gloves and wash hands.
Evaluation
22. Check the desired effect and any side effects of the
medication.
Documentation
23. Document the procedure done.

Remarks:_____________________________________________________________________________
_____________________________________________________________________________________
____________________________________________________________________________________

Grade: _____________

______________________________ __________________________
Clinical Instructor Student’s Signature
 Control No._______
Republic of the Philippines
UNIVERSITY OF EASTERN PHILIPPINES
University Town, Northern Samar
Website: uep.edu.ph Email: uepnsofficial@gmail.com

COLLEGE OF NURSING AND ALLIED HEALTH SCIENCES

PERFORMANCE EVALUATION CHECKLIST

ADMINISTERING AN INTRAMASCULAR (IM) INJECTION

PROCEDURE Able to Able to Unable to

Perfor Perform with Perform
m Assistance (0)
(2) (1)
1. Follow the general procedure for giving injections
(1.a-1.m of Intradermal injection).
2. Using the non-dominant hand, grasp skin, or pinch a
generous section of tissue firmly for thin or emaciated
client.
3. Inject needle quickly and firmly at a 90° angle.
4. Transfer non-dominant hand to the barrel of the
syringe to steady it and position dominant hand to the
end of the plunger.
5. Pull back the plunger (aspirate) to ascertain if needle
is in a vein. If no blood appears, slowly inject the
medication.
6. Quickly withdraw the needle while applying pressure
with the cotton ball then massage the site gently.
7. Do procedure #8-10 of Intradermal injection.

Remarks:____________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________

Grade: _____________

______________________________ __________________________
Clinical Instructor Student’s Signature
 Control No._______
Republic of the Philippines
UNIVERSITY OF EASTERN PHILIPPINES
University Town, Northern Samar
Website: uep.edu.ph Email: ueppres06@gmail.com

COLLEGE OF NURSING AND ALLIED HEALTH SCIENCES

ADMINISTERING AN INTRAMASCULAR (IM) INJECTION

DEFINITION

● The administration of drug/medication into the muscle tissues.

PURPOSE

● Used to promote rapid drug absorption.

● Provides alternate route when is irritating to subcutaneous tissue.

SITE

● Dorsogluteal site : Place hand on iliac crest and locate the posterosuperior iliac spine.
Draw an imaginary line between the trochanter and the iliac; the
injection site is outer quadrant.
● Ventrogluteal site : Place palm of left hand on right greater trochanter so that index
finger points toward anterosuperior iliac spine; spread thumb and
middle fingers to form a V; injection site is the middle of the V.
● Vastus lateralis : Identify greater trochanter; place hand at lateral femoral condyle;
injection site is middle third of anterior lateral aspect.
● Deltoid : Locate the lateral side of the humerous from two to three
fingerwidths below the acromion process in adults or one finger
below the acromion process in children.

PREPARATION

1. Assess:
 Client allergies to medication (s)
 Specific dug action, side effects, and adverse reactions
 Client’s Knowledge and learning needs about the medication
 Tissue integrity of the selected site
 Client’s age and weight, to determine site and needle size
 Client’s ability or willingness to cooperate
2. Determine
 Whether the size of the muscle is appropriate to the amount of medication to be
injected.
3. Assemble equipment and supplies:
 MAR or computer printout
 Sterile medication (usually provided in an ampule ot vial)
 Syringe and needle of a size appropriate for the amount of solution to be administered
 Antiseptic swabs
 Disposable gloves.
4. Check the MAR
 Check the label on the medication carefully against the MAR to make sure that the
correct medication is being prepared.
 Follow the “three checks” for administering the medication and dose. Read the label
on the medication:
 When it is taken form the medication cart
 Before withdrawing the medication
 After withdrawing the medication
 Confirm that the dose is correct.

PROCEDURE Able to Able to Unable to

Perfor Perform with Perform
m Assistance (0)
(2) (1)