MKSSS SN COLLEGE OF NURSING FOR

WOMEN, NAGPUR.
SUBJECT- NURSING EDUCATION

LESSON PLAN ON -
INTRADERMAL INJECTION .

SUMITTED TO: SUBMITTED BY:

MRS.RAMA DANAPURE MS. RUPALI S
KHARABE
ASSOCIATE PROFESSOR M.Sc. 1 ST YEAR
MKSSS SN COLLEGE OF MKSSS SN COLLEGE OF
NURSING FOR WOMEN. NURSING FOR WOMEN.

SUBMITTED ON-
28/03/2024
NAME OF STUDENT TEACHER- Rupali S Kharabe
SUBJECT- Nursing Education
Topic: Intradermal Injection.
GROUP- 1st Semester
PLACE-MKSSS SN COLLEGE OF NURSING FOR WOMEN
DATE- 28/03/2024
TIME- 12.00pm
DURATION-45 mins
Method of teaching: Lecture Cum Demonstration.
A.V.AIDS- Flash card
Previous knowledge of student:
The student have some level of knowledge regarding Intradermal Injection.

OBJECTIVES:
GENERAL OBJECTIVES:
The student will be able to gain knowledge regarding intradermal injection ,appreciate its important and apply the same in clinical practice.
SPECIFIC OBJECTIVES:
At the end of the class the student will be able to demonstrate:
 Define intradermal injection.
 List down the indication of intradermal injection.
 Enlist some of the consideration of intradermal injection.
 Explain the sites of intradermal injection
 Enlist the equipment for intradermal injection.
  Demonstrate the steps for intradermal injection.
 State the golden rule for intradermal injection.

Time Specific Content Teaching A.V Aids Evaluation

Objective Learning
Activities
4mins Introduction of ADMINISTRATION OF INTRADERMAL INJECTION Lecture - Student will
the topic INTRODUCTION: be able to
answer what
Intradermal injection, often abbreviated ID, is a shallow or superficial is
injection of a substance into the dermis ,which is located between the introduction
of
epidermis and the hypodermis. This route is relatively rare compared to intradermal.
injections into the subcutaneous tissue o ID injections are not the preferred
route of administration for injection and therefore used for certain therapies
only, such as tuberculosis test sand allergy tests. Do not apply pressure
or massage the injection site, because the capillaries in the dermal tissues will
quickly absorb the medication.

DEFINITION:
3mins Define the Student will
topic Intradermal injections (ID) are injections administered into the dermis just Lecture be able to
- define the
below the epidermis. The ID injection route has the longest absorption time
topic.
of all parenteral routes.

Time Specific Content Teaching A.V Aids Evaluation

Objective Learning
Activities
3mins What are the Lecture cum - Students know
 indication of the INDICATION:DIAGNOSTIC TEST: discussion the indication of
intradermal the intradermal
injection?  Identify any skin allergy to any drugs. injections.
 Tuberculin test.

2mins  Xylocaine sensitivity test.

What are the
THERAPEUTIC TEST:
therapeutic test ? Lecture cum Students know
discussion - the therapeutic
 Administration of local anaesthesia prior to surgery.
test for which the
intradermal
CONSIDERATIONS:
5mins What are the injections are
consideration given.
 The intradermal technique is used to inject small
for the Lecture cum -
intradermal amounts (0.01-0.1 mL) of fluid for diagnostic discussion Students know
injection? the consideration
purposes, usually to determine sensitivity to various
for intradermal
substances. injections.
 V e n t r a l f o r e a r m s u r f a c e i s u s u a l site. Commonly
used skin antigens are his to plasmin and tuberculin
purified protein derivative.
 A TB test is administered by
Mantoux technique, that is, the intradermal injection
of PPD.
 Allergy skin testing is usually not done in the home.

Time Specific Content Teaching A.V Aids Evaluation

Objective Learning
Activities
  For intradermal injections, select a25- to 27-gauge
needle w i t h a s h o r t b e v e l . T h e needle length can be3/8-5/8
inches.
 U s e a t l e a s t 2 p a t i e n t i d e n t i f i e r s prior to administering
medications.

3mins What are

SITES FOR INTRADERMAL:
the sites of Lecture cum Flash card Students
intradermal?  Anterior aspect of forearm. discussion know the sites
 Upper chest and of the
intradermal
 Upper back procedure

3mins What are

the EQUIPMENTS: Lecture cum Students
equipment’s discussion - know the
used in  Medication articles
intradermal needed for the
 1 mL tuberculin syringe (25- to 27-gauge needle,
procedure? intradermal
 1/2-7/8 inches) procedure
 Alcohol prep pad
 Puncture-proof container
 Gloves.

Time Specific Content Teaching A.V Aids Evaluation

Objective Learning
 Activities
18mins How to PROCEDURE Lecture cum - Students can
perform the discussion perform the
Nursing Action Rationale
procedure? procedure
1. Check physicians order for medication Eliminates medication error. of the
intradermal
administration and identify patient.
injection.
2. Explain procedure to patient, the purpose , Explanation encourages
the site of injection and how he has to cooperation and reduces
cooperate. apprehension.
3. Wash Hands. Reduces spread of microorganism.
4. Prepare medication from ampoule/vial
5. Wash hands and don gloves. Reduces spread of microorganism.
6. Assemble equipment at the bedsides.
7. Position patient and locate site for Forearm is the most convenient and
intradermal injection. easily located and hence the
commonly used site.
8. Cleanse the site with alcohol swab in circular Pathogens in the skin can be
motion moving outward. allow skin to dry. keep introduced into the tissues. Alcohol
cotton in the clean tray for reuse when taking if enters, tissue can cause irritation.
out the needle.
9. Remove needle cap with non- dominant hand Reduces chance of contamination
by pulling it straight off. of needle.

Time Specific Content Teaching A.V Evaluation

Objective Learning Aids
 Activities
10. Use non-dominant hand spread skin taut Taut skin provides an easy entrance
over injection site. into skin.
11. Place needle almost flat against patient’s Appearance of the bleb/wheal
skin(150) and insert the needle into the skin so indicates the needle is in intradermal
that the point of the needle can be seen through tissue.
the skin. Insert needle only about 1/8 inch.
12. Slowly inject the drug (0.01-0.1ml). Watch Appearance of bleb/ wheal indicates
for a bleb/blister to develop. If not present, the needle is in intra dermal tissue.
withdraw needle slightly and inject medication.
13. Withdraw needle quickly in the same angle Reduces tissue damage and discomfort
as it was inserted. of patient.
14. Do not massage the area. Massaging the area will lead to spread
of medication to subcutaneous tissue
and false results may occur.
15. Do not recap the needle. Discard syringe Reduce risk of accident puncture with
and needle into appropriate receptacle. needles.
16. Assist patient to comfortable position.
17. Remove gloves and wash hands. Reduces spread of microorganism.
18. Record medication administration- the Reduce chance of medication errors.
medication administration, amount, dose, site
and patient’s response.

Time Specific Content Teaching A.V Evaluation

Objective Learning Aids
Activities
 19. Draw a circle using blue/black pen around Helps in identifying exact site for
injection site . Write date and time of checking reaction to medication.
administration of medication and medication
name on a piece of adhesive tape and stick near
to the site.
Check reaction within specified time period.

2mins What will

be the
CONCLUSION:
conclusion Lecture - Students
of the know the
procedure? Intradermal injection should be given at right angle , with a good technique following
conclusion
proper aseptic technique, checking the physician order before administering is must and of the
intradermal
the nurse must have a enough knowledge about there action of intradermal injection.
procedure

Time Specific Content Teaching A.V Aids Evaluation

Objective Learning
Activities
2mins What are Lecture cum - Students
the BIBLIOGRAPHY discussion know the
reference reference of
of the  .National institute of nursing education CLINICAL NURSING the
intradermal intradermal
PROCEDURES 3ED PGIMER NATIONAL INSTITUTE OF NURSING procedure.
injection
EDUCATION (PB 2023) by CBS Publication.
 Clinical Nursing Procedures: The ART of Nursing Practice by Annamma
Jacob 5th edition by Jaypee publication.

 Stephanie’s Principles & Practice Of Nursing Vol 1 Nursing Arts

Procedures 7th edition vol 1 author Sr. Nancy by N.R Publication.

 https://www.scribd.com/document/481902851/intradermal-injection-docx

 https://www.scribd.com/search?query=intradermal%20injection