Skill 6b: Giving a Subcutaneous (S/C) Injection
Task: perform a subcutaneous (S/C) injection correctly and safely (on a manikin).
Criteria for satisfactory completion of task: when all relevant aspects of the task
governed by the following principles, are demonstrated:
adequate preparation of the patient and the tools for the procedure
conduct of the procedure adheres strictly to principles of asepsis and
standard precautions
consideration of patient safety and comfort
adequate documentation of the procedure
recognition of limitations and possible complications
Checklist
Expected Actions
1 Preparation
verify and check the medication to be given
identify appropriate equipment including size of needle ( 23 G 5/8” in length )
2 Inform the patient of the procedure
3 Wash/disinfect hands
4 Don clean gloves
5 Prepare the medication in a syringe, and place it in a receiver
6 Bring the receiver nearer to the patient
7 Maintain patient’s privacy by exposing only the chosen site
Position the patient according to the injection site chosen
Arm – sitting or standing
Abdomen – sitting or supine
8 Clean site aseptically
9 Hold the syringe with the medication and remove the needle cover
10 Expel air from syringe by
holding the syringe & needle pointing upward
tap it up to dislodge bubbles,
withdraw the plunger slightly
push plunger upward to eject air
11 Giving the injection:
Hold syringe & needle upwards in the right palm between thumb & index finger
Using the left hand pinch the skin tightly across the injection site to facilitate
needle penetration
Thrust in the needle into the subcutaneous adipose tissue quickly and firmly
into the site at 45-degree angle
(A quick firm insertion minimizes patient anxiety and discomfort. Ensure that the needle
does not enter the muscle tissue.)
Release the skin once needle is in place
Using the left hand stabilize the syringe
Using the right hand gently pull back the plunger a little and observe for
presence of blood
Inject the medication at a slow and steady pace
Withdraw the needle quickly in a smooth motion
12 Apply gently pressure to the injection site
13 Ensure patient’s comfort
Observe the patient for any side effects
14 Dispose used syringe & needle into the sharps bin
15 Remove gloves
16 Wash hands
17 Document the procedure
YAW/RL Aug 2013