Checklist for Intravenous Injection M.M.
20
Roll No.
No Steps Tick/ Mark
. Cross s
1. Introduced self to the patient 1
2. Clarified patient’s identity 1
3. Explained procedure to the 1
patient and informed of slight
discomfort that may occur with
the injection
4. Arranged the resource 1
materials
5. Sanitized hands 1
6. Wore gloves 1
7. Selected the site for canulation 1
8. Positioned the arm properly 1
and identified the vein
9. Applied the tourniquet 1
10. Sanitized the patient’s skin 1
with alcohol swab
11. Remove the needle cover 1
without touching it
12. Stretched the skin distally 1
13. Inserted the needle with bevel 1
facing upwards and at an angle
of 30 degrees to the skin
14. Checked the flashback of blood 1
15. Removed the tourniquet 1
16. Pushed the drug slowly 1
17. Carefully disposed off the 1
needle with syringe
18. Applied the swab on the 1
puncture wound
19. Dispose off the gloves properly 1
20. Ensured that the patient is 1
comfortable
Checklist for Intramuscular Injection
M.M. 20
Roll No.
No Steps Tick/ Mark
. Cross s
1. Washed hands properly with 2
soap and water
2. Put on the gloves 1
3. Reassured the patient and 2
explained procedure
4. Uncovered the area to be 1
injected
5. Disinfected the skin 2
6. Told patient to relax the 1
muscle
7. Inserted the needle swiftly at 2
an angle of 90 degrees to the
skin
8. Aspirated briefly to see if 2
blood appears at base of the
needle
9. Injected the drug slowly 2
10 Withdrew needle swiftly 1
.
11 Pressed sterile cotton wool on 2
. injection site
12 Clean up & Disposed off the 1
. needle safely
13 Washed the hands 1
.
Checklist for Subcutaneous Injection
M.M.20
Roll No.
No Steps Tick/ Mark
. Cross s
1. Washed hands properly with 2
soap and water
2. Put on the gloves 1
3. Reassured the patient and 2
explained procedure
4. Uncovered the area to be 1
injected
5. Disinfected the skin & pinched 2
fold of the skin
6. Inserted the needle in the base 2
of the skin fold at an angle of
20-30 degrees
7. Released the skin 1
8. Aspirated briefly to see if 1
blood appears at base of the
needle
9. Injected the drug slowly in 30 2
seconds to 1 minute
10 Withdrew needle swiftly 1
.
11 Pressed sterile cotton wool on 2
. injection site & fixed with
adhesive tape
12 Checked the patient’s reaction 1
. and reassured
13 Clean up & Disposed off the 1
. needle safely
14 Washed the hands 1
.
