Intradermal Injection Procedure

Definition: It is an injection given into the dermal layer of the skin (corneum)

Purpose
For diagnostic purpose
a. Fine test (mantoux test)
b. Allergic reaction

For therapeutic purpose
c. Intradermal injection may also be given like in vaccination

Site of Injection
• The inner part of the forearm (midway between the wrist and elbow.
• Upper arm, at deltoid area for BCG vaccination

Equipment
• Tray
• Syringe & needle (sterile)
• Receiver
• Drug (to be injected)
• File
• Alcohol swab
• Marking pen
• Water in the bowel to rinse syringe and needle

Procedure
• Take equipment to the patient's side
• Explain procedure to patient
• Get hold of the arm & locate the site of injection.
• Clean the skin with swab and inject the drug about 0.1. 0.2 inch in to the epidermis after the bevel of the needle is no longer visible. Don't massage the site.
• Check for the immediate reaction of the skin (10-15 minutes later for tetanus, 20-30 minutes later for penicillin)
• If it is for tine test, mark the area
• Chart the data and time of the administration of the drug.
• Take care of the equipment & return to their places.
• Do not forget to do the reading after 72 hours if it is for fine test (tuberculin test)
• Document about the procedure