Resource Unit

General Objectives: After 1 hour of student-clinical instructor interaction, the BSN-2B Group 1B students will be able to acquire sufficient knowledge, appropriate skills,
and positive attitude towards the concept of Administering Intramuscular Medications.

Specific Objectives Content Methodology Time Resources Evaluation

Specifically, the BSN-2B Group
1B students will be able to:
1.) Recall effectively the past
existing knowledge on
Musculoskeletal System
Anatomy and Physiology,
especially with the 5 major
muscle areas unto which
Intramuscular injections may be
administered, through a pre-
conditioning activity entitled
“Match the Muscle”.
Allotment
Mechanics: • Activity-Based • 10 • Pens •After 10 minutes of student-clinical
Learning: minutes • Bond Papers instructor interaction, the BSN 2B-
The class will be divided into 2 groups. Cooperative • Board Group 1B students were able to
Each group is provided with 5 muscle Learning (Gaming) effectively recall their past existing
names with descriptions, and pictures of 5 • Scotch Tape
knowledge on Musculoskeletal
muscles are equally posted on each • Scissors Anatomy and Physiology, especially
group's partition of the board. They are to • Computer with the 5 major muscle areas unto
correctly match the muscle names with • Printer which IM injections may be
descriptions to the pictures being posted. • Clinical administered, through a pre-
The first group to finish and to provide the Instructor conditioning activity entitled “Match
correct alignment of concepts wins. • Students the Muscle”.
Muscle Names and Descriptions

• Deltoid Muscle
-No more than 2 ml of medication may
be injected
on this muscle (even lesser with
children)
-Medication should not be irritating and
should be
quickly absorbed

• Dorsogluteal Muscle
-Common injection site for adults
because it is
relatively free from nerves and major
blood
vessels.

• Rectus Femoris Muscle

-Rarely used except for infants and self-
administered injections

• Vastus Lateralis Muscle

-Preferred site for IM injections in infants
-A good site for healthy and ambulatory
adults
because there are few underlying major
blood
vessels and nerves
-Muscle mass in this area tends to be
inadequate in
the elderly or the very ill, thus may be
contraindicated

• Ventrogluteal Muscle
-A large muscle mass that is free from
major nerves
and adipose tissue, and is also remote
from the
rectum, thus may minimize the risk for
infection

Illustrations to Match
see: Appendix A
2.) Explain properly the concept
of Administering Intramuscular
Medications.
3.) State correctly the
indications for an Intramuscular
injection.
• It is a method used to administer • Formal • 10 minutes • Pens •After 10 minutes of student-clinical
medications into the deep muscle mass, Discussion • White Cartolina instructor interaction, the
past the dermis and subcutaneous tissue BSN 2B-Group 1B students were
and into the very deepest layers of the • Board
• Scotch Tape able to properly explain the concept
muscle, where the rich blood supply of Administering an Intramuscular
allows for rapid and full absorption. • Clinical Injection, through an Oral Essay
Instructor Questioning.
• The common sites of IM injections are • Students
muscles that contain large blood vessels
and nerves, so it is important to place
needle correctly to avoid damage to the
said structures.
• Recommended for patients who are •Pens
uncooperative or can’t take medication •Traditional Oral • 10 minutes •After 10 minutes of student-clinical
orally and for drugs that are altered by Essay Lecture •White Cartolina instructor interaction, the BSN 2B-
digestive juices. •Board Group 1B students were able to
•Scotch Tape correctly state the indications for an
•Clinical Instructor Intramuscular injection, through
• The Intramuscular (IM) route is a •Students Factual Questioning.
common route for parenteral injections.
Many antibiotics, preoperative sedatives,
and narcotics are administered
intramuscularly.
4.) Demonstrate proper
techniques according to the
procedure for administering
Intramuscular injections.
The students will be provided with a hand- • Demonstration- • 30 minutes • Medication •After 30 minutes of student-clinical
out on the steps to follow in administering Return Administration instructor interaction, the BSN 2B-
intramuscular medications. Demonstration Record/ Electronic Group 1B students were able to
medication ticket return demonstrate the proper
After the C.I.'s demonstration, the Pen techniques according to the
students are asked to demonstrate the procedure for administering
procedure with a partner. This would • Appropriate size Intramuscular injections.
serve as a practice for the final return of syringe and
demonstration which would consequently needle for type of
follow. injection and
viscosity of
Steps solution
1.) Perform hand hygiene. • Disposable
gloves
2.) Prepare medication adhering to
the five rights of medication • Alcohol swab
administration.
• Distilled water
3.) Identify client by checking
identification bracelet and by • Medication tray
addressing client by name.
• Hand-outs
4.) Explain procedure and purpose of
medication to client. • Clinical Instructor
5.) Verify allergies listed on • Students
medication record or electronic
medication record.
6.) Don gloves.
7.) Select injection site appropriate
for client's age.
8.) Assist client into position for
comfort and easy visibility of
 injection site.

9.) Cleanse site with alcohol swab.

10.)Remove needle cap.

11.)Pull skin taut by at insertion by

using the following sequence:
a.) Place thumb and index
finger of non dominant
hand over injection site
(taking care not to touch
cleaned area) to
form a V.

b.) Pull thumb and index

finger in opposing
direction,
spreading fingers
about 3 inches apart.

12.) Talk to client and warn of

impending needlestick.

13.) Quickly insert needle at a 90

degree angle with dominant hand
(as if throwing a dart).

14.) Move thumb and first finger of

Non-dominant hand from skin to
support barrel of syringe; place
fingers on the barrel.

15.) Pull back on plunger and

aspirate for blood return in syringe.

16.) If blood does return when

aspirating pull the needle out, apply
pressure to the insertion site and
repeat injection steps.

17.) If no blood returns, push

plunger slowly and smoothly;
encourage client
to talk or take deep breaths.

18.) Remove needle at same angle

It was inserted.

19.) Massage and clean insertion

are with second alcohol wipe (if
contraindicated for drug, apply firm
pressure instead).

20.) Place needle on tray; do not

recap.

21.) Remove gloves.

22.) Discard equipment

appropriately.

23.) Perform hand hygiene.

24.) Document administration on

Medication record.
 Appendix A

Illustrations for the game “Match the Muscle”

DORSOGLUTEAL
VASTUS LATERALIS
DELTOID MUSCLE
MUSCLE MUSCLE

VENTROGLUTEAL MUSCLE RECTUS FEMORIS MUSCLE