✦ = 3–6 points
✶ = 7–9 points
14. ✶ Hold the skin taut with the
ﬁngers of your nondominant
hand. If you are using the center
of the forearm, then place the
nondominant hand under the
patient’s arm and pull the skin
taut. This will allow the needle to
slip into the skin more easily.
15. ✶ Using a 15-degree angle, insert
the needle through the skin to
about 1⁄8 inch. The bevel of the
needle will be facing upward and
covered with skin. The needle will
still show through the skin. Do not
16. ✶ Slowly inject the medication
beneath the surface of the skin.
A small elevation of skin or wheal
will occur where you have injected
17. ✶ Quickly withdraw the needle. With
the other hand discard the needle
into the sharps container.
III. Patient Follow-Up
18. ✶ Do not massage the area or place
a bandage or tape on it, because
this may irritate the site and lead
to a false reading.
19. ✶ Make sure the patient is safe
before leaving him or her
unattended. Observe the patient
for any untoward eect, such
as an allergic reaction to the
medication, for at least 20 to 30
minutes. Tell the patient not to rub
the area. Instruct the patient to
return to the oce within 48 to 72
hours for the reading of the skin
test. Make certain that the patient
understands the directions and
does not have any questions.
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