Name: ________________________________________
Date: _________________________________________
Procedure 54-9:
Reviewing Parenteral Medication Injection Sites
Objective: Demonstrate correct knowledge of parenteral medication injection sites.
Equipment and Supplies: Manikin or torso with buttocks and arms
Affective Behaviors: Affective behaviors provide a professional approach to a skill that enhances
the patient encounter. These behaviors may also display sensitivity to a patient’s rights and
enhance communication. Pay close attention to these skills, which will be in bold, italicized font.
Skills Assessment Requirements
Read and familiarize yourself with the procedure. Complete each procedure within a reasonable
amount of time, with a minimum of 85% accuracy.
Documentation
Use the area below for any documentation needed to complete the procedure.
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Name: ________________________________________
Date: _________________________________________
POINT VALUE
= 3–6 points
= 7–9 points
GRADED
TRIAL
# 1
GRADED
TRIAL
# 2
NOTES
1. Identify the location of the
following sites for intramuscular
injections:
a. deltoid muscle
b. vastus lateralis muscle
c. dorsogluteal muscle
d. ventrogluteal muscle
2. Identify common site locations for
subcutaneous injections.
GRADING
Points Earned
Points Possible 18 18
Percent Grade (Points Earned/
Points Possible)
PASS: YES
NO
N/A
YES
NO
N/A
Instructor Sign-O
Instructor: ______________________________________________ Date: _________________________
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