Administration of Allergy Injections
University of Rochester, University Health Services
Developed by Mary Madsen, RN, Manager UHS, River Campus Office, July
ALLERGY INJECTION SERVICES
POLICY C.1.3: ADMINISTRATION OF ALLERGY INJECTIONS
Health Service (UHS) will administer allergy injections safely per UHS
protocol and per individual allergist's
- Call patient by name (first and last) to verify name on
Have patient remove his/her own serum from the refrigerator.
- Inquire about any reactions following previous injection.
Review any early local reaction, current health status, and
Record any delayed reactions on treatment record. Adjust dose
- Check with UHS physician before giving allergy injection if
- Obvious wheezing or complaint of wheezing
- Hives or
other rash of undetermined etiology
- Patient is on beta-blocker or MAO
- Use disposable 26 or 27 gauge needles and disposable allergy
syringes with 0.01 ml. graduation.
- Carefully check for the proper patient identity, the current
allergen vial, proper dose, and site:
- Patient's identity
- Check vial's:
Cap color code, if applicable.
- The proper date, site, vial number, dose, provider
initials, and time of injection on the treatment record.
- Rinse syringe with medication as ordered (e.g.,
Draw up proper dose.
Alternate arms, unless otherwise instructed.
Swab site with alcohol.
Administer injection. (see #6-9).
- Injection site is the outer aspect of the upper arm, midway between
the shoulder and the elbow in the groove between the deltoid and
the triceps muscle.
- Injections should be given subcutaneously ONLY, unless otherwise
- Aspirate the syringe plunger before injections. If blood is
aspirated, DO NOT inject. Withdraw immediately and discard. Draw up new
dose and repeat the procedure.
- Avoid rubbing the injected area to prevent rapid absorption.
- Remind patient to:
- Wait 20 minutes in the waiting room.
- Have a UHS registered nurse, nurse practitioner, or physician check
the site before leaving.
- Call or return to UHS immediately if problems develop.
- Avoid strenuous activity immediately (2hrs.) after injection.
- Note when next injection is due and schedule appointment at time of
visit if possible.
- Schedule re-evaluation, if necessary.
Order new serum if
- At the end of the waiting period (20 minutes), injection site will
checked by and available registered nurse, nurse practitioner, or
physician. If a negative reaction, a check will be placed in the chart
next to that date's recorded information. Any reactions will be
documented on the treatment record.
REFERENCES: Treatment Record form
Date Initiated: July 1997
Developed by: Mary Madsen, RN, Manager, River Campus Office
Date(s) Reviewed/Revised: August 28, 1997
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