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AdministrationofIntravenousPush(IVP)Medication *Indicatesacriticalbehavior
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- 1AdministrationofIntravenousPush(IVP)Medication *Indicates a critical behavior Supplies:Supplies Needed: NormalSalineFlushes, Normal salinevial for diluting medications, alcohol wipes,
watch with a second hand, labels; clean gloves - 2Prepare medication1. Prepare medication for one patient at a time.
- 31st Check:2.*1st Check: Check medicationlabel with MAR and/or HCP's orders andverify name, dose,
frequency, and route. Check expiration dates and perform calculations, if necessary.
a. *Verbalize the name action, nursing considerations, safe dose ranges, purpose for
administration, and adverse effects and route. Follow specific directions (Be able to state the
following: compatibilities, infusion rate, reconstitution with appropriate amount for dilution if
necessary) - 4Assess the IV site3. Assess the IV site for the presence of inflammation or infiltration.
- 52nd Check:4. *2nd Check: Prepare medication aseptically and label medication syringe.
a. Label medication syringe with medication name and dose.
b. Put on clean gloves (optional). Draw up ordered dose of medication. Dilute according to safe
and accurate administration based on approved pharmacy source. - 6Administration of IVP into a saline lock:5.*AdministrationofIVPinto aSalineLock(SL):
a. 3rd Check: Check medication with MAR. Cleanse port on saline lock with an alcohol wipe
and attach the saline syringe to port.
b. When accessing a CVC or PICC line, verify placement of the line by aspirating for
blood return. Slowly pull back on the saline syringe until blood is seen in the tubing,
but do not draw blood through the cap into the syringe.
c. If administering into a PIV, flush slowly using 3mL of saline. If administering into a CVC
or PICC line, flush with 5-10 mL of saline using the push/pause method. Remove saline
syringe.
b. Cleanse port again with alcohol wipes.
c. Inject medication at correct rate into port, while assessing patient and IV site.
d. After medication is injected, remove syringe, cleanse port with alcohol wipes for 15 seconds and
attach the saline syringe to port. If administering into a PIV, flush slowly at the same rate as the
medication administration orat least 1 minute using 3mL of saline. If administering into a CVC or
PICC line, flush slowly at the same rate as the medication administration orat leas - 7Administration of IVP into a Primary IV Line:6. Administration of IVPinto aPrimaryIVLine:
*CompatiblewithinfusingIVfluid:
a. 3rd Check: Check medication with MAR. Cleanse port closest to insertion site with
alcohol wipes for 15 seconds. Attach medication syringe and inject medication at correct rate
into port, while assessing patient and IV site. Disconnectmedication syringe. Attach saline
syringe to port and flush with 3mls at the same rate as the medication administration orat
least 1 minute using 3mL of saline. Remove saline syringe. Go to step 7.
*IncompatiblewithinfusingIVfluid:
a. Stop pump or clamp line.
b. 3rd Check: Check Med with MAR. Cleanse port closest to insertion site with alcohol wipes
for 15 seconds, attach the saline syringeto port, andflush slowly using 3mL of saline. Remove saline
syringe.
c. Cleanse port again with alcohol wipes for 15 seconds. Attach medication syringe and inject
medication at correct rate into port (keeping IV tubing clamped or pinched during
administration), while assessing patient and IV site.
d. *After medication is injected, remove syringe, cleanse port with alcohol wipes for 15 secon - 8Dispose of or remove equipment7. Dispose of or remove equipment and supplies then exit room
- 9Documentation8. *Documentation should include the following:
a. 8 rights of medication administration on the MAR.
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- Flashcards on AdministrationofIntravenousPush(IVP)Medication *Indicatesacriticalbehavior, created by Wednesday Patches on 10/09/2018.
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