IV PUSH
PRERATION
• If the medication has been diluted and
there is wastage, always discard unused
diluted portion of the prepared IV
medication before going to the bedside.
• Always label the syringe with the patient
name, date, time, medication,
concentration of the dose, dose, and
your initials. Once the medication is
prepared, never leave it unattended.
PRERATION
• NEVER administer an IV medication
through an IV line that is infusing blood,
blood products, heparin IV, insulin IV,
cytotoxic medications, or parenteral
nutrition solutions.
• Central venous catheters (central lines,
PICC lines) may require special pre- and
post-flushing procedures and specialized
training.
• You will need a watch with a second hand
to time the rate of administration.
STEPS
• 1. Prepare one medication for one
patient at the correct time as per
agency policy.
• Review the physician’s order, PDTM,
and MAR for the correct order and
guidelines.
• Math calculations may be required
to determine the correct dose to
prepare the medication.
STEPS
2. Create privacy if possible.
Rationale:This provides comfort to
patient.
STEPS
3. Confirm patient ID using two patient
identifiers (e.g., name and date of birth)
AND compare the MAR printout with the
patient’s wristband to confirm patient ID.
Rationale:This ensures you have the
correct patient and complies with agency
standard for patient identification.
STEPS
4. Check allergy band for any allergies,
and ask patient about type and severity
of reaction.
Rationale:This ensures allergy status is
correct on the MAR and on patient
allergy band.
STEPS
5. Discuss purpose, action, and possible
side effects of the medication. Provide
patient an opportunity to ask questions.
Encourage patient to report discomfort at
the IV site (pain, swelling, or burning).
Rationale:Keeping patient informed of
what is being administered helps
decrease anxiety.
STEPS
6. Perform hand hygiene and apply non-
sterile gloves.
Rationale:Hand hygiene prevents the
transmission of microorganisms.
STEPS
7. Select IV access port closest to the
patient.
STEPS
8. Clean port in a circular motion with an
alcohol swab for 15 seconds. Allow to dry.
Rationale:This prevents introduction of
microorganisms by the syringe.
STEPS
9. Attach syringe needle to rubber
port to IV line using needleless
system.
STEPS
10. If IV solution is on an IV pump,
pause the device. Pinch IV tubing
above the lowest access port or use
blue slider clamp.
Rationale:This prevents the IV
medication from travelling up the IV
line.
STEPS
11. Inject medication at the
recommended rate according to agency
policy. Use a timer to monitor time. Use a
push-pause method to inject the
medication.
Rationale:This ensures safe medication
administration at the correct rate. Rapid
injection of IV medications can be fatal.
STEPS
12. Remove used medication syringe
13. Unpinch/unclamp the IV tubing and
ensure the IV is infusing at the correct
rate. Restart IV infusion device as
required.
STEPS
14. Dispose of all syringes/filter needles
into appropriate puncture-proof
containers if required
15. Remove gloves and perform hand
hygiene.
STEPS
16. Document as per agency
protocol.
• Document time, reason, drug, dose,
therapeutic effect, and any adverse
reactions.
STEPS
17. Evaluate the patient for
therapeutic effect and adverse
reactions according to appropriate
time frame (onset and peak of
medication).
• Observations provide additional
safety measures, especially for
high-alert medications. IV
medications act rapidly.
REFERENCE
• https://opentextbc.ca/clinicalskills/chapter/6
-9-iv-main-and-mini-bag-medications/
Slide Title
Product A Product B
• Feature 1 • Feature 1
• Feature 2 • Feature 2
• Feature 3 • Feature 3
