GORDON COLLEGE

College of Allied Health Studies

B AC H E LO R OF S CI EN C E I N NU RS IN G

Name: ________________________________________ Section/Group: ___________________ Date:_______________

ADMINISTERING INTRAVENOUS MEDICATIONS VIA IV PUSH (Existing Line)

Purposes
 To achieve immediate and maximum effects of a medication

Equipment
 Medication in a vial or ampule  Antiseptic swabs
 Sterile syringe  Watch with second hand
 Sterile needles  Clean gloves

Rating Criteria
5 Correctly and independently performs procedure and states rationale.
4 Performs procedure and states rationale with minimal guidance.
3 Satisfactorily performs procedure with moderate guidance.
2 Procedure incorrectly done without rationale.
1 Not performed.

PROCEDURE 5 4 3 2 1
1. Check the MAR.
2. Perform the appropriate assessment prior to preparation:
 Inspect the IV insertion site and the surrounding area for signs of infection, infiltration, or a
dislocated catheter.
 Take vital signs for baseline data if necessary.
 Determine if the client has allergies to the medication.
 Check the compatibility of the medication and IV fluid.
 Check patency of the IV.
3. Organize the equipment.
4. Perform hand hygiene and observe appropriate infection control procedures.
5. Prepare the medication.
6. Perform hand hygiene and apply clean gloves.
7. Provide for client privacy.
8. Introduce self, verify patient’s identity.
9. Explain to the patient what you are going to do, why it’s necessary, and how he/she can
cooperate. Explain the purpose of the medication and how it will help, using language that the
client can understand. Include relevant information about the effects of the medication.
10. Identify the injection port closest to the client.
11. Clean the port with an antiseptic swab.
12. Stop the IV flow by closing the clamp or pinching the tubing above the injection port.
13. Hold the port steady and insert the needle of the syringe that contains the medication through
the center of the port.
14. Inject the medication at the ordered rate. Use watch to time the medication administration.
15. After injecting the medication, withdraw the needle.
16. Dispose of equipment according to agency practice.
17. Remove and discard gloves and perform hand hygiene.
18. Observe the client closely for adverse reactions.
19. Document all relevant information.
TOTAL

𝐴𝑐𝑡𝑢𝑎𝑙 𝑆𝑐𝑜𝑟𝑒 𝐴𝑐𝑡𝑢𝑎𝑙 𝑆𝑐𝑜𝑟𝑒

Computation: × 60 + 40 = × 60 + 40
𝑇𝑜𝑡𝑎𝑙 𝑆𝑐𝑜𝑟𝑒 95

Grade:_______________

Remarks:____________________________________________________________________________________________________
_________________________________________________________________________________________________

Evaluated by:

___________________
Clinical Instructor

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Conforme:

___________________
Signature of Student

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