ADDING A BOLUS INTRAVENOUS MEDICATION TO AN EXISTING INTRAVENOUS LINE
- Gather equipment and bring to patient’s bedside. Check medication order against physician’s order. Check a drug resource to clarify if medication needs to be diluted before administration.
- Explain procedure to patient.
- Perform hand hygiene. Don clean gloves.
- Identify patient by checking the band on the patient’s wrist and asking patient his or her name.
- Assess IV site for presence of inflammation or infiltration.
- Select the injection port on tubing closet to the venipuncture site. Clean port with alcohol swab.
- Uncap syringe needleless device or needle into the center of port.
- Move your nondominant hand to the section of IV tubing just beyond the injection port. Fold the tubing between your fingers to temporarily stop the flow of IV solution.
- Pull back slightly on plunger just until blood appears in tubing. If no blood appears, medication may site for signs of infiltration.
- Inject medication at the recommended rate.
- Remove needle. Do not cap it. Release tubing and allow IV fluid to flow at the proper rate.
- Dispose of syringe in proper receptacle.
- Remove gloves and perform hand hygiene.
- Chart administration of medication. This may be done on the CMAR.
- Evaluate patient’s response to medication within appropriate time frame
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