ADDING MEDICATIONS TO AN INTRAVENOUS SOLUTION
by Admin · December 3, 2007
- Gather all equipment and bring to patient’s beside. Check medication order against physician’s order.
- Perform hand hygiene.
- Identify patient by checking the band on the patient’s wrist and asking patient his or her name. Check for any allergies the patient may have.
- Explain the procedure to the patient.
- Add medication to IV solution that is infusing.
- Check that volume in bag or bottle is adequate.
- Close IV clamp.
- Clean medication port with alcohol swab.
- Steady container. Uncap needle or needleless device and insert it into port. Inject medication.
- Remove container from IV pole and gently rotate solution.
- Rehang container, open clamp, and readjust flow rate.
- Attach label to container so that dose of added medication is apparent.
- Add medication to IV solution before infusion.
- Carefully remove any protective cover and locate injection port. Clean with alcohol swab.
- Uncap needle or needleless device and insert into port. Inject medication.
- Withdraw needle and insert spike into proper entry site on bag or bottle.
- With tubing clamped, gently rotate IV solution in the bag or bottle. Hang the IV bag.
- Attach the label to the container so that dose of added medication is apparent.
- Dispose of equipment according to agency policy.
- Perform hand hygiene.
- Chart addition of medication to IV solution. This may be done on the CMAR.
- Evaluate patient’s response to medication within appropriate time frame.
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