IV Start - Medication Administration., Study notes of Medicine

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IV Start - Medication

Administration

1 st^ Medication Check

Check PCP orders Use Chart (EMR) & Medication Record (MAR)

1. Right medication
2. Right dose
3. Right time
4. Right route
5. Right patient
6. Right documentation Assess allergies Use the EMR Gather supplies IV kit angiokit (20ga & 22ga) Medication label Tape saline flush X2 alcohol pads Primary tubing Medications Dosage Calculation IV Push – need to read off the label and convert IV Piggyback- need to know the ggt factor to figure the ggt rate Hand Hygiene

2 nd^ Medication Check

Prepare Medications for Administration

1. Right medication
2. Right dose
3. Right time
4. Right route
5. Right patient
6. Right documentation Check expiration dates Draw up medications
7. IV Push
8. Clean the vial with an alcohol pad 30 seconds
9. Connect needle and syringe

• Pull the syringe back with the amount of air for the solution
• Inject the air into the vial
• Invert the vial
• Withdrawl the amount of medication ordered

4. Use the safety device for the needle
5. Label the medication with: Name, mg/ml, Date, Time Intravenous

3 rd^ medication

check

1. Right medication
2. Right dose
3. Right time
4. Right route
5. Right patient
6. Right documentation
7. Allergies have been checked and medication has not expired
8. Explain the medication: o Why is medication giveno How long it will take to be effective o Nursing considerations o Safety o Contraindications
9. Hand sanitizer
10. Place on clean gloves
11. Remove NS flush
12. Attach medication and administer
13. Flush the IC line with 1-3 cc NS afterwards

Intravenous Piggyback

3 rd^ Medication

check

1. Right medication
2. Right dose
3. Right time
4. Right route
5. Right patient
6. Right documentation
7. Allergies have been checked and medication has not expired
8. The prescribed medication is compatible with continuous IVF
9. Connect IV solution (medication) to IV secondary tubing
10. Slide roller clamp 2 inches below the drip chamber and roll the clamp closed
11. Pull off the cover from the port on the IV medication
12. Insert the spike into the port using a sterile technique
13. Squeeze the drip chamber and fill half-full
14. Prime the tubing with solution
15. Remove cap on the end of the tubing (maintain sterility)
16. Slowly open the clamp
17. Prime the tubing with solution
18. Replace cap on tubing
19. Clean the injection port with alcohol swab for 30 seconds
20. Connect IVP tubing to maintenance IV tubing

Post-procedure

Ask Pain level Can I get you anything before I leave Perform 1. Lower the bed to the lowest position

2. Ensure 3 side rales are up
3. Put the call bell within reach
4. Perform Hand hygiene Say Let the patient know when you will be back I am going to document the medication administration